Inspection Reports for
Indianola Rehabilitation and Healthcare Center

Complaint Investigation (CI) MS #2991968 and CI MS #3026058 were conducted and no deficiencies were cited, indicating the complaints were not substantiated.

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

The SA is recommending that the facility be placed back in compliance effective 2/5/26. No deficiencies were cited during this revisit.

The complaint investigation was substantiated. Immediate Jeopardy (IJ) was identified due to the resident exiting the facility unsupervised on 12/30/25. The IJ was removed on 1/14/26 after corrective actions were validated by the State Agency.

The facility failed to provide adequate supervision to prevent a resident with exit-seeking behaviors from leaving the building unnoticed and unsupervised. The door to the courtyard was found to release without activating an alarm when sustained pressure was applied, allowing the resident to exit. Corrective actions including door repair, one-on-one supervision, and staff in-services were implemented and validated by the State Agency.

Complaint Investigations CI MS# 2711865, CI MS# 2716095, and CI MS# 2710580 were conducted. Deficiencies were cited for CI MS# 2716095 and CI MS# 2710580 related to a resident elopement. CI MS# 2711865 related to abuse was found in compliance with no deficiencies cited.

The facility failed to provide adequate supervision to prevent Resident #1, who exhibited exit-seeking behaviors, from leaving the facility unnoticed and unsupervised on 12/30/25. This placed the resident and others at risk of serious injury or death. Immediate Jeopardy was identified and later removed after corrective actions were implemented.

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 SA is recommending that your facility be placed back in compliance effective 05/20/25.

The facility was found not in compliance with Medicare and Medicaid requirements, with deficiencies cited in reasonable accommodations, resident/family group response, safe environment, comprehensive care planning, ADL care, and medication storage.

The facility was found deficient in multiple areas including failure to ensure call lights were accessible to residents, unresolved resident grievances about food quality and temperature, inadequate cleaning of medical equipment, failure to implement personal hygiene care plans for residents, and unsecured medication carts.

The facility was found to meet the applicable provisions of the 2012 Edition of the Life Safety Code. No Life Safety Code deficiencies were cited during this survey.

Two complaint investigations were conducted for MS #28192 and MS #28207 related to discharge planning. The facility was found in compliance and no deficiencies were cited.

The SA determined that the facility was in compliance with the Rules and Regulations for the Aged and Infirmed and no deficiencies were cited.

The SA is recommending that the facility be placed back in compliance effective 09/11/24. No deficiencies were cited during this revisit.

Complaint Investigations CI MS #25986 and CI MS #25993 investigated alleged abuse of a resident during care. Deficiencies were cited at F600 and F656.

The facility was found not in compliance with requirements and cited for failure to prevent abuse and neglect resulting in serious injury to Resident #1, and failure to implement the comprehensive care plan when the resident resisted care.

The complaint investigation was substantiated. Resident #1 was assaulted by CNA #1 during care, resulting in a fractured orbital bone and other injuries. The local police and Attorney General were involved, and the facility failed to report and properly assess the injury in a timely manner.

The facility failed to protect Resident #1 from abuse and neglect when CNA #1 did not report the resident hitting his head during care, resulting in untreated serious injuries for several hours. The facility also failed to implement the resident's care plan properly, as staff did not obtain assistance or notify supervisors when the resident resisted care.

Complaint investigations CI MS# 24885 related to Resident Rights, CI MS# 25576 related to Neglect, and CI MS# 25647 related to Falls were all investigated and found to have no deficiencies cited.

The facility was found in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm. No deficiencies were cited for the complaint investigations related to Resident Rights, Neglect, or Falls.

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

No health deficiencies were found during the inspection.

The facility was found to be in compliance with the Life Safety Code. There were no LSC deficiencies cited during this survey.

The facility was found to be in compliance with the 2012 Edition of the Life Safety Code based on the desk review confirming corrective actions were implemented and sustained.

The information provided by the facility confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with all applicable Federal, State and local emergency preparedness requirements. The SA is recommending that your facility be placed back in compliance effective 05/17/22.

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

No health deficiencies were found during the survey.

The facility failed to properly document the annual testing of the generator for 2022, which could potentially affect the entire facility. The finding was acknowledged by the Administrator and Maintenance Supervisor during the exit interview.

E000 found the facility failed to meet all applicable emergency preparedness requirements. E004 - Based on document review and interview, the facility failed to provide and update the emergency preparedness plan per requirements, as the plan dated 2020 was not current.

Complaint investigations CI MS #17546 and CI MS #17612 were conducted. CI MS #17612 was substantiated for misappropriation of property with deficiencies cited. CI MS #17546 was not substantiated with no deficiencies cited.

The facility was found not in compliance with Resident Rights for eight of thirteen residents reviewed due to unauthorized withdrawals from resident trust fund accounts without receipts for proof of purchases. The investigation revealed misappropriation of funds by a Payroll/Resident Trust employee who was suspended and terminated. Refunds were made to affected residents and corrective actions including staff in-service and monitoring were implemented.

The facility was found to be in compliance with infection control regulations and no deficiencies were cited.

The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).

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.

The facility was not following infection control safety practices and guidance recommended by CMS and CDC during the COVID-19 pandemic. The SA cited the regulatory deficiencies at F0880.

The facility was found to be in compliance with the emergency preparedness requirements related to COVID-19.

F0880 - Infection Prevention & Control. The facility failed to ensure staff properly cleaned and sanitized their hands and disinfected reusable equipment for monitoring resident's vital signs and improperly handled clothes hangers from a resident's room, risking the spread of infection for seven residents not located in the COVID-19 designated area.

The facility was found to be in compliance with 42 CFR 483.73 related to E-0024 (b)(6).

CI MS #16813: Resident Neglect related to Injury of Unknown Origin. The complaint was unsubstantiated with no deficiencies cited.

The investigation was unsubstantiated with no deficiencies cited. The facility was found in compliance with Medicare and Medicaid requirements for participation.

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 #16373 alleged abuse but was not substantiated; no deficiencies were cited related to the complaint.

The facility was found in compliance with the requirements for participation in Medicare and Medicaid, with no deficiencies cited. The complaint MS #16373 was not substantiated for abuse, with no deficiencies related to the complaint.