Inspection Reports for Claiborne County Senior Care

The State Agency conducted a desk review of information provided related to the annual survey completed on 2025-06-19 to verify corrective measures taken by the facility.

The facility provided information confirming measures were put in place to correct deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 2025-07-27.

A desk review was conducted on 08/05/2025 related to the annual survey completed on 06/19/2025 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was found to have no citations related to Alzheimer's/Dementia Care and was confirmed to be in compliance with the applicable standards. The State Agency recommended the facility be placed back in compliance effective 07/27/2025.

The State Agency conducted an annual recertification survey and complaint investigations at the facility from 06/16/2025 through 06/19/2025, investigating quality of care related to treatment, environment, and medications not given according to physician orders.

The facility was found not in compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements, with deficiencies cited in urinary incontinence care, safe food handling procedures, and infection control. Specific issues included improper peri-care leading to risk of infection, failure to follow food labeling and temperature recording protocols, and inadequate infection control practices during incontinent care.

Complaint investigations were conducted related to quality of care issues including treatment, environment, and medications not given according to physician orders. The complaint number was MS #29311.

The inspection was conducted based on a complaint investigation regarding the facility's failure to provide proper peri-care to residents with urinary incontinence.

The facility failed to provide peri-care in accordance with professional standards for two residents, resulting in inadequate cleaning and potential risk for skin breakdown and urinary tract infections. The Director of Nursing and Infection Prevention Nurse assessed affected residents and in-serviced Certified Nursing Assistants on proper incontinent care procedures.

The visit was complaint-related, focusing on inadequate peri-care for residents #9 and #15. The complaint was substantiated as deficiencies were observed and confirmed through interviews and record reviews.

The inspection was conducted to assess compliance with regulations related to bowel/bladder incontinence, catheter use, and urinary tract infection prevention, specifically focusing on peri-care practices for residents.

The facility failed to provide proper peri-care for two residents, #9 and #15, as observed during care and confirmed in interviews. Deficiencies included improper cleaning techniques that could lead to skin breakdown and urinary tract infections. The facility implemented in-service training for CNAs and established monitoring protocols to ensure compliance.

The State Agency conducted an annual recertification survey and Complaint Investigation (CI) MS #29311 at the facility from 6/16/25 through 6/19/25. The complaint investigation was related to quality of care concerning treatment, environment, and medications not given according to physician orders.

The facility was found not in compliance with Medicare and Medicaid participation requirements, citing deficiencies related to chemical restraints, bowel/bladder incontinence, food safety, and infection prevention and control. Specific issues included failure to discontinue PRN psychotropic medication orders timely, inadequate peri-care leading to risk of infection, improper food labeling and temperature recording, and lapses in infection control practices.

Complaint Investigation MS #29311 was conducted related to quality of care issues including treatment, environment, and medications not given according to physician orders. The complaint was substantiated with citations including F690.

The State Agency conducted an annual recertification survey at the facility from 06/16/25 through 06/19/25 to assess compliance with the Minimum Standards for Alzheimer's Disease/Dementia Care Unit.

The facility was found to be in compliance with the Minimum Standards for Alzheimer's Disease/Dementia Care Unit and no deficiencies were cited during the survey.

The inspection was conducted to assess compliance with the Life Safety Code (NFPA 101) regarding smoke barrier wall ratings and construction standards.

The facility failed to provide the required half-hour rating in the smoke barrier walls, with unsealed holes around blue data cables in multiple smoke compartments, affecting six of seven smoke compartments and 41 of 66 residents. The Maintenance Supervisor sealed the holes and the Maintenance Director was in-serviced on the importance of maintaining smoke barrier integrity.

The inspection was conducted to assess compliance with the Life Safety Code (LSC) requirements, specifically focusing on smoke barrier construction and emergency preparedness.

The facility met emergency preparedness requirements with no deficiencies cited. However, a deficiency was found in the smoke barrier walls, where unsealed holes around data cables compromised the required half-hour fire resistance rating, affecting six of seven smoke compartments and 41 of 66 residents.

The visit was conducted as an annual survey to assess compliance with applicable provisions of the 2012 Edition of the Life Safety Code (LSC) and emergency preparedness requirements.

The facility was found to have corrected previously identified deficiencies related to the Life Safety Code and was placed back in compliance. The emergency preparedness survey revealed no deficiencies.

The State Agency conducted a Complaint Investigation (CI), MS #27199, related to resident rights, resident abuse, and quality of care/treatment at the facility from 2024-12-16 through 2024-12-17.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. There were no deficiencies cited.

Complaint Investigation MS #27199 related to resident rights, resident abuse, and quality of care/treatment. The complaint was investigated and found to be unsubstantiated as no deficiencies were cited.

The State Agency conducted a complaint investigation related to resident rights, resident abuse, and quality of care/treatment at the facility.

The facility was found to be in compliance with Medicare and Medicaid requirements, and no deficiencies were cited during the investigation.

Complaint Investigation (CI MS #27199) related to resident rights, resident abuse, and quality of care/treatment. The complaint was investigated and found to have no deficiencies.

The State Agency conducted a complaint investigation related to neglect, resident rights, and quality of care/treatment concerning a resident not being turned or repositioned.

During the survey, the facility was found to be in compliance with Medicare and Medicaid requirements, and no deficiencies were cited.

Complaint Investigation (CI MS #26343) related to neglect, resident rights, and quality of care/treatment regarding a resident not turned/repositioned. No deficiencies were cited.

The State Agency conducted a Complaint Investigation related to neglect, resident rights, and quality of care/treatment concerning a resident not turned/repositioned.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. No deficiencies were cited.

Complaint Investigation (CI MS #26343) related to neglect, resident rights, and quality of care/treatment concerning a resident not turned/repositioned. No deficiencies were cited.

The State Agency conducted a desk review of information related to the annual survey completed on 2024-02-29 to confirm compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was confirmed to be in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm based on the desk review.

The State Agency conducted an annual recertification survey and complaint investigations at the facility from 2/26/24 through 2/29/24. The complaint investigations addressed issues related to physical environment, accidents, misappropriation of property, and quality of care.

There were no citations related to the complaint investigation. During the annual recertification survey, the facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm, with no deficiencies cited.

The complaint investigation MS #23989 involved concerns about the facility being dirty, falls, narcotic diversion, and residents left wet for extended periods. No citations were issued related to these complaints.

The inspection was conducted to review the facility's compliance with timely transmission of Minimum Data Set (MDS) assessments as required by federal regulations.

The facility failed to transmit annual and quarterly MDS assessments in a timely manner for two residents (#12 and #38), with submissions delayed beyond the required timeframe, posing no actual harm but indicating a deficiency in compliance.

The State Agency conducted an annual recertification survey and a Complaint Investigation at the facility from 2/26/24 through 2/29/24. The complaint investigation involved issues related to physical environment, accidents, misappropriation of property, and quality of care, while the annual survey assessed compliance with Medicare and Medicaid participation requirements.

The complaint investigation resulted in no citations. However, during the annual recertification survey, the facility was found non-compliant with Medicare and Medicaid participation requirements and cited for deficiencies related to pain management and food palatability. Specifically, the facility failed to adequately manage pain for one resident and failed to serve food in an appetizing and palatable manner for another resident.

Complaint investigation involved physical environment issues (facility being dirty), accidents related to falls, misappropriation of property related to narcotic diversion, and quality of care related to residents left wet for extended periods. No citations were issued related to the complaint investigation.

The State Agency conducted an annual recertification survey and a Complaint Investigation at the facility from 2024-02-26 through 2024-02-29. The complaint investigation was related to physical environment cleanliness, accidents related to falls, misappropriation of property related to narcotic diversion, and quality of care related to residents being left wet for extended periods.

There were no citations related to the complaint investigations. During the annual recertification survey, the facility was found to be in compliance with the Minimum Standards of Operation for Alzheimer's Disease/Dementia Care Unit and no deficiencies were cited.

The complaint investigation (MS #23989) was unsubstantiated as there were no citations related to the complaints regarding physical environment, accidents, misappropriation of property, or quality of care.

The State Agency conducted a desk review of information related to the annual survey completed on 02/29/24 to verify corrective measures and compliance with Medicare and Medicaid requirements.

The facility provided information confirming corrective actions were taken to address deficiencies, and the State Agency recommended the facility be placed back in compliance effective 04/08/24.

The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code, and no LSC deficiencies were cited during this survey.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable emergency preparedness requirements with no deficiencies cited.

The State Agency conducted a Complaint Investigation at the facility regarding MS #23542 and MS #23543, which involved the fall of a resident during a smoke break.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. No deficiencies were cited.

Complaint Investigation MS #23542 and MS #23543 regarding a resident fall during a smoke break; no deficiencies were cited.

The State Agency conducted a complaint investigation regarding the fall of a resident during a smoke break.

The facility was found to be in compliance with Medicare and Medicaid requirements, and no deficiencies were cited.

Complaint MS #23543 was investigated concerning a resident fall during a smoke break; no deficiencies were found.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete COVID-19 information to the NHSN during a seven-day period as required by regulation, which has the potential to cause more than minimal harm to all residents.

The State Agency conducted a Complaint Investigation at the facility from 10/25/23 through 10/27/23 related to Resident Abuse/Verbal, Safety/Falls, Resident Medications not given according to physician instructions, staffing, resident assessment, and facility cleanliness.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements. There were no deficiencies cited.

The complaint investigation involved allegations of Resident Abuse/Verbal, Safety/Falls, Resident Medications not given according to physician instructions, staffing, resident assessment, and facility cleanliness. The facility was found to be in compliance with no deficiencies cited.

The State Agency conducted a Complaint Investigation from 10/25/23 through 10/27/23 regarding Resident Abuse/Verbal and Safety/Falls, Resident Medications not given according to physician instructions, staffing, resident assessment, and facility cleanliness.

The facility was found to be in compliance with Medicare and Medicaid requirements and no deficiencies were cited during the investigation.

Complaint Investigation MS #22925 regarding Resident Abuse/Verbal and MS #22927 regarding Safety/Falls, Resident Medications not given according to physician instructions, staffing, resident assessment, and facility cleanliness. No deficiencies were cited.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 10/16/2023 and 10/22/2023 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The State Agency conducted a complaint investigation at the facility for one complaint (MS #21738) related to accidents due to a fall on 08/07/2023.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm, and no deficiencies were cited.

Complaint MS #21738 regarding accidents related to a fall was investigated and found to have no deficiencies.

The State Agency conducted a complaint investigation at the facility for one complaint (MS #21738) related to accidents from a fall on 08/07/2023.

The facility was found to be in compliance with Medicare and Medicaid requirements, and no deficiencies were cited related to the complaint.

Complaint MS #21738 regarding accidents related to a fall was investigated and found to have no deficiencies.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 02/13/2023 to 02/19/2023 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a required seven-day reporting period between 01/23/2023 and 01/29/2023, which could potentially cause more than minimal harm to residents.

The State Agency conducted a Complaint Investigation at the facility from 12/20/22 through 12/21/22 regarding MS #19717 and MS #19729.

The facility was found to be in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm. MS #19729 was not substantiated for resident monitoring or infection control, and MS #19717 was not substantiated for incontinence care, facility staffing, or insufficient supplies. No deficiencies were cited.

Complaint Investigation MS #19717 and MS #19729 were not substantiated; no deficiencies were cited.

The State Agency conducted a Complaint Investigation at the facility from 12/20/22 through 12/21/22 related to MS #19729 and MS #19717.

The facility was found to be in compliance with Medicare and Medicaid requirements. MS #19729 was not substantiated for resident monitoring or infection control, and MS #19717 was not substantiated for incontinence care, facility staffing, or insufficient supplies. No deficiencies were cited.

Complaint Investigation MS #19729 and MS #19717 were not substantiated.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 11/14/2022 and 11/20/2022 as required by regulation, which has the potential to cause more than minimal harm to residents.

The facility was surveyed for compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the CDC's NHSN during a seven-day period from 11/07/2022 to 11/13/2022 as required by regulation, which has the potential to cause more than minimal harm to residents.

The State Agency conducted a Complaint Investigation at the facility from 09/26/22 through 09/27/22 related to allegations identified as MS #18669 and MS #19124.

The facility was found to be in compliance with Medicare and Medicaid participation requirements. The complaint MS #18669 for Resident Neglect and Quality of Care/Treatment was not substantiated, and MS #19124 for Resident Abuse was also not substantiated. No deficiencies were cited.

Complaint Investigation MS #18669 and MS #19124 were not substantiated; no deficiencies cited.

The State Agency conducted a Complaint Investigation at the facility from 9/26/22 through 9/27/22 regarding MS #18669 and MS #19124.

The facility was found to be in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm. The complaints MS #18669 for Resident Neglect and Quality of Care/Treatment and MS #19124 for Resident Abuse were not substantiated, and no deficiencies were cited.

Complaint Investigation MS #18669 and MS #19124 were not substantiated for Resident Neglect, Quality of Care/Treatment, or Resident Abuse.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 06/13/2022 and 06/19/2022, as required by regulation, potentially causing more than minimal harm to residents.

The State Agency conducted a complaint survey at the facility on 12/14/21 related to a complaint for injury of unknown origin.

The complaint was not substantiated and no deficiencies were cited during this survey. However, the facility remains out of compliance due to deficiencies cited on the prior 10/28/2021 survey.

Complaint for injury of unknown origin was investigated and found not substantiated.

The State Agency conducted a complaint survey at the facility on 12/14/21 regarding a complaint for injury of unknown origin.

The complaint was not substantiated and no deficiencies were cited during this survey; however, the facility remains out of compliance due to deficiencies cited on the prior 10/28/2021 survey.

Complaint for injury of unknown origin was investigated and found not substantiated.

The State Agency conducted a desk review of information related to the annual survey conducted on 10/28/21 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements.

The facility was found to be in compliance with the Minimum Standards of Operation and state licensure requirements. The agency recommended the facility be placed back in compliance effective 11/29/21.

The State Agency conducted a desk review related to the annual survey conducted on 10/28/21 to assess the facility's compliance with Medicare and Medicaid requirements.

The facility provided information confirming corrective measures were implemented to address deficient practices, and the State Agency recommended the facility be placed back in compliance effective 11/29/21.

The State Survey Agency conducted an annual survey and a complaint investigation for complaints MS #16780 and MS #18240 at the facility from 10/26/2021 through 10/28/2021.

The SSA did not substantiate the complaints for Resident/Patient/Client Neglect and Quality of Care due to lack of evidence. The facility was found to be in compliance with Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm with no deficiencies cited.

Complaints MS #16780 and MS #18240 were investigated and not substantiated due to lack of evidence.

The State Survey Agency conducted an annual survey and a complaint investigation for complaints MS #16780 and MS #18240 at the facility from 10/26/2021 through 10/28/2021.

The SSA did not substantiate the complaints for Resident/Patient/Client Neglect and Quality of Care due to lack of evidence. The facility was found in compliance with Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm with no deficiencies cited.

Complaints MS #16780 and MS #18240 were investigated and not substantiated due to lack of evidence.

An annual survey and complaint investigations (CI MS#16790 and CI MS#18240) were conducted by the State Survey Agency at the facility from 10/26/2021 through 10/28/2021.

The facility was found to not be in compliance with Medicare and Medicaid participation requirements. The complaint investigations related to quality of care, neglect, and staff behavior were not substantiated due to lack of evidence. Deficiencies were cited under tags F636, F638, and F641.

Complaint investigations CI MS#16790 and CI MS#18240 related to quality of care/treatment and resident neglect were not substantiated due to lack of evidence.

The State Survey Agency conducted an annual survey and a complaint investigation for complaints MS #16780 and MS #18240 at the facility from 10/26/2021 through 10/28/2021.

The SSA did not substantiate the complaints for Resident/Patient/Client Neglect and Quality of Care due to lack of evidence. The facility was found to be in compliance with Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm with no deficiencies cited.

Complaints MS #16780 and MS #18240 were investigated and not substantiated due to lack of evidence.

An annual survey and complaint investigations (CI MS#16790 and CI MS#18240) were conducted by the State Survey Agency from 10/26/2021 through 10/28/2021 to assess compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with Medicare and Medicaid requirements, citing deficiencies in comprehensive assessments, quarterly assessments, and accuracy of assessments. Complaint investigations related to quality of care and neglect were not substantiated due to lack of evidence.

Complaint investigations CI MS#16790 and CI MS#18240 related to quality of care, treatment, resident neglect, staff rudeness, and unanswered call lights were not substantiated due to lack of evidence.

The facility was surveyed under the Centers for Medicare Medicaid Services (CMS) COVID-19 Emergency Declaration Blanket 1135 Waivers for Health Care Provider to assess compliance with the 2012 Edition of the Life Safety Code (LSC).

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA). No LSC deficiencies were cited during this survey.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable Federal, State, and local emergency preparedness requirements with no deficiencies cited.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparation.

The State Agency conducted a complaint survey related to verbal abuse, drug diversion, and physician services at Claiborne County Senior Care from 12/16/19 through 12/17/19.

The complaint investigation found the three areas of concern unsubstantiated, but cited a deficiency related to the facility's failure to account for medication reconcilement sheets for discontinued medications, presenting potential for medication misuse. The facility was found not in compliance with Medicare, Medicaid, and state minimum standards.

The complaint involved allegations of verbal abuse, drug diversion, and physician services. The State Agency determined these allegations were unsubstantiated, except for the deficiency related to medication reconcilement sheets.

A complaint investigation was conducted at Claiborne County Senior Care on March 20, 2019.

The investigation was unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated with no deficiencies cited.

An annual survey was conducted to assess compliance with Medicare/Medicaid requirements and facility regulations.

The facility was found not in substantial compliance with several requirements including medication administration errors, food preparation inconsistencies, food safety issues, and infection control deficiencies. Specific issues included a 33% medication error rate, improper preparation of pureed diets, freezer maintenance problems, unsanitary kitchen equipment, and inadequate cleaning of glucometers and wound care procedures.

A complaint investigation was conducted at Claiborne County Senior Care on July 11, 2018.

The investigation was unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated with no deficiencies cited.