Inspection Reports for Jefferson County Nursing Home

The State Agency conducted a Complaint Investigation (CI), MS #2593020, related to quality of care at the facility.

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

Complaint Investigation MS #2593020 was investigated related to quality of care and found no deficiencies.

The State Agency conducted a Complaint Investigation (CI), MS #2593020, related to quality of care at the facility on 08/21/2025.

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

Complaint Investigation MS #2593020 was related to quality of care and was found to be unsubstantiated as no deficiencies were cited.

The State Agency conducted a desk review of information related to the annual survey completed on 2025-05-15 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, and the State Agency recommended the facility be placed back in compliance effective 2025-06-30.

The State Agency conducted a desk review of information related to the annual survey completed on 2025-05-15 to verify corrective measures taken by the facility.

The facility provided information confirming that measures were implemented to correct deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 2025-06-30.

The State Agency conducted an annual recertification survey at Jefferson County Nursing Home from May 12, 2025 through May 15, 2025 to assess compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.

The facility was found not in compliance due to failure to provide appropriate and timely incontinence care to residents, specifically Resident #8, resulting in increased risk of urinary tract infection and skin breakdown. Certified Nursing Aides did not follow facility policy or professional standards for incontinence care.

The State Agency conducted an annual recertification survey at the facility from 5/12/2025 through 5/15/2025 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with requirements, citing deficiencies related to coordination of PASARR and assessments, comprehensive care plan implementation, quality of care, and bowel/bladder incontinence care. Specific failures included incomplete significant change assessments, failure to complete weekly skin evaluations, and inadequate incontinence care.

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 emergency preparedness requirements.

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

The State Agency conducted three complaint investigations related to Resident Abuse, Resident Neglect, Quality of Care/Treatment, Quality of Life, and Injury of Unknown Origin from 10/15/2024 through 10/16/2024.

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

Three complaint investigations (CI MS #26719, CI MS #26727, and CI MS #26729) were conducted related to Resident Abuse, Resident Neglect, Quality of Care/Treatment, Quality of Life, and Injury of Unknown Origin. The facility was found compliant with no deficiencies.

The State Agency conducted three complaint investigations at the facility from 10/15/24 through 10/16/24 related to Resident Abuse, Resident Neglect, Quality of Care/Treatment, Quality of Life, and Injury of Unknown Origin.

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 requirement. There were no deficiencies cited.

Three complaint investigations (CI MS #26719, CI MS #26727, and CI MS #26729) were conducted related to Resident Abuse, Resident Neglect, Quality of Care/Treatment, Quality of Life, and Injury of Unknown Origin. The facility was found compliant with no deficiencies cited.

The State Agency conducted an annual recertification survey and complaint investigation for injury of unknown origin at the facility on 8/8/24.

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

Complaint investigation MS #25839 was conducted for injury of unknown origin and found no deficiencies.

The State Agency conducted a complaint investigation (MS #25839) at the facility on 08/08/2024 regarding an injury of unknown origin.

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

Complaint investigation MS #25839 was substantiated by the survey, but no deficiencies were cited.

The State Agency conducted a desk review related to the annual survey completed on 2024-01-25 to verify corrective measures and compliance with Medicare and Medicaid requirements.

The facility provided information confirming corrective actions were implemented to address deficient practices, and the State Agency recommended the facility be placed back in compliance effective 2024-03-01.

The State Agency conducted a desk review of information related to the annual survey completed on 2024-01-25 to verify 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, and the State Agency recommended placing the facility back in compliance effective 2024-03-01.

The State Agency conducted a desk review of information related to the annual survey completed on 2024-01-25 to verify corrective measures and compliance.

The facility provided information confirming corrective actions were implemented to address deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 2024-03-01.

The State Agency conducted a desk review of information related to the annual survey completed on 2024-01-25 to confirm compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was found to be in compliance based on the information provided, and the State Agency recommended the facility be placed back in compliance effective 2024-03-01.

The State Agency conducted an annual recertification survey and complaint investigations at the facility from 01/23/24 through 01/25/24. The investigations included neglect of pressure wounds and abuse and misappropriation of property.

The facility was found not in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. The complaint investigation for neglect of pressure wounds resulted in no citations, while the investigation for abuse and misappropriation of property resulted in a citation (M500).

Complaint Investigations CI MS #23613 for neglect of pressure wounds (no citations) and CI MS #23794 for abuse and misappropriation of property (cited M500).

The State Agency conducted an annual recertification survey along with two complaint investigations at the facility from 01/23/24 through 01/25/24. The complaint investigations were for neglect of pressure wounds and abuse and misappropriation of property.

The facility was found not in compliance with Medicare and Medicaid participation requirements, specifically related to bedrails. Deficiencies included failure to assess residents for entrapment risk, obtain informed consent, and conduct routine maintenance of bed rails for five of fourteen sampled residents.

Two complaint investigations were conducted: CI MS #23613 for neglect of pressure wounds with no citations issued, and CI MS #23794 for abuse and misappropriation of property resulting in citations F602 and F610.

The State Agency conducted an annual recertification survey and complaint investigations at Jefferson County Nursing Home from January 23 to January 25, 2024. The complaint investigations were related to neglect of pressure wounds and abuse and misappropriation of property.

The facility was found not in compliance with state licensure requirements. The complaint investigation for neglect of pressure wounds was not substantiated, but the investigation for abuse and misappropriation of property was substantiated, resulting in a Level II deficiency related to residents' rights. The facility failed to protect a resident's right to be free from misappropriation of property and exploitation involving two Certified Nursing Assistants and one resident.

The complaint investigation CI MS #23794 was related to abuse and misappropriation of property involving Resident #40. The resident reported giving money and allowing use of her debit card to two CNAs. The CNAs were suspended pending investigation. The investigation found multiple transactions and gifts from the resident to the CNAs. The Administrator and board concluded the resident was of sound mind and not exploited, so the complaint was not substantiated and the CNAs were allowed to return to work after suspension.

The State Agency conducted an annual recertification survey along with two complaint investigations at the facility from January 23, 2024 through January 25, 2024. The complaint investigations involved neglect of pressure wounds and abuse and misappropriation of property.

The facility was found not in compliance with Medicare and Medicaid participation requirements, citing deficiencies related to abuse, misappropriation of property, and failure to prevent further potential abuse. One resident was found to have been exploited by staff members involving misappropriation of funds and property. The facility failed to prevent further potential exploitation by allowing a suspended CNA access to the resident. The facility implemented staff education and resident interviews as corrective actions.

Two complaint investigations were conducted: CI MS #23613 for neglect of pressure wounds with no citations, and CI MS #23794 for abuse and misappropriation of property resulting in citations F602 and F610. The complaint related to Resident #40 involved allegations of staff exploitation and misappropriation of funds, which were substantiated.

The survey 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 for Quality of Care/Treatment related to client services not provided in accordance with resident plan of care or physician instructions at the facility.

During the survey, the State Agency determined the facility was in compliance with the Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm and no deficiencies were cited.

Complaint Investigation (CI), MS#20255 for Quality of Care/Treatment related to client services not provided in accordance with resident plan of care or physician instructions. No deficiencies were cited.

The State Agency conducted a Complaint Investigation for Quality of Care/Treatment related to client services not provided in accordance with resident plan of care or physician instructions at the facility.

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

Complaint Investigation (CI), MS#20255 for Quality of Care/Treatment related to client services not provided in accordance with resident plan of care or physician instructions. No deficiencies were cited.

The State Agency conducted a desk review of information related to the annual survey conducted on 2021-12-29 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, and the State Agency recommended the facility be placed back in compliance effective 2022-02-15.

The State Agency conducted a desk review related to the annual survey conducted on 2021-12-29 to verify corrective measures and compliance with Medicare and Medicaid requirements.

The facility provided information confirming corrective actions were taken to address deficiencies from the annual survey, and the State Agency recommended the facility be placed back in compliance effective 2022-02-15.

The State Agency conducted an annual re-certification survey at the facility from 12/27/21 through 12/29/21 to determine compliance with state licensure requirements.

The facility was found to be in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements.

The State Agency conducted an annual re-certification survey at the facility from 12/27/21 through 12/29/21 to determine compliance with Medicare and Medicaid requirements for participation.

The facility was found not in compliance with Medicare and Medicaid requirements, with deficiencies cited related to inaccurate completion of Minimum Data Set (MDS) assessments regarding anticoagulant medications for four residents, and failure to follow infection prevention and control procedures during wound care for one resident.

The State Agency conducted a complaint investigation at the facility on 1/26/21 regarding Quality of Care.

The investigation was unsubstantiated with no deficiencies cited. The facility was found to be in compliance with the Minimum Standards for State Licensure Requirements for nursing homes.

Complaint investigation was unsubstantiated for Quality of Care with no deficiencies cited.

A COVID-19 Focused Infection Control Survey along with a complaint investigation (CI MS #17329) was conducted by the State Agency on 01/26/21.

The facility was found to be in compliance with no deficiencies cited related to the complaint investigation. The investigation was unsubstantiated with no deficiencies cited for Physical Environment related to Equipment Not Maintained.

The complaint investigation (CI MS #17329) was unsubstantiated with no deficiencies cited.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency on 1/26/21 to assess compliance with relevant federal regulations.

The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness requirements.

The State Agency conducted a complaint investigation at the facility on 1/26/21.

The investigation was unsubstantiated for Quality of Care with no deficiencies cited. The facility was found to be in compliance with the Minimum Standards for State Licensure Requirements for nursing homes.

Complaint investigation was unsubstantiated for Quality of Care with no deficiencies cited.

A COVID-19 Focused Infection Control Survey along with a complaint investigation (CI MS #17329) was conducted by the State Agency on 01/26/21.

The facility was found to be in compliance with no deficiencies cited related to the complaint investigation. The investigation was unsubstantiated with no deficiencies cited for Physical Environment related to Equipment Not Maintained.

The complaint investigation (CI MS #17329) was unsubstantiated with no deficiencies cited.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency on 1/26/21 to assess compliance with emergency preparedness regulations related to COVID-19.

The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness 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 to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 9/1/20 to assess the facility's compliance with infection control regulations related to 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 Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on 6/23/2020.

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

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.

The State Agency conducted a recertification survey from 05/28/19 to 05/30/19 to determine compliance with Minimum Standards for The Institutions For The Aged And Infirm.

The facility was found not in compliance with state statutes M615 and M635 related to pressure sores and gastric feeding care. Deficiencies included failure to prevent a pressure ulcer in one resident and improper care of a gastric feeding tube site in another resident.

The State Agency conducted an annual recertification survey from 5/28/19 through 5/30/19 to determine compliance with Medicare and Medicaid requirements for participation.

The facility was found not in compliance with Medicare and Medicaid requirements, citing deficiencies related to comprehensive care plan implementation, care plan timing and revision, pressure ulcer prevention and treatment, and tube feeding management. Specific failures included not implementing care plans for pressure ulcers and PEG tube care, failure to update care plans with current physician orders, preventable pressure ulcer development, and improper gastric tube site care.