Inspection Reports for
Highland Home (Madison Community Care Center)
638 Highland Colony, Ridgeland, MS, 39157
Back to Facility Profile31 Reports
Inspection Report — Sep 3, 2026
Life Safety
Date: Sep 3, 2026
Visit Reason
The facility was surveyed for compliance with the 2012 Edition of the Life Safety Code (LSC) and Emergency Preparedness requirements on 09/03/2026.
Findings
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.
Inspection Report — Sep 3, 2026
Annual Inspection
Date: Sep 3, 2026
Visit Reason
The State Agency conducted an Annual Recertification survey along with three Complaint Investigations (CI MS #3015432, CI MS #3066914 and CI MS #2984747) at the facility from 08/31/26 through 09/03/26.
Complaint Details
The survey included three complaint investigations: CI MS #3015432 with deficiencies cited including F645 related to mental health screening; CI MS #3066914 with no deficiencies cited; and CI MS #2984747 with F689 cited but determined past noncompliance due to corrective actions.
Findings
The facility was found not in compliance with Medicare and Medicaid requirements and cited for multiple deficiencies including failure to follow lift policies resulting in injury, dignity and respect issues, inaccurate assessments, incomplete care plans, inadequate personal hygiene care, improper medication handling, and infection control breaches.
Deficiencies (10)
F0689 - Free of Accident Hazards/Supervision/Devices. The facility failed to ensure staff used the ordered stand-up lift during a transfer for Resident #31, resulting in a fracture and prolonged stay. The deficiency was corrected prior to survey entrance.
F0550 - Resident Rights/Exercise of Rights. The facility failed to ensure residents were treated with dignity and respect by failing to conceal urinary catheter drainage bags from public view for Residents #20 and #92.
F0641 - Accuracy of Assessments. The facility failed to accurately complete Minimum Data Set assessments for Resident #20 with an indwelling catheter and Resident #12 receiving scheduled pain medication.
F0645 - PASARR Screening for MD & ID. The facility failed to accurately complete the Level I PASARR screening and failed to refer Resident #10 with bipolar disorder for a Level II evaluation.
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to implement comprehensive person-centered care plans regarding personal hygiene for Residents #4, #8, #52, and #58.
F0677 - ADL Care Provided for Dependent Residents. The facility failed to provide necessary personal hygiene and grooming services as evidenced by excessive facial hair and long dirty fingernails for Residents #4, #8, #52, and #58.
F0679 - Activities Meet Interest/Needs Each Resident. The facility failed to provide an ongoing program of activities designed to meet the individualized interests and physical, mental, and psychosocial needs of Resident #112, who was on contact isolation.
F0688 - Increase/Prevent Decrease in ROM/Mobility. The facility failed to provide Resident #28 with a wheelchair of appropriate height and footrests to allow self-propulsion using her feet, limiting her mobility independence.
F0761 - Label/Store Drugs and Biologicals. The facility failed to secure a medication cart and prepared heparin syringe from unauthorized access and failed to resolve discrepancies between physician orders and pharmacy labels for Residents #24 and #48.
F0880 - Infection Prevention & Control. The facility failed to implement Enhanced Barrier Precautions during catheter care for Resident #2, failed to store respiratory equipment in a sanitary manner for Resident #3, and failed to ensure linens that fell on the floor were removed from the clean supply for three of four days observed.
Report Facts
Deficiencies cited: 10
Complaint investigations: 3
Inspection Report — Mar 30, 2026
Complaint Investigation
Date: Mar 30, 2026
Visit Reason
The State Agency conducted an onsite Complaint Investigation (CI MS# 2963762) at the facility on 3/30/26 regarding Accident Hazards, which resulted in citation of M640 at an Immediate Jeopardy level.
Complaint Details
CI MS# 2963762 investigated Accident Hazards related to resident elopement. Deficiency M640 was cited at Immediate Jeopardy level, which was removed after corrective actions. The complaint was substantiated with deficiencies cited.
Findings
M0640 - The facility failed to provide adequate supervision to prevent the elopement of Residents #1 and #2, who exited the facility unnoticed when a visitor held the door open for them. Both residents were found across a busy four-lane road, posing a serious risk of injury or death. The Immediate Jeopardy was removed after corrective actions were implemented on 3/25/26.
Deficiencies (1)
M0640 - The facility failed to provide adequate supervision to prevent vulnerable residents from eloping unnoticed, allowing Residents #1 and #2 to exit the facility when a visitor held the door open, placing them at risk of serious injury or death.
Report Facts
Deficiencies cited: 1
Licensed beds: 120
Distance eloped: 528
Residents at risk: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
Inspection Report — Mar 11, 2026
Complaint Investigation
Date: Mar 11, 2026
Visit Reason
The State Agency (SA) conducted a Complaint Investigation (CI) MS# 2606645 at the facility on 03/11/2026.
Complaint Details
Complaint number CI MS# 2606645 was investigated and found to be unsubstantiated with no deficiencies cited.
Findings
The facility was found in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm and there were no deficiencies cited.
Report Facts
Complaint investigations: 1
Inspection Report — Jan 7, 2025
Complaint Investigation
Date: Jan 7, 2025
Visit Reason
On 01/07/25 the State Agency (SA) conducted an onsite complaint investigation (CI) MS #27065, MS#27120 and MS#27570 all related to discharges.
Complaint Details
Complaint investigation CI MS#27065, MS#27120 and MS#27570 all related to discharges; the SA found the facility in compliance with no deficiencies cited.
Findings
The SA found the facility to be in compliance with the Standards for Participation in Medicare and Medicaid and no deficiencies were cited.
Report Facts
Complaints investigated: 3
Inspection Report — Nov 5, 2024
Complaint Investigation
Date: Nov 5, 2024
Visit Reason
On 11/05/24 the State Agency (SA) conducted three onsite complaint investigations (CI) for MS #26270 alleged sexual harassment; CI MS #26361 related to discharge and CI MS #26312 for alleged fraud.
Complaint Details
Three complaint investigations were conducted for alleged sexual harassment (CI MS #26270), discharge issues (CI MS #26361), and alleged fraud (CI MS #26312). The complaints were not substantiated and no deficiencies were cited.
Findings
The SA determined that the facility was in compliance with the Standards for Participation in Medicare and Medicaid and no deficiencies were cited for any of the allegations.
Report Facts
Complaint investigations conducted: 3
Inspection Report — Jul 24, 2024
Follow-Up
Date: Jul 24, 2024
Visit Reason
The State Agency conducted a revisit on 7/24/24 for the annual recertification survey completed on 6/20/24. During the survey, the SA determined the facility was in compliance with Medicare and Medicaid requirements of participation licensure requirements as of 7/12/24.
Findings
The facility was found in compliance with Medicare and Medicaid participation and licensure requirements at the time of the revisit.
Inspection Report — Jun 20, 2024
Annual Inspection
Date: Jun 20, 2024
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility on 06/17/24 through 06/20/24. The SA determined that the facility was not in compliance with requirements for Medicare and Medicaid Services and cited deficiencies.
Findings
The facility was found not in compliance with Medicare and Medicaid requirements, citing deficiencies in resident assessments, care plans, activities of daily living, respiratory care, pain management, drug labeling and storage, and resident records.
Deficiencies (7)
F0640 - The facility failed to transmit a discharge Minimum Data Set (MDS) Assessment for one of three residents reviewed for discharge MDS assessments, resulting in a discharge MDS over 120 days late.
F0656 - The facility failed to implement care plans for residents' activities of daily living and pain medication management for two of 18 residents reviewed, including failure to follow ADL care plan for Resident #14 and pain management plan for Resident #53.
F0677 - The facility failed to ensure a resident who required assistance with ADLs was assisted with personal hygiene, evidenced by long, jagged nails with brown substance underneath and unshaven facial hair for Resident #14.
F0695 - The facility failed to label and store an aerosol nebulizer mask in a manner that prevented possible contamination for one of 27 nebulizers observed, with an unbagged and undated nebulizer mask and tubing found in Resident #98's room.
F0697 - The facility failed to ensure a resident was free of pain, failing to have prescription pain medication available and properly administered for Resident #53, resulting in documented high pain levels and inadequate pain management.
F0761 - The facility failed to store controlled substances in a permanently affixed locked compartment inside the refrigerator, with lock boxes containing lorazepam not permanently affixed and removable.
F0842 - The facility failed to accurately document the administration of prn pain medication in the electronic medication system for Resident #53, with 47 of 98 doses given not documented in the eMAR, risking medication errors and inaccurate treatment plans.
Report Facts
Deficiencies cited: 7
Inspection Report — Jun 19, 2024
Life Safety
Date: Jun 19, 2024
Visit Reason
The facility was surveyed for compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).
Findings
The facility was found to be in compliance with the Life Safety Code. There were no Life Safety Code deficiencies cited during this survey.
Inspection Report — Feb 29, 2024
Complaint Investigation
Date: Feb 29, 2024
Visit Reason
The State Agency conducted five complaint investigations (CI MS #24208, CI MS #24218, CI MS #24277, CI MS #24290, and CI MS #24296) at the facility on 2/29/24. The investigations covered medication administration, abuse/neglect, activities of daily living related to incontinence, neglect, weight loss, pressure ulcers, respiratory treatments, and sufficient staffing.
Complaint Details
Five complaint investigations (CI MS #24208, CI MS #24218, CI MS #24277, CI MS #24290, and CI MS #24296) were conducted covering medication administration, abuse/neglect, ADL care, neglect, weight loss, pressure ulcers, respiratory treatments, and staffing. The facility was determined to be in compliance with no deficiencies cited.
Findings
The facility was found in compliance with the requirements for participation in Medicare and Medicaid during the complaint investigations.
Report Facts
Complaint investigations conducted: 5
Inspection Report — Jul 11, 2023
Complaint Investigation
Date: Jul 11, 2023
Visit Reason
The State Agency conducted a complaint investigation CI MS# 21955 at the facility on 7/11/23 regarding Improper Infection Control Practiced by Facility.
Complaint Details
Complaint CI MS# 21955 regarding Improper Infection Control was investigated and found to be unsubstantiated with no deficiencies cited.
Findings
The facility was found in compliance with Medicare and Medicaid participation requirements. No deficiencies were cited related to CI MS# 21955.
Report Facts
Complaint investigations: 1
Inspection Report — May 1, 2023
Annual Inspection
Date: May 1, 2023
Visit Reason
On 05/01/23 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was completed on 03/09/23. The information provided by the facility confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements of participation.
Findings
The State Agency is recommending that the facility be placed back in compliance effective 04/28/23. No deficiencies were cited in this desk review.
Report Facts
Deficiencies cited: 0
Inspection Report — Mar 9, 2023
Annual Inspection
Date: Mar 9, 2023
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 03/06/23 through 03/09/23. During the survey, the SA determined the facility was not in compliance with Medicare and Medicaid requirements for participation.
Findings
The survey identified deficiencies in notice requirements before transfer/discharge, bed hold policy notification, timely completion and transmission of Minimum Data Set assessments, comprehensive care planning for residents with language deficits and respiratory care needs, respiratory care including proper nebulizer storage, and use of psychotropic medications without proper diagnosis.
Deficiencies (8)
F0623 - Notice Requirements Before Transfer/Discharge. The facility failed to send written notice of resident transfer, including the reason for transfer, to the hospital and resident representative for 2 of 5 residents reviewed for transfer. Residents #25 and #73.
F0625 - Notice of Bed Hold Policy Before/Upon Transfer. The facility failed to notify the resident or resident representative in writing of the bed hold for a resident transferred to an acute care facility for 1 of 5 residents reviewed for bed hold. Resident #73.
F0636 - Comprehensive Assessments & Timing. The facility failed to complete Minimum Data Set assessments timely according to Resident Assessment Instrument guidelines for 6 of 16 residents reviewed for annual assessment. Residents #15, #32, #79, #88, #92, and #104.
F0638 - Quarterly Assessment at Least Every 3 Months. The facility failed to complete Minimum Data Set assessments timely according to Resident Assessment Instrument guidelines for 9 of 16 residents reviewed for quarterly assessment. Residents #6, #20, #31, #36, #39, #49, #58, #60, and #93.
F0640 - Encoding/Transmitting Resident Assessments. The facility failed to transmit Minimum Data Set assessments timely according to Resident Assessment Instrument guidelines for 16 of 16 residents reviewed for assessment. Residents #6, #15, #20, #24, #31, #32, #36, #39, #49, #58, #60, #79, #88, #92, #93, and #104.
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to develop a person-centered comprehensive care plan for residents with a language deficit and respiratory care for 3 of 34 residents reviewed. Residents #7, #24, and #98.
F0695 - Respiratory/Tracheostomy Care and Suctioning. The facility failed to properly store nebulizer mask and tubing in a storage bag for 2 of 9 residents reviewed for respiratory care. Residents #7 and #98.
F0758 - Free from Unnec Psychotropic Meds/PRN Use. The facility failed to provide documentation or a diagnosis supporting the use of an anti-psychotic medication for 1 of 3 residents reviewed for unnecessary psychotropic medications. Resident #42.
Report Facts
Deficiencies cited: 8
Inspection Report — Mar 7, 2023
Life Safety
Date: Mar 7, 2023
Visit Reason
Survey conducted on 03/07/23 reveals the above facility meets all applicable Federal, State and local emergency preparedness requirements.
Findings
The facility was found in compliance with all applicable Federal, State and local emergency preparedness requirements. No deficiencies were cited.
Inspection Report — Feb 9, 2023
Complaint Investigation
Date: Feb 9, 2023
Visit Reason
On 02/09/23 the State Agency conducted a desk review of the information provided related to the complaint survey completed on 01/04/23. The information confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements.
Complaint Details
CI MS# not explicitly stated. The complaint survey was completed on 01/04/23. The facility was found in compliance after the desk review and no deficiencies were cited.
Findings
The State Agency found the facility in compliance and recommended it be placed back in compliance effective 02/03/23.
Inspection Report — Jan 17, 2023
Complaint Investigation
Date: Jan 17, 2023
Visit Reason
The State Agency conducted a complaint survey, MS #20450, on 1/17/23. There were no deficiencies cited as a result of the complaint survey; however, the facility remains out of compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm due to deficiencies cited on the 1/4/23 compliant survey.
Complaint Details
Complaint survey MS #20450 was conducted on 1/17/23. No deficiencies were cited as a result of this complaint survey.
Findings
No deficiencies were cited as a result of this complaint survey. The facility remains out of compliance due to prior deficiencies cited on the 1/4/23 complaint survey.
Inspection Report — Jan 4, 2023
Complaint Investigation
Date: Jan 4, 2023
Visit Reason
The State Agency conducted a Complaint Investigation (CI) MS #20350 at the facility on 01/04/2023. The survey found deficient practices related to resident self-determination for feedings, baseline care plan development, and medication administration via PEG tube.
Complaint Details
Complaint Investigation (CI) MS #20350 involved allegations of failure to provide timely PEG feedings and proper medication administration. Deficiencies were substantiated related to feeding schedules, baseline care planning, and medication administration.
Findings
The facility was found not in compliance with deficiencies related to Resident #3's feeding schedule choices, incomplete baseline care plan for PEG feedings, and improper administration of an extended release medication via gastrostomy tube.
Deficiencies (3)
F0561 - The facility failed to ensure Resident #3 was given choices concerning feeding schedules important to the resident and Responsible Party, including timely administration of PEG feedings.
F0655 - The facility failed to develop a baseline care plan that contained dietary orders specifying feeding amounts or times for Resident #3's PEG feedings.
F0726 - The facility failed to administer an extended release medication per professional standards by crushing the Mucinex ER tablet for Resident #3's gastrostomy tube.
Report Facts
Deficiencies cited: 3
Inspection Report — Sep 14, 2022
Complaint Investigation
Date: Sep 14, 2022
Visit Reason
The State Agency conducted a complaint survey for MS #19534, MS#19367 and MS#19349 on 9/12/22-9/14/22.
Complaint Details
Complaint numbers MS #19534, MS#19367 and MS#19349 involved allegations of Neglect, Quality of Care/Pressure sore prevention, Quality of Care/call lights not answered, Quality of Care/Residents left wet for extended time, Environment/Pests, Client Assessment, Quality of Care/Services not done per MD orders and Resident Rights/Dignity. The complaints were not substantiated and no deficiencies were cited.
Findings
The surveyor did not substantiate the complaints and found the facility in compliance with Mississippi Regulations for Minimum Standards with no deficiencies cited.
Report Facts
Complaints investigated: 3
Inspection Report — Jun 2, 2022
Complaint Investigation
Date: Jun 2, 2022
Visit Reason
The State Agency conducted a complaint survey, MS#18785 and a Focused Infection Control (FIC) survey at the facility from 6/1/22 through 6/2/22.
Complaint Details
Complaint MS#18785 alleged neglect, pressure sores, failure to notify responsible party of changes, pressure ulcer prevention issues, failure to notify Medical Doctor of changes, and failure to follow Medical Doctor orders. The complaint was not substantiated and no deficiencies were cited.
Findings
The State Agency did not substantiate the complaint of neglect, pressure sores, notification of changes to responsible party, pressure ulcer prevention, Medical Doctor not notified of changes, and Medical Doctor orders not followed. The facility was determined to be in compliance with the requirements for participation in Medicare and Medicaid.
Report Facts
Complaint count: 1
Inspection Report — Jun 2, 2022
Routine
Date: Jun 2, 2022
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency (SA) on 6/1/22 through 6/2/22.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to E-0024 (b)(6).
Inspection Report — Jan 20, 2022
Complaint Investigation
Date: Jan 20, 2022
Visit Reason
The State Agency conducted two complaint investigations, CI MS #17973 concerning the call system not in operational order during August 2021, and CI MS #18419 for neglect of a resident admitted to the Covid 19 isolation unit in December 2021.
Complaint Details
Two complaint investigations were conducted: CI MS #17973 regarding the call system and CI MS #18419 regarding neglect of a resident in the Covid 19 isolation unit. Both complaints were unsubstantiated and no deficiencies were cited.
Findings
The complaint investigations for both CI MS #17973 and CI MS #18419 were unsubstantiated and no deficiencies were cited. The facility was found to be in substantial compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm.
Report Facts
Complaint investigations conducted: 2
Inspection Report — Jun 15, 2021
Complaint Investigation
Date: Jun 15, 2021
Visit Reason
The State Agency conducted a complaint survey from 6/14/21 through 6/15/21. The survey investigated complaints related to quality of care, infection control, pharmaceutical services, and staffing.
Complaint Details
Complaint numbers CI MS #17792 and CI MS #17821 were investigated. Both complaints were not substantiated and no deficiencies were cited.
Findings
The facility was found in compliance with Medicare and Medicaid requirements. No deficiencies were cited during this complaint survey.
Report Facts
Complaints investigated: 2
Inspection Report — Feb 4, 2021
Complaint Investigation
Date: Feb 4, 2021
Visit Reason
The State Agency conducted a complaint investigation, CI MS #16661, from 2/3/21 through 2/4/21 regarding resident safety/falls.
Complaint Details
Complaint CI MS #16661 regarding resident safety/falls was investigated and not substantiated.
Findings
The facility was found in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm and no deficiencies were cited.
Report Facts
Complaint investigations conducted: 1
Inspection Report — Feb 4, 2021
Routine
Date: Feb 4, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey and a complaint investigation, CI MS #16661, was conducted by State Agency (SA) from 2/3/21 through 2/4/21.
Complaint Details
Complaint investigation CI MS #16661 was not substantiated for resident safety and falls.
Findings
The facility was found to be in compliance with infection control regulations and has implemented the Centers for Medicare and Medicaid (CMS) and the Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19. CI MS #16661 was not substantiated for resident safety and falls.
Report Facts
Complaint investigations: 1
Inspection Report — Feb 4, 2021
Routine
Date: Feb 4, 2021
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency (SA) on 2/3/21 thru 2/4/21.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).
Inspection Report — Dec 29, 2020
Routine
Date: Dec 29, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency (SA) on 12/29/2020.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).
Inspection Report — Aug 6, 2020
Routine
Date: Aug 6, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 8/6/20.
Findings
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.
Inspection Report — May 29, 2020
Routine
Date: May 29, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 5/29/20.
Findings
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.
Inspection Report — Oct 31, 2019
Annual Inspection
Date: Oct 31, 2019
Visit Reason
The State Agency (SA) conducted an annual recertification along with complaints, MS #16230, MS #16306 and MS #16351 from October 28, 2019 to October 31, 2019.
Complaint Details
Complaints MS #16230, MS #16306, and MS #16351 were investigated during the survey. The SA did not substantiate MS #16230 or MS #16306 related to staffing or quality of care, and did not substantiate MS #16351 related to quality of care. No citations were related to these complaints.
Findings
The facility was found not in compliance with Medicare and Medicaid participation requirements. Deficiencies were cited for inaccurate coding of hospice status in resident assessments and improper infection prevention and control related to oxygen tubing storage. No Life Safety Code or Emergency Preparedness deficiencies were found.
Deficiencies (2)
F0641 - Accuracy of Assessments. The facility failed to accurately code the Minimum Data Set (MDS) for hospice for two residents, Resident #30 and Resident #44, by not marking hospice status on their assessments.
F0880 - Infection Prevention & Control. The facility failed to properly store oxygen tubing for one resident, Resident #186, as the tubing was found hanging on the floor, posing an infection control risk.
Report Facts
Deficiencies cited: 2
Inspection Report — Oct 31, 2019
Annual Inspection
Date: Oct 31, 2019
Visit Reason
The State Agency conducted an annual licensure survey at the facility on 10/31/2019.
Findings
The facility was cited for one deficiency related to medical records management involving inaccurate coding of hospice status in Minimum Data Set (MDS) assessments for two residents.
Deficiencies (1)
M735 - The facility failed to accurately code the Minimum Data Set (MDS) for hospice services for two of 21 residents reviewed, Resident #30 and Resident #44, as evidenced by incomplete hospice coding on multiple MDS assessments despite physician orders.
Report Facts
Deficiencies cited: 1
Inspection Report — Dec 14, 2018
Annual Inspection
Date: Dec 14, 2018
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 12/11/18 to 12/14/18. During the survey, the SA determined the facility was not in compliance with Medicare and Medicaid requirements for participation.
Findings
The facility was cited for failing to notify the physician of missed medication administration for one resident, failing to develop a baseline care plan addressing a catheter for a newly admitted resident, and failing to ensure services provided met professional standards related to medication administration.
Deficiencies (3)
F0580 - Notify of Changes (Injury/Decline/Room, etc.). The facility failed to ensure licensed nurses notified the physician related to missed medication administration for one of nine residents reviewed; Resident #96 missed doses on 12/08/18 and 12/09/18 and the physician was not notified.
F0655 - Baseline Care Plan. The facility failed to develop a baseline care plan to address a catheter for one newly admitted resident, Resident #259.
F0658 - Services Provided Meet Professional Standards. The facility failed to ensure licensed nurses adhered to professional standards of practice related to medication administration for one of nine residents reviewed; Resident #96 did not receive ordered medication doses on 12/08/18 and 12/09/18 and the physician was not notified.
Report Facts
Deficiencies cited: 3
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