Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
29% better than Mississippi average
Mississippi average: 3.8 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 3
Date: Oct 31, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, infection control, and food safety at Driftwood Nursing Center.
Findings
The facility failed to ensure an indwelling urinary catheter was clinically indicated and properly documented for one resident, failed to sanitize food thermometers between uses risking cross-contamination, and failed to use appropriate personal protective equipment during catheter care for one resident.
Deficiencies (3)
F 0690: The facility failed to ensure an indwelling urinary catheter was clinically indicated and properly documented for Resident #87. There was no documentation explaining when or why the catheter was placed.
F 0812: The facility failed to ensure food temperatures were tested under sanitary conditions during one of four kitchen observations. The cook wiped the thermometer on a towel without sanitizing between food items.
F 0880: The facility failed to use enhanced barrier precautions by not wearing gowns during catheter care for Resident #87. Staff admitted to not wearing gowns despite availability and training.
Report Facts
Residents observed with catheters: 4
Residents affected: 1
Kitchen observations: 4
Months cook employed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #2 | Recalled putting in catheter orders for Resident #87 but uncertain of diagnosis | |
| Licensed Practical Nurse (LPN) #1 | Confirmed Resident #87 did not have catheter on admission and no diagnosis was given for catheter | |
| Director of Nursing (DON) | Confirmed lack of sufficient diagnosis for catheter and emphasized documentation expectations | |
| Nurse Practitioner (NP) | Acknowledged catheter issue and confirmed urinary retention does not justify catheter use | |
| Cook | Failed to sanitize thermometer between food items | |
| Dietary Manager (DM) | Confirmed cook failed to sanitize thermometer and described training methods | |
| Registered Dietitian | Confirmed staff are instructed to sanitize thermometers between food items | |
| Certified Nurse Aide (CNA) #1 | Did not wear gown during catheter care and confirmed PPE availability | |
| Certified Nurse Aide (CNA) #2 | Admitted not wearing gown during catheter care and acknowledged awareness of EBP | |
| Registered Nurse (RN) #1 | Explained EBP policies and PPE expectations for catheter care | |
| Administrator | Expressed expectation that kitchen staff sanitize thermometers to prevent cross-contamination |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 20, 2024
Visit Reason
The inspection was conducted following a complaint and investigation into the misappropriation of a resident's credit card by facility staff.
Complaint Details
The complaint was substantiated. The Resident Representative reported suspicious credit card charges on 6/24/24. The facility confirmed unauthorized use by CNA #1, who was terminated prior to discovery. Law enforcement was involved, and restitution was made to the resident.
Findings
The facility failed to protect a resident from misappropriation when a Certified Nursing Assistant used the resident's credit card without consent. The facility investigated, reimbursed the resident, notified authorities, and provided staff in-service training.
Deficiencies (1)
F 0602: The facility failed to protect a resident from wrongful use of belongings when staff used a resident's credit card without authorization. The issue involved one of five sampled residents and was determined to be past non-compliance corrected prior to the survey.
Report Facts
Unauthorized charges amount: 330.1
Number of residents sampled: 5
BIMS score: 14
Employment dates of CNA #1: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Named as the staff member who misappropriated Resident #1's credit card. |
| RN #1 | Registered Nurse | Received report of suspicious charges and involved in investigation. |
| Administrator | Facility Administrator | Managed investigation, notified authorities, and provided corrective actions. |
| Detective #1 | Local Police Detective | Conducted investigation and confirmed CNA #1's arrest and evidence. |
| Director of Nurses | Director of Nurses (DON) | Provided information on staff in-service training post-incident. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 27, 2024
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to develop appropriate interventions for a cognitively impaired resident after a fall to prevent reoccurrence.
Complaint Details
The complaint investigation found that Resident #1, who was severely cognitively impaired, had two witnessed falls on 05/15/24 and 05/23/24. The care plan interventions were not appropriate given the resident's cognitive impairment, and staff interviews confirmed the inadequacy of these interventions.
Findings
The facility failed to develop appropriate care plan interventions for Resident #1, who was cognitively impaired and had multiple falls. Interviews with staff confirmed that interventions such as keeping the call light within reach and providing safety education were not appropriate for the resident's cognitive status.
Deficiencies (1)
F 0689: The facility failed to ensure the nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents for a cognitively impaired resident who had multiple falls.
Report Facts
Residents Affected: 1
Fall Dates: Falls occurred on 05/15/24 and 05/23/24.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed and confirmed the inappropriateness of care plan interventions for Resident #1. |
| Registered Nurse #1 | Registered Nurse | Responsible for developing care plan interventions and confirmed the inadequacy of interventions for Resident #1. |
| Administrator | Administrator | Explained facility expectations regarding fall interventions and care plan updates. |
Inspection Report
Routine
Deficiencies: 3
Date: Mar 2, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident rights, Minimum Data Set (MDS) assessments, and Pre-admission Screening and Resident Review (PASRR) processes at Driftwood Nursing Center.
Findings
The facility failed to ensure a resident had ready and reasonable access to personal funds on weekends, failed to transmit MDS assessments by their target dates for 19 of 24 residents reviewed, and failed to complete a required PASRR Level II screening for one resident with a major mental illness diagnosis.
Deficiencies (3)
F 0567: The facility failed to ensure Resident #68 had ready and reasonable access to personal funds on weekends due to limited staff access to trust accounts.
F 0640: The facility failed to transmit Minimum Data Set (MDS) assessments by their target dates for 19 of 24 residents reviewed, potentially affecting resident care and funding.
F 0645: The facility failed to complete a required PASRR Level II screening for Resident #6, who had diagnoses of Paranoid Schizophrenia and PTSD, potentially impacting the resident's care and services.
Report Facts
Residents reviewed for MDS assessments: 24
Residents affected by personal funds access issue: 1
Residents affected by PASRR screening issue: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services #1 | Social Services Staff | Interviewed regarding PASRR Level II screening for Resident #6 |
| Registered Nurse/MDS Coordinator | RN/MDS Coordinator | Interviewed about delayed MDS assessments transmission |
| Corporate Administrator | Corporate Administrator | Interviewed regarding MDS assessment delays and weekend management access to resident funds |
| Administrator | Facility Administrator | Interviewed about resident access to personal funds and MDS assessment delays |
| Director of Nurses | Director of Nurses (DON) | Interviewed regarding PASRR screening requirements for Resident #6 |
| Administrative Assistant | Administrative Assistant (AA) | Responsible for residents' personal trust fund accounts and interviewed about weekend access |
| Activities Director | Activities Director (AD) | Interviewed about issuing personal funds on weekends |
Inspection Report
Deficiencies: 0
Date: Nov 21, 2019
Visit Reason
This document is a statement of deficiencies and plan of correction for Driftwood Nursing Center following a regulatory survey completed on November 21, 2019.
Findings
No health deficiencies were found during this inspection.
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