Inspection Reports for
Brandon Court

The facility was found not in compliance with Medicare and Medicaid participation requirements, citing deficiencies in comprehensive care planning, ADL care, mobility maintenance, catheter care, and medication storage.

The facility was found not in compliance with state licensure requirements, with deficiencies cited in activities of daily living, range of motion, and labeling of drugs. The facility failed to provide consistent personal care, failed to assess and treat a resident's hand contractures, and failed to remove expired medications from active stock.

The facility was found to be in compliance with all applicable Life Safety Code and Emergency Preparedness requirements. No deficiencies were cited during this survey.

CI MS#26995 complaint survey completed on 05/28/26; the facility was found in compliance with no deficiencies cited.

The State Agency found the facility in compliance and recommended the facility be placed back in compliance effective 07/08/26. No deficiencies were cited in this document.

Complaint Investigation CI MS#2959557 regarding a Facility Reported Incident. Deficiency cited for failure to notify physician and Resident Representative following a change in condition.

The facility was found not in compliance with Minimum Standards for Institutions for the Aged or Infirm and cited M500 for failing to immediately notify the resident's physician and Resident Representative following a change in condition involving one resident.

CI MS#2959557 investigated a Facility Reported Incident involving failure to notify the physician and resident representative of a resident's fall. Deficiency was cited.

The facility failed to immediately notify the resident's physician and Resident Representative following a change in condition involving one of three residents reviewed for notification requirements. Specifically, a fall of Resident #1 was not promptly reported by staff, resulting in delayed notification and evaluation.

CI MS #28793 was investigated related to nursing services and quality of care regarding resident left soiled for extended periods. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited.

Complaint CI MS#28793 was investigated related to nursing services and quality of care regarding resident left soiled for extended periods. The complaint was not substantiated as no deficiencies were cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

CI MS #27546 was investigated related to pressure wounds, neglect and quality of care. The SA determined the facility was in compliance with no deficiencies cited.

The SA determined the facility was in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited.

The State Agency is recommending that the facility be placed back in compliance effective 01/03/25. No deficiencies were cited in this desk review.

The facility was found not in compliance with state licensure requirements due to unresolved grievances regarding rude staff and failure to maintain effective infection control during PEG tube care. The facility failed to resolve grievances in a timely manner for five residents and failed to perform proper hand hygiene during PEG tube care for one resident.

The facility was found not in compliance due to failure to resolve grievances regarding rude staff in a timely manner for five sampled residents and failure to prevent possible spread of infection during PEG tube care for one resident.

The investigation was complaint-driven based on multiple resident grievances about rude behavior by CNAs on various shifts. The complaints were substantiated as the facility acknowledged persistent issues and inadequate resolution.

The facility failed to resolve grievances about rude CNA behavior in a timely manner for several residents and failed to prevent possible infection spread during PEG tube care due to inadequate hand hygiene by a nurse.

The facility was found in compliance with all emergency preparedness and life safety code requirements. No deficiencies were cited.

Complaint Investigations MS #26275, MS #26313, and MS #26368 were conducted related to quality of care, therapeutic diets, cleanliness, roaches, staffing, neglect, and nursing services. The facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited.

CI MS#26995 complaint investigation was reviewed and found to be substantiated but corrected; the facility was placed back in compliance.

The State Agency found the facility in compliance and is recommending the facility be placed back in compliance effective 09/02/24.

Complaint Investigation (CI), MS #23096, MS #23929, MS #25202, MS #25457, MS #25633, MS #25981, MS #25988, MS #26014, MS #26016, and MS #26018. The SA cited M500 related to MS #25988, MS #25202, and MS #26018. The facility was found not in compliance.

The facility was found not in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. The SA cited M500 related to multiple complaints. The facility failed to ensure sufficient bath linens for residents, failed to allow residents to exercise autonomy regarding bathing schedules and clothing preferences, and failed to obtain consent prior to changing private insurance plans for a resident.

Complaint Investigation (CI), MS #23096, MS #23929, MS #25202, MS #25457, MS #25633, MS #25981, MS #25988, MS #26014, MS #26016, and MS #26018. Multiple allegations including Administration, Resident Rights, Infection Control, Quality of Care, Physical Environment, Nursing Services, Resident Abuse and Neglect. Deficiencies cited for MS #23929 (F572), MS #25988, MS #26018, and MS #25202 (F584 and F561).

Three deficiencies were cited related to resident self-determination, notice of rights and rules, and safe/clean/homelike environment. The facility failed to ensure residents could exercise autonomy regarding bathing schedules and clothing, obtain consent before changing insurance plans, and provide sufficient clean linens to allow residents to bathe at preferred times.

The facility failed to ensure residents could exercise autonomy regarding bathing schedules and clothing preferences due to lack of clean linens and personal clothing not returned from laundry. Consent was not obtained from one resident before disenrollment from managed care insurance. The facility also failed to provide sufficient bath linens on one day of observation, impacting residents' preferred routines.

Complaint survey completed on 06/23/23; the facility was found in compliance after the desk review and no deficiencies were cited.

The State Agency found the facility in compliance and is recommending the facility be placed back in compliance effective 08/11/23. No deficiencies were cited in this desk review.

CI MS #21799 was investigated for Quality of Care related to grooming, provision of incontinent care, bed mobility and care/services not provided according to physician orders. Deficiency F690 was cited. CI MS #21795 for Dietary Services, Resident Rights, and Environment was found in compliance with no deficiencies cited.

The facility failed to ensure that a resident who was incontinent of bladder received appropriate treatment and services for incontinent care for one of five residents reviewed. Resident #2 was found with a wet brief, soiled linens, and no documented toileting on the day of observation. Interviews with staff and administrators confirmed inadequate incontinent care and failure to provide assistance every two hours as required.

The complaint investigation found that Resident #2 did not receive appropriate incontinence care as required. The complaint was substantiated based on observations, interviews, and record reviews.

The facility failed to provide appropriate incontinence care to Resident #2, who was found with a wet brief, stained sheets, and a strong urine odor. Interviews with staff confirmed that required assessments and care every two hours were not consistently provided.

The information provided by the facility confirmed the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm.

The State Agency is recommending that the facility be placed back in compliance effective 5/11/23 for F550, F695, M500, and effective 5/15/23 for F804 and M855. No deficiencies are cited in this document.

The facility was found to have deficiencies in maintaining clear means of egress, conducting proper fire drills, and documenting generator testing and maintenance.

The facility failed to properly perform and document fire drills as required by NFPA 101 section 19.7.1.2, affecting all smoke compartments and residents on the day of the survey.

The facility was found not in compliance with Minimum Standards related to residents' rights and food preparation. Deficiencies included failure to provide meals at the same time to residents needing assistance and failure to provide palatable food at an appetizing temperature.

The facility was found not in compliance with deficiencies cited in resident rights, respiratory care, and food service. The survey identified failures in providing dignified care during meals, posting oxygen caution signs, and serving palatable food at appropriate temperatures.

The investigation was complaint-driven, focusing on dignity in feeding assistance, oxygen safety signage, and food quality. The complaints were substantiated with observations, interviews, and record reviews confirming the issues.

The facility failed to provide dignified care by not feeding residents requiring assistance simultaneously. Oxygen safety signs were missing for residents using oxygen. The food served was often cold, bland, and unpalatable, leading to resident dissatisfaction.

CI MS#20492 was investigated for staffing, physical environment, and infection control, with no deficiencies cited.

The facility was found in compliance with the Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm. No deficiencies were cited.

Complaint Investigation (CI), MS #20492 investigated staffing, physical environment, and infection control, with no deficiencies cited.

The facility was found to be in compliance with infection control regulations and Medicare and Medicaid requirements. No deficiencies were cited related to infection control or the complaint investigation.

The facility was found to be in compliance with 42 CFR 483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

Complaint Investigation MS #19661 and MS #19622 were not substantiated; no deficiencies cited related to quality of care, physician orders, incontinent care, or discharge rights.

The facility was found in compliance with the Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm. No deficiencies were cited.

Complaint Investigation MS #19661 and MS #19622 were not substantiated; no deficiencies cited related to quality of care issues.

The facility was found in compliance with Medicare and Medicaid requirements. No deficiencies were cited related to the complaints investigated.

CI MS#26995 complaint investigation was reviewed and found to be in compliance with no deficiencies cited.

The State Agency determined the facility was in compliance effective 09/16/22 and recommended the facility be placed back in compliance.

Complaint Investigation (CI), MS #18828, MS #18802, MS #18741, MS #18671, and MS #19421. The SA did not substantiate MS #19421 for abuse or MS #18802 for pressure sores, mouth care, hydration, misappropriation, environment, dietary services and physician services. The SA did not substantiate MS #18741 for abuse, but cited M500, M615, and M735 for a pressure wound related to the investigation. The SA substantiated MS #18671 related to Activities of Daily Living (ADL) care and cited M610.

The facility was found not in compliance with state licensure requirements, citing deficiencies related to residents' rights, activities of daily living, pressure sores, and medical records management. Specifically, the facility failed to obtain timely physician orders and document wound care treatments, and failed to provide scheduled shower/bath assistance to residents dependent on staff.

Complaint Investigation (CI), MS #18828, MS #18802, MS #18741, MS #18671, and MS #19421 were investigated. MS #18828, MS #19421, and MS #18802 were not substantiated. MS #18741 was not substantiated for abuse but deficiencies were cited related to a pressure wound. MS #18671 was substantiated related to Activities of Daily Living care and cited F677.

The survey identified deficiencies related to failure to notify physicians and obtain orders for wound treatments, inaccurate Minimum Data Set assessments, incomplete care plans, failure to provide scheduled bathing assistance, failure to document wound care treatments, and failure to maintain accurate medical records for wounds.

Complaint investigations CI MS #17262 and CI MS #17267 were not substantiated for physical abuse. CI MS #17413 was not substantiated for neglect and quality of care. No deficiencies were cited.

No deficiencies were cited. The facility was found in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm, state licensure requirements.

Complaint investigations CI MS #17262 and CI MS #17267 were not substantiated for physical abuse. CI MS #17413 was not substantiated for neglect and quality of care.

The facility was found to be in compliance with infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19. No deficiencies were cited.

The facility was found to be in compliance with Medicaid and Medicare requirements related to E-0024 (b)(6).

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

Complaint MS #15725 was substantiated for not allowing a resident to retain personal property, resulting in citation of F557. Complaint MS #16140 was not substantiated with no deficiencies cited.

The facility was found not in compliance with multiple federal requirements including respect for resident personal property, accuracy of assessments, care plan revisions, ADL care, food safety, infection control, fire safety, and emergency preparedness. Deficiencies were cited for failure to allow a resident to retain personal property, inaccurate MDS assessments, incomplete care plans, inadequate shaving assistance, cross contamination during feeding, improper infection control practices, lack of fire door inspections, hazardous area protections, missing smoke detectors, incomplete sprinkler coverage, missing fire drill documentation, and generator testing documentation. Emergency preparedness requirements were met.

The complaint involved the facility removing and destroying Resident #50's urinary drainage system, which was purchased by his brother for personal use. The resident wanted the system replaced or compensated. The facility removed the system citing infection control concerns and provided urinals instead. Compensation was provided via gift cards and a deposit to the resident's account.

The facility failed to respect a resident's right to retain personal possessions by removing a urinary drainage system and not adequately replacing or compensating for it. Additional deficiencies included inaccurate Minimum Data Set (MDS) assessments, failure to revise care plans for dementia, inadequate assistance with grooming, improper food handling leading to cross-contamination, and failure to prevent cross-contamination during medication pass.

The facility was found not in compliance with deficiencies cited at F0561, F0565, and F0645. The facility failed to ensure resident food preferences were honored and failed to promptly act on Resident Council recommendations. The facility also failed to complete a required PASARR Level II screening for one resident.

The facility failed to promptly act on a recommendation of the Resident Council for two of twelve months of Resident Council Minutes, specifically regarding the addition of cheese toast as a breakfast option. The Administrator was unaware of the request due to communication issues, and the facility did not provide cheese toast as requested by residents.