Inspection Reports for Manhattan Nursing & Rehabilitation Center

The State Agency conducted a Complaint Investigation at the facility on 12/29/25 through 12/30/25 for allegations of Resident/Patient/Client Abuse and Resident/Patient Rights and Quality of Care.

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 #2703037 and MS #2670261 were investigated for Resident/Patient/Client Abuse. Complaint Investigation MS #266694 was investigated for Resident/Patient Rights and Quality of Care. No deficiencies were cited.

The State Agency conducted a complaint investigation at the facility from 12/29/25 to 12/30/25 related to multiple complaint investigations involving allegations of resident abuse and resident rights/quality of care.

The facility was found not in compliance with Medicare and Medicaid participation requirements due to failure to implement abuse prevention policies. Specifically, the facility failed to remove a Certified Nursing Assistant (CNA) from resident care following multiple abuse allegations, did not conduct timely and complete investigations, and failed to protect residents from further potential abuse. Two residents were affected by these deficiencies.

The complaint investigation included three complaint investigations (CI MS #2703037, CI MS #266694, CI MS #2670261). CI MS #2703037 and CI MS #2670261 were investigated for resident abuse; no citations were issued for CI MS #2703037, but a citation was issued related to abuse for CI MS #2670261. CI MS #266691 was investigated for resident rights and quality of care with no citations issued.

The State Agency conducted a desk review of information related to a complaint survey completed on 2025-09-23 to verify corrective measures taken by the facility.

The facility provided information confirming corrective actions were implemented to address deficient practices, and the State Agency recommended placing the facility back in compliance effective 2025-10-24.

The visit was related to a complaint survey completed on 2025-09-23. The facility's corrective measures were reviewed and found satisfactory.

The State Agency conducted complaint investigations at the facility from 9/15/25 through 9/18/25 related to rehabilitation services, resident rights, and quality of care following an incident involving Resident #9's elopement on 9/08/25.

The facility failed to provide adequate supervision and a secure environment to prevent the elopement of Resident #9, resulting in Immediate Jeopardy and Substandard Quality of Care. The elopement occurred when a receptionist unlocked the door and allowed the resident to exit unsupervised. Corrective actions were implemented by 9/09/25, and the Immediate Jeopardy was removed on 9/10/25.

The complaint investigation was substantiated with Immediate Jeopardy and Substandard Quality of Care identified due to the facility's failure to prevent Resident #9's elopement on 9/08/25. The Immediate Jeopardy was removed on 9/10/25 after corrective actions were implemented.

The State Agency conducted complaint investigations from 2025-09-15 through 2025-09-18 related to quality of care, rehabilitation services, and resident rights. The visit was triggered by complaints and incidents including an elopement and wound care concerns.

The facility was found noncompliant for failing to provide adequate supervision resulting in the elopement of Resident #9, which posed Immediate Jeopardy and Substandard Quality of Care. Additionally, the facility failed to provide wound care as ordered for Resident #4. Corrective actions were implemented and validated by the State Agency.

The complaint investigations involved three complaint incidents (CI MS#2605137, Incident #2612501, and CI MS#2618796). The investigation found Immediate Jeopardy related to Resident #9's elopement due to inadequate supervision and substandard quality of care. The wound care complaint for Resident #4 was substantiated with deficiencies cited.

The State Agency conducted complaint investigations for multiple complaint numbers related to physical environment, accidents, neglect, resident rights, misappropriation of property, abuse, and quality of care at the facility from 2025-08-06 through 2025-08-07.

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

Complaint investigations were conducted for complaints numbered 2576950, 2678591, 2573423, 2567254, and 478034. The complaints involved issues such as physical environment, accidents, neglect, resident rights, misappropriation of property, abuse, and quality of care. The facility was found to be in compliance with no deficiencies cited.

The State Agency conducted complaint investigations for multiple complaint numbers related to physical environment, accidents, neglect, resident rights, misappropriation of property, abuse, and quality of care from 2025-08-06 through 2025-08-07.

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

Complaints investigated included physical environment and accidents (2576950), physical environment and neglect (2678591), resident neglect (2573423), resident rights, physical environment, neglect, and misappropriation of property (2567254), and abuse, resident rights, and quality of care (478034). No deficiencies were found.

The State Agency conducted two complaint investigations at the facility from 02/25/2025 to 02/27/2025 regarding assessing, monitoring, resident safety, neglect, resident rights, and quality of care.

The facility was found not in compliance with Medicare and Medicaid participation requirements due to failure to implement a care plan intervention for one-on-one supervision of a severely cognitively impaired resident, resulting in an unsupervised fall causing an acute transverse fracture of the lower sacrum. The facility also failed to provide adequate supervision to prevent accidents, leading to hospitalization of the resident.

Two complaint investigations (CI MS #27683 and CI MS #27828) were conducted. CI MS #27828 was substantiated with citations for assessing, monitoring, and resident safety (F689 and F656). CI MS #27683 regarding neglect, resident rights, and quality of care had no citations.

The State Agency conducted complaint investigations MS #27683 and MS #27828 at the facility from 2025-02-25 to 2025-02-27. The investigations focused on assessing, monitoring, resident safety, neglect, resident rights, and quality of care.

The facility was found not in compliance with Minimum Standards for Institutions for the Aged or Infirm. Specifically, the facility failed to provide adequate supervision to prevent accidents, resulting in a fall causing an acute transverse fracture of the lower sacrum for one resident. The investigation revealed lapses in continuous one-on-one supervision as required by the resident's care plan.

Complaint investigations MS #27683 and MS #27828 were conducted. MS #27828 was substantiated with citations related to assessing, monitoring, and resident safety (M640). MS #27683 was investigated regarding neglect, resident rights, and quality of care with no citations issued.

The State Agency conducted a desk review of information related to a complaint survey completed on 2024-11-08 to verify corrective measures taken by the facility.

The facility confirmed it had implemented measures to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 2024-12-18.

The visit was related to a complaint survey completed on 2024-11-08. The review confirmed corrective actions were taken and compliance was restored.

The State Agency conducted a desk review of information related to a complaint survey completed on 2024-11-08 to determine compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was found to be in compliance with the Minimum Standards of Operation, and the State Agency recommended the facility be placed back in compliance effective 2024-12-18.

The complaint survey was completed on 2024-11-08, and the desk review confirmed compliance with standards.

The State Agency conducted two complaint investigations related to injury of unknown origin, resident safety, staffing, and resident safety at the facility on 12/30/2024.

During the survey, the facility was found to be in compliance with Medicare and Medicaid requirements with no deficiencies cited; however, the facility remains out of compliance due to deficiencies cited in a prior complaint investigation survey on 11/08/2024.

Two complaint investigations (CI MS #27265 and CI MS #27403) were conducted. CI MS #27265 investigated injury of unknown origin and resident safety, and CI MS #27403 investigated staffing and resident safety. No deficiencies were cited during this survey.

The State Agency conducted two complaint investigations at the facility on 12/30/2024 related to injury of unknown origin and resident safety, and staffing and resident safety.

During the survey, the facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements, with no deficiencies cited. However, the facility remains out of compliance due to deficiencies cited in a prior complaint investigation survey dated 11/08/2024.

Two complaint investigations were conducted (CI MS #27265 and CI MS #27403). CI MS #27265 investigated injury of unknown origin and resident safety, and CI MS #27403 investigated staffing and resident safety. No deficiencies were cited during this survey.

The State Agency conducted two complaint investigations regarding Resident Neglect, Admission, Transfer and Discharge rights, quality of care, and Resident Abuse at the facility from 12/10/2024 through 12/11/2024.

During the survey, the facility was found to be in compliance with Medicare and Medicaid requirements with no deficiencies cited related to the complaint investigations. However, the facility remains out of compliance due to deficiencies cited in a prior survey on 11/08/2024.

Two complaint investigations (CI MS #27186 and CI MS #27291) were conducted. CI MS #27186 involved Resident Neglect, Admission, Transfer and Discharge rights, and quality of care issues. CI MS #27291 involved Resident Abuse. No deficiencies were cited related to these complaints.

The State Agency conducted two complaint investigations at the facility from 12/10/24 through 12/11/24 regarding Resident Neglect, Admission, Transfer and Discharge rights, quality of care/treatment, and Resident Abuse.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. No deficiencies were cited related to the complaint investigations. However, the facility remains out of compliance due to deficiencies cited on the 11/08/2024 survey.

Two complaint investigations were conducted: CI MS #27186 regarding Resident Neglect, Admission, Transfer and Discharge rights, and quality of care/treatment; and CI MS #27291 regarding Resident Abuse. Both investigations found the facility in compliance with no deficiencies cited.

The State Agency conducted six complaint investigations at the facility from 11/06/24 through 11/08/24 related to quality of care, resident neglect, resident abuse, dietary services, resident rights, infection control, and injury of unknown origin.

The facility was found not in compliance with Medicare and Medicaid participation requirements, citing deficiencies related to failure to accommodate resident preferences for hydration and shaving, failure to provide diets according to resident preferences, and issues related to resident self-determination and dignity.

Six complaint investigations were conducted covering issues such as resident left wet, water not provided, resident neglect, pressure sores, infection control, injury of unknown origin, resident abuse, resident rights violations, and quality of care/treatment. Specific complaint investigation numbers include CI MS #26846, #26887, #26926, #26955, #26996, and #26998.

The State Agency conducted six complaint investigations at the facility from 2024-11-06 through 2024-11-08 related to quality of care, resident neglect, resident abuse, dietary services, resident rights, infection control, and injury of unknown origin.

The facility was found not in compliance with state licensure requirements and minimum standards, with deficiencies related to failure to accommodate resident preferences for hydration and shaving, failure to ensure residents received meals according to their preferences, and violations of residents' rights and food preparation standards.

Six complaint investigations were conducted covering issues such as resident left wet, water not provided, resident neglect, quality of life, death, pressure sores, infection control, injury of unknown origin, resident abuse, resident rights, and dietary services. Specific complaint investigation numbers include MS #26846, #26887, #26926, #26955, #26996, and #26998.

The State Agency conducted a follow-up revisit at the facility on 9/09/24 through 9/10/24 related to the annual recertification survey conducted from 7/22/24 through 7/25/24.

The State Agency found the facility to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements, and recommends the facility be placed back in compliance effective 9/6/24.

The State Agency conducted a follow-up revisit at the facility from 9/09/24 through 9/10/24 related to a prior annual recertification survey conducted from 7/22/24 through 7/25/24.

The State Agency found the facility to be in compliance with the requirements of participation in Medicare and Medicaid and recommends the facility be placed back in compliance effective 9/6/24.

The State Agency conducted an annual recertification survey and complaint investigations at the facility from 7/22/24 through 7/25/24, investigating complaints related to abuse and resident hospitalizations due to hypernatremia.

The facility was found not in compliance with state licensure requirements, citing deficiencies in urinary incontinence care, rehabilitative services, activity programming, safe food handling, and food preparation. No citations were related to the complaint investigations.

Complaint investigations were conducted related to abuse and resident hospitalizations due to hypernatremia; however, no citations were issued related to these complaints.

The State Agency conducted an annual recertification survey and complaint investigations related to abuse and resident hospitalizations due to hypernatremia from 7/22/24 through 7/25/24.

The facility was found not in compliance with Medicare and Medicaid participation requirements, citing multiple deficiencies including care plan development and implementation, professional standards for services, activity provision, catheter care, food palatability, assistive device provision, food safety, and environmental safety.

Complaint Investigations MS #25970 related to abuse and MS #25912 related to resident hospitalizations due to hypernatremia were investigated with no citations related to the complaints.

The survey was conducted to assess the facility's compliance with emergency preparedness requirements and the Life Safety Code provisions.

The facility met all applicable Federal, State, and local emergency preparedness requirements with no deficiencies cited. Additionally, the facility complied with the 2012 Edition of the Life Safety Code with no deficiencies noted.

The State Agency conducted a desk review related to a complaint survey completed on 2024-05-16 to determine compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The information provided by the facility confirmed compliance with the Minimum Standards of Operation, and the facility was recommended to be placed back in compliance effective 2024-06-25.

The visit was complaint-related, reviewing information from a complaint survey conducted on 2024-05-16. The facility was found to be in compliance and the complaint was effectively resolved.

The State Agency conducted a desk review related to a complaint survey completed on 2024-05-16 to assess the facility's corrective measures and compliance with Medicare and Medicaid requirements.

The information provided by the facility confirmed that measures were put in place to correct the deficient practice and sustain compliance. The State Agency recommended the facility be placed back in compliance effective 2024-06-25.

The visit was complaint-related, reviewing corrective actions following a complaint survey from 2024-05-16. The facility was found to have corrected deficiencies and was recommended to be back in compliance.

The State Agency conducted a Complaint Investigation (CI), MS #25519, related to abuse at the facility on 6/25/2024.

During the survey, the facility was found to be in compliance with Medicare and Medicaid requirements with no deficiencies cited. However, the facility remains out of compliance due to deficiencies cited on the 5/16/2024 survey.

Complaint Investigation MS #25519 was related to abuse and was investigated during the visit.

The State Agency conducted a complaint investigation related to abuse at the facility on 6/25/24.

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 during this investigation, but the facility remains out of compliance due to deficiencies cited on a prior survey dated 5/16/2024.

Complaint investigation MS #25519 related to abuse was conducted and found no deficiencies; facility remains out of compliance due to prior deficiencies from 5/16/2024 survey.

The State Agency conducted complaint investigations related to falls, residents left wet for extended periods, call lights not answered, resident assessment, facility cleanliness, quality of care, and resident abuse from 5/14/24 through 5/16/24.

The facility was found not in compliance with Medicare and Medicaid participation requirements, citing deficiencies related to call light access, comprehensive care plan implementation, and incontinent care leading to potential urinary tract infection risks for residents.

Complaint investigations were conducted for multiple issues including falls, residents left wet for extended periods, call lights not answered, resident assessment, facility cleanliness, quality of care, and resident abuse. Deficiencies were cited related to these complaints.

The State Agency conducted complaint investigations related to falls, residents left wet for extended periods, call lights not answered, resident assessment, facility cleanliness, quality of care/treatment, and resident abuse at the facility from 5/14/24 through 5/16/24.

The facility was found not in compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. Deficiencies included failure to ensure residents had call light access for communication, and failure to provide appropriate incontinence care to prevent urinary tract infections for a resident with bladder incontinence.

Complaint investigations were conducted for multiple issues including falls, residents left wet for extended periods, call lights not answered, resident assessment, facility cleanliness, quality of care/treatment, and resident abuse. The facility was cited for deficiencies related to call light access and quality of care for residents left wet.

The State Agency conducted a Complaint Investigation related to notification of responsible representative and misappropriation of property at the facility.

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

Complaint Investigation MS #24543 was related to notification of responsible representative. MS #24607 was related to misappropriation of property. Both complaints were investigated and found to be unsubstantiated with no deficiencies cited.

The State Agency conducted two complaint investigations at the facility on 4/3/24 related to notification of responsible representative and misappropriation of property.

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

Two complaint investigations (CI MS #24543 and CI MS #24607) were conducted. MS #24543 concerned notification of responsible representative and MS #24607 concerned misappropriation of property. Both complaints were investigated with no deficiencies cited.

The State Agency conducted a desk review of information related to a complaint survey completed on 2024-01-09 to determine compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The information provided by the facility confirmed compliance with the Minimum Standards of Operation, and the facility was recommended to be placed back in compliance effective 2024-02-27.

The visit was related to a complaint survey completed on 2024-01-09. The facility was found to be in compliance based on the desk review.

The State Agency conducted a desk review related to a complaint survey completed on 2024-01-09 to verify corrective measures taken by the facility.

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 2024-02-27.

The visit was complaint-related, reviewing corrective actions following a complaint survey from 2024-01-09. The facility was found to have corrected deficiencies and sustained compliance.

The State Agency conducted three complaint investigations at the facility from 02/15/2024 through 02/16/2024 related to allegations of resident abuse, facility abuse and neglect, and issues including no warm water, plumbing problems, inadequate staffing, verbal abuse, and denied privileges.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. No deficiencies were cited during this investigation, but the facility remains out of compliance due to deficiencies cited on 01/09/2024.

Three complaint investigations were conducted: CI MS #24148 regarding resident's allegation of abuse; CI MS #24172 regarding facility abuse and neglect; and CI MS #24161 regarding no warm water, plumbing issues, inadequate staffing, verbal abuse, and denied privileges to go outside. The facility was found in compliance with no deficiencies cited during this investigation.

The State Agency conducted three complaint investigations at the facility from 02/15/2024 through 02/16/2024 related to allegations of resident abuse, facility abuse and neglect, and issues including no warm water, plumbing problems, inadequate staffing, verbal abuse, and denied privileges.

During the survey, the State Agency determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited related to the complaint investigations. However, the facility remains out of compliance due to deficiencies cited on 01/09/2024.

Three complaint investigations (CI MS #24148, CI MS #24172, and CI MS #24161) were conducted. CI MS #24148 involved resident's allegation of abuse; CI MS #24172 involved facility abuse and neglect; CI MS #24161 involved no warm water, plumbing issues, inadequate staffing, verbal abuse, and denied privileges. No deficiencies were cited from these investigations.

The State Agency conducted a complaint investigation (MS #24004) related to quality of care/treatment concerning a resident not turned/repositioned, lack of pressure sore precautions, restraints, and neglect.

During the survey, 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 during this investigation, but the facility remains out of compliance due to deficiencies cited on a prior survey dated 2024-01-09.

Complaint investigation MS #24004 was related to quality of care/treatment issues including resident not turned/repositioned, no pressure sore precautions, restraints, and neglect. The complaint was not substantiated as no deficiencies were cited.

State Agency conducted a Complaint Investigation for Quality of Care/Treatment related to Resident Not Turned/Repositioned and No Pressure Sore Precautions, Restraints and Neglect.

During the survey, the facility was found to be in compliance with Medicare and Medicaid requirements with no deficiencies cited; however, the facility remains out of compliance due to deficiencies cited on a prior survey dated 1/9/2024.

Complaint Investigation (CI MS #24004) for Quality of Care/Treatment related to Resident Not Turned/Repositioned and No Pressure Sore Precautions, Restraints and Neglect. No deficiencies were cited during this investigation.

The State Agency conducted two complaint investigations at the facility from January 8 to January 9, 2024, related to resident neglect regarding medication administration, incontinent care, staffing, and resident neglect.

The facility was found not in compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements due to failure to resolve resident grievances related to call lights not being answered timely and Certified Nurse Aides not making timely rounds, as evidenced by multiple months of grievance logs and staff interviews.

Two complaint investigations were conducted: CI MS #23812 related to medication administration with no deficiencies cited, and CI MS #23791 related to incontinent care, staffing, and resident neglect, which resulted in deficiencies.

The State Agency conducted two complaint investigations at the facility from January 8 to January 9, 2024, related to resident neglect regarding medication administration and incontinent care, staffing, and resident neglect.

The facility was found not in compliance with Medicare and Medicaid participation requirements due to failure to resolve grievances related to incontinent care, staffing, and resident neglect in a manner that would prevent recurrence, resulting in a citation for grievance policy deficiencies (F585).

Two complaint investigations were conducted: CI MS #23812 related to resident neglect regarding medication administration with no deficiencies cited, and CI MS #23791 related to incontinent care, staffing, and resident neglect which resulted in a deficiency citation for grievances (F585).

The State Agency conducted a Complaint Investigation at the facility from 9/19/23 through 9/20/23 regarding facility staffing, improperly administered medications, and medications not given according to physician instructions.

The survey 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.

Complaint Investigation MS #22561 was investigated for facility staffing, improperly administered medications, and medications not given according to physician instructions. The complaint was not substantiated as no deficiencies were cited.

The State Agency conducted a complaint investigation from 9/19/23 through 9/20/23 related to facility staffing, improperly administered medications, and medications not given according to physician instructions.

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 #22561 was substantiated with no deficiencies cited.

The State Agency conducted a Complaint Investigation at the facility for three complaints (MS #22206, MS #22184, and MS #22185) from 7/31/23 through 8/01/23.

The facility was found to be in compliance with Medicare and Medicaid requirements. No deficiencies were cited related to Quality of Care, Resident Rights, or Resident Abuse.

The investigation covered three complaints: MS #22206 for Quality of Care related to resident safety, MS #22184 for Resident Rights, and MS #22185 for Resident Abuse. No deficiencies were cited.

The State Agency conducted a Complaint Investigation at the facility for three complaints from 7/31/23 through 8/01/23 related to Quality of Care, Resident Rights, and Resident Abuse.

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.

The investigation covered three complaints: MS #22206 for Quality of Care related to resident safety, MS #22184 for Resident Rights, and MS #22185 for Resident Abuse. No deficiencies were found.

The State Agency conducted a Complaint Investigation at the facility for three complaints from 7/31/23 through 8/01/23 related to Quality of Care, Resident Rights, and Resident Abuse.

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

The investigation covered three complaints: MS #22206 for Quality of Care related to resident safety, MS #22184 for Resident Rights, and MS #22185 for Resident Abuse. No deficiencies were cited.

The State Agency conducted a complaint investigation at the facility from 7/5/23 through 7/6/23 related to Resident Rights, Infection Control, and Quality of Care and Treatment regarding incontinence care.

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

The investigation involved MS #21875 related to Resident Rights and MS #21970 related to Infection Control, Resident Rights, and Quality of Care and Treatment regarding incontinence care. No deficiencies were cited.

The State Agency conducted a Complaint Investigation from 7/5/23 through 7/6/23 related to Resident Rights, Infection Control, and Quality of Care and Treatment regarding incontinence care.

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

The investigation covered MS #21875 related to Resident Rights and MS #21970 related to Infection Control, Resident Rights, and Quality of Care and Treatment regarding incontinence care. No deficiencies were cited.

A COVID-19 Focused Infection Control Survey was conducted by the State Agency from May 1, 2023 through May 3, 2023 to assess compliance with infection control regulations.

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

The State Agency conducted a complaint investigation at the facility from May 1, 2023 through May 3, 2023, investigating multiple complaints including accidents, smoking an illegal substance, and resident abuse.

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 during the investigation.

The investigation covered complaints MS #20823 for accidents, MS #21147 for smoking an illegal substance, MS #21371 for resident abuse, and MS #21401 for resident abuse, with no deficiencies cited.

The State Agency conducted a Complaint Investigation for an injury of unknown origin, pressure sores, and improper infection control practices at the facility from 1/24/23 through 1/25/23.

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 #20436) for injury of unknown origin, (CI MS #19913) for pressure sores, and MS #19895 for improper infection control practices and pressure sores; no deficiencies were cited.

The State Agency conducted a Complaint Investigation for an injury of unknown origin, pressure sores, and improper infection control practices and pressure sores at the facility from 1/24/23 through 1/25/23.

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 #20436) for an injury of unknown origin, (CI MS #19913) for pressure sores, and MS #19895 for improper infection control practices and pressure sores.

The State Agency conducted a desk review of information related to the annual survey completed on 2022-09-22 to assess 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 2022-10-29.

The State Agency conducted a desk review of information related to the annual survey completed on 2022-09-22 to assess 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 2022-10-29.

The State Agency conducted a desk review of information related to the annual survey completed on 2022-09-22 to assess 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 2022-10-29.

The State Agency conducted a desk review of information related to the annual survey completed on 2022-09-22 to verify corrective measures taken by the facility.

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 2022-10-29.

The State Agency conducted an annual recertification survey along with a complaint investigation (CI) MS# 19524 at the facility from 09/19/22 to 09/22/22.

The complaint investigation was not substantiated with no deficiencies cited related to poor quality of care or resident rights. However, the facility was found not in compliance with Mississippi Regulations for Minimum Standards for Institutions for Aged and Infirm with deficiencies cited at M500 (Residents' Rights), M815 (Safe Food Handling Procedures), and M950.

Complaint investigation MS# 19524 for Poor Quality of Care related to positioning and leaving residents wet or Resident Rights related to visitation was not substantiated with no deficiencies cited.

The State Agency conducted an annual recertification survey along with a complaint investigation at the facility from 9/19/22 to 9/22/22 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with several regulatory requirements including management of personal funds, communication rights, timely resident assessments, PASARR coordination, food safety, and pest control. No citations were related to the complaint investigation.

Complaint investigation MS# 19524 related to Quality of Care for positioning and leaving residents wet or Resident Rights related to visitation was not substantiated, with no citations related to the complaint.

The State Agency conducted an annual recertification survey along with a complaint investigation at the facility from 2022-09-19 to 2022-09-22.

The complaint investigation was not substantiated with no deficiencies cited related to poor quality of care or resident rights. However, the facility was found not in compliance with Mississippi Regulations for Minimum Standards for Institutions for Aged and Infirm with deficiencies cited at M500, M815, and M950.

Complaint investigation MS# 19524 was not substantiated for poor quality of care related to positioning and leaving residents wet or resident rights related to visitation, with no deficiencies cited.

The State Agency conducted an annual recertification survey along with a complaint investigation at the facility from 9/19/22 to 9/22/22.

The facility was found not in compliance with Medicare and Medicaid participation requirements. The complaint investigation was not substantiated with no citations related to the complaint. Several deficiencies were cited during the survey.

Complaint investigation MS# 19524 was not substantiated for Quality of Care related to positioning and leaving residents wet or Resident Rights related to visitation, with no citations related to the complaint.

The survey was conducted to assess the facility's 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 Federal, State, and local emergency preparedness requirements. No deficiencies were cited.

The State Agency conducted complaint investigations for multiple allegations including resident abuse, accidents/falls, resident neglect related to assessment/monitoring and safety/falls, and misappropriation of property at the facility from 8/29/22 to 8/31/22.

The facility was found to be in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. The complaints were not substantiated and no deficiencies were cited.

Complaints investigated included MS #19353 for Resident Abuse, MS #19404 for Accidents/Falls, MS #19430 and MS #19475 for Resident Neglect related to assessment/monitoring and safety/falls, and MS #19523 for Misappropriation of property. None of the complaints were substantiated.

The State Agency conducted complaint investigations for multiple allegations including resident abuse, accidents/falls, resident neglect related to assessment/monitoring and safety/falls, and misappropriation of property from 8/29/22 to 8/31/22.

The State Agency determined the facility was in compliance with Medicare and Medicaid requirements, did not substantiate the complaints, and cited no deficiencies.

Complaint investigations for MS #19353 (Resident Abuse), MS #19404 (Accidents/Falls), MS #19430 (Resident Neglect related to assessment/monitoring and Safety/Falls), MS #19475 (Resident Neglect related to Assessment/monitoring), and MS #19523 (Misappropriation of property) were conducted and not substantiated.

The State Agency conducted a desk review related to a complaint survey conducted on 2022-05-12 to determine compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The information provided by the facility confirmed compliance with the Minimum Standards of Operation, and the facility was recommended to be placed back in compliance effective 2022-06-03.

The complaint survey conducted on 2022-05-12 was reviewed and found the facility in compliance; the complaint was effectively resolved.

The State Agency conducted a desk review related to a complaint survey that was conducted on 2022-05-12.

The information provided by the facility confirmed that measures were put in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements. The facility is recommended to be placed back in compliance effective 2022-06-03.

The visit was complaint-related, and the facility was found to have corrected the deficiencies identified in the complaint survey conducted on 2022-05-12.

The State Agency conducted a Complaint Investigation at the facility from 5/10/22 through 5/12/22 related to complaint numbers MS 18778, MS 18743, and MS 18706.

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 state licensure requirements.

Complaint Investigation CI, MS 18778, MS 18743, and MS 18706 were conducted and found the facility in compliance.

The State Agency conducted a Complaint Investigation at the facility from 5/10/22 through 5/12/22 based on multiple complaints alleging pressure sores, neglect, resident rights violations, call bell accessibility issues, resident falls, failure to follow physician orders, grooming and odor issues, oversedation, and failure to notify responsible parties and physicians of resident condition changes.

The facility was found not in compliance with Medicare and Medicaid participation requirements and cited for failure to report alleged violations timely. The investigation for one resident's neglect allegation was not submitted to the Office of Licensure and Certification within the required timeframe, resulting in a deficiency. Other allegations were not substantiated.

The complaint investigation involved three complaint numbers (#18778, #18743, #18706). The State Agency did not substantiate allegations related to pressure sores, neglect, resident rights, call bell accessibility, resident falls, care not received by physician orders, grooming and odor issues, oversedation, and failure to notify responsible parties and physicians. The facility failed to timely submit the investigation related to Resident #1's neglect allegation, which was unsubstantiated. The investigation was submitted 9 days after the event was first reported, exceeding the 5-day requirement.

The State Agency conducted a Complaint Investigation at the facility from 5/10/22 through 5/12/22.

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 state licensure requirements.

Complaint Investigation CI, MS 18778, MS 18743, and MS 18706 were conducted; the facility was found in compliance.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the CDC'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 04/04/2022 to 04/10/2022 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 3/29/2022 through 4/1/2022 due to multiple complaint numbers related to staffing concerns.

The facility failed to maintain the required 2.80 hours of direct nursing care per resident per 24 hours for six out of 35 days reviewed, primarily occurring on weekends. No residents had negative outcomes from this deficiency.

Complaint Investigation MS #18381, MS #18439, MS #18576, and MS #18645 were conducted. MS #18381, MS #18439, and MS #18645 were substantiated for insufficient staffing; MS #18657 was unsubstantiated.

The State Agency conducted complaint investigations at the facility from 3/29/22 through 4/1/22 related to multiple complaint survey numbers. The visit was to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance due to failure to notify the Resident Representative in writing of a resident's transfer to the Emergency Department for one of three resident transfers reviewed. Other complaints related to staffing, supplies, infection control, and medication administration were not substantiated.

Four complaint investigations (MS #18381, MS #18439, MS #18576, and MS #18645) were conducted. MS #18576 was substantiated related to written notification of transfer. MS #18381, MS #18439, and MS #18645 were not substantiated for various allegations including staffing, supplies, call bells, abuse, infection control, food, medications, and resident care.

The State Agency conducted a Complaint Investigation at the facility from 3/29/2022 through 4/1/2022 due to multiple complaint numbers related to insufficient staffing.

The facility failed to maintain the required 2.80 hours of direct nursing care per resident per 24 hours for six out of 35 days reviewed. Staffing ratios were below state standards on specific dates, mostly occurring on weekends, but no residents had negative outcomes from this deficiency.

Complaint Investigation MS #18381, MS #18439, MS #18576, and MS #18645 were conducted. MS #18381, MS #18439, and MS #18645 were substantiated for insufficient staffing; MS #18657 was unsubstantiated.

The State Agency conducted a follow-up/revisit survey on 12/17/21 at the facility for the Substandard Quality of Care cited on a complaint survey conducted from 11/1/21 through 11/5/21.

The State Agency determined the facility was in compliance with the requirements for participation in Medicare and Medicaid.

The visit was triggered by a complaint survey citing Substandard Quality of Care from 11/1/21 through 11/5/21. The follow-up survey found compliance.

The State Agency conducted a revisit survey at the facility to determine compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm.

During the revisit survey, the facility was found to be in compliance with the applicable Mississippi regulations.

The inspection was conducted as three complaint investigations regarding quality of care, call light response times, water provision, and staffing levels.

Two of the complaint investigations were not substantiated with no deficiencies cited. However, the facility remains out of compliance due to deficiencies from a previous survey.

Three complaint investigations (CI MS #18310, CI MS #18371, and CI MS #18321) were conducted. CI MS 18310 and CI MS 18321 were not substantiated for quality of care, call light response, water provision, or staffing issues.

The State Agency conducted a complaint survey at the facility from 12/15/21 to 12/16/21 to investigate complaints regarding call lights not answered timely, water not provided to residents, insufficient staffing, residents left wet for extended periods, and insects in the dining room.

The survey did not substantiate the complaints and no deficiencies were cited. However, the facility remains out of compliance due to deficiencies cited on a previous survey.

Complaints investigated included call lights not answered in a timely manner, water not provided to residents, insufficient staffing, residents being left wet for extended periods, and insects in the dining room. None were substantiated.

The State Agency conducted a complaint survey at the facility from 11/22/21 to 11/23/21 to investigate complaint MS #18303.

The complaint was not substantiated and no deficiencies were cited during this survey. The facility remains out of compliance due to deficiencies cited on a previous survey dated 11/05/2021.

Complaint MS #18303 was investigated and found not substantiated.

The State Agency conducted a complaint survey at the facility from 11/22/21 to 11/23/21 related to residents' rights, dignified treatment, and quality of care concerning call lights not being answered.

The complaint was not substantiated and no deficiencies were cited related to the complaint. The facility remains out of compliance due to deficiencies cited on a previous survey dated 11/05/2021.

Complaint survey MS #18303 was conducted; the complaint regarding residents' rights, dignified treatment, and call lights not answered was not substantiated.

The State Agency conducted a complaint survey from 11/01/21 through 11/05/21 related to allegations of failure to provide resident services per physician orders/care plan and resident safety/accidents (elopement).

The facility was found not in compliance with Minimum Standards for Institutions for the Aged or Infirm. An Immediate Jeopardy (IJ) was identified beginning 9/14/21 due to failure to provide free water flushes for Resident #2 with a history of Gastrostomy and Dysphagia, resulting in serious harm including hospitalization for hypovolemic shock. The IJ was removed on 11/04/21 after corrective actions were implemented. The scope and severity of deficiencies were lowered to Level II while the facility develops and implements a plan of correction.

The complaint investigation included CI MS #18242 and CI MS #18244. CI MS #18242 related to Resident Safety/Accidents (elopement) was not substantiated. CI MS #18244 related to failure to provide Resident Services per Physician Orders/Care Plan was substantiated.

The State Agency conducted complaint investigations at the facility from 11/01/21 through 11/05/21 related to Resident Safety/Accidents and failure to provide Resident Services per Physician Orders/Care Plan.

The facility was found not in compliance with Medicare/Medicaid requirements, with an Immediate Jeopardy (IJ) identified for failure to provide enteral feedings, water flushes, and a comprehensive care plan for Resident #2, resulting in serious harm and hospitalization. The IJ was removed on 11/04/21 after corrective actions were implemented and validated.

The complaint investigations included CI MS #18242 related to Resident Safety/Accidents (elopement) which was not substantiated, and CI MS #18244 related to failure to provide Resident Services per Physician Orders/Care Plan which was substantiated.

The State Agency conducted a follow-up/revisit survey on 10/12/21 for complaint investigations completed on 8/13/21.

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 visit was related to complaint investigations CI MS #17923, CI MS #17968, and CI MS #17979.

The State Agency conducted a follow-up/revisit survey on 10/12/2021 for complaint investigations completed on 8/13/2021.

The facility was found to be in compliance with the requirements for participation in Medicare and Medicaid at the time of the revisit.

The visit was related to complaint investigations CI MS #17923, CI MS #17968, and CI MS #17979.

The State Agency conducted a Focused Infection Control Survey and Complaint Investigation from 8/9/2021 through 8/13/2021 related to multiple complaint investigations identified by MS numbers.

The facility was found not in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm. The complaint for Quality of Care/treatment (CI MS#17968) was substantiated with citations F600, F656, and F677. Other complaints were not substantiated and had no citations.

The complaint investigation substantiated the complaint for CI MS#17968 Quality of Care/treatment. Other complaints including Resident/Patient Neglect, Quality of Care, Admissions/Transfer and Discharge, and additional Quality of Care complaints were not substantiated.

A Covid-19 Focused Emergency Preparedness Survey and Complaint Investigation was conducted from 8/9/2021 through 8/13/2021 to assess compliance with Medicare and Medicaid participation requirements and investigate multiple complaints.

The facility was found not in compliance with infection control requirements and substantiated a complaint related to quality of care and neglect resulting in Moisture Associated Skin Damage (MASD) for Resident #13. The facility failed to provide adequate incontinent care, follow the care plan, and maintain proper hygiene, leading to skin damage and neglect. Infection control practices were also deficient, risking spread of infection.

The complaint investigation substantiated issues related to quality of care and neglect for Resident #13, including failure to provide adequate incontinent care and ADL assistance, resulting in Moisture Associated Skin Damage (MASD). Other complaints related to neglect, quality of care, admissions/transfer/discharge were not substantiated.

A Covid-19 Focused Emergency Preparedness Survey was conducted by the State Agency from 08/09/2021 through 08/13/2021 to assess compliance with federal regulations related to emergency preparedness.

The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness during the survey period.

The State Agency conducted a Focused Infection Control Survey and Complaint Investigation from 8/9/2021 through 8/13/2021 related to multiple complaint investigations including quality of care and admissions/transfer and discharge.

The facility was found not in compliance with Mississippi Regulations for Minimum Standards for the Institutions for the Aged or Infirm. The complaint for quality of care/treatment was substantiated with citations F600, F656, and F677. Other complaints were not substantiated and had no citations.

The complaint investigation substantiated the complaint for CI MS#17968 Quality of Care/treatment with citations. Other complaints CI MS#17909 Resident/Patient Neglect, CI MS#17923 Quality of Care/Treatment, CI MS#17289 Admissions/Transfer and Discharge, and CI MS#17979 Quality of Care/Treatment were not substantiated with no citations.

A Covid-19 Focused Emergency Preparedness Survey and Complaint Investigation was conducted from 8/9/2021 through 8/13/2021 to assess compliance with Medicare and Medicaid participation requirements and investigate multiple complaints.

The facility was found not in compliance with infection control requirements and substantiated a complaint related to quality of care and neglect resulting in Moisture Associated Skin Damage (MASD) for Resident #13. The facility failed to provide adequate incontinent care, ADL care, and infection control practices, leading to skin damage and neglect. CNA #3 was terminated due to negligence. Infection control lapses were observed in supply handling during resident care.

The complaint investigation substantiated quality of care and neglect issues for Resident #13, including failure to provide adequate incontinent care and ADL care resulting in Moisture Associated Skin Damage (MASD). Other complaints related to neglect, quality of care, admissions/transfer, and discharge were not substantiated.

A desk review was conducted on 1/6/2021 to assess the facility's compliance status.

The facility was found to be in substantial compliance as of 12/2/2020 with no deficiencies cited in this report.

A desk review was conducted on 1/6/2021 to assess the facility's compliance status.

The facility was found to be in substantial compliance as of 12/2/2020 with no deficiencies cited in this review.

A desk review was conducted to assess the facility's compliance status.

The facility was found to be in substantial compliance as of 12/2/2020.

A desk review was conducted on 1/6/2021 to assess the facility's compliance status.

The facility was found to be in substantial compliance as of 12/2/2020 with no deficiencies cited in this report.

The State Agency conducted an unannounced COVID-19 Focused Infection Control Survey and six complaint investigations from 10/26/2020 to 11/2/2020 to assess compliance with infection control regulations and investigate specific complaints related to pressure ulcers, hydration, wound care, dietary concerns, and personal hygiene.

The facility was found not in compliance with infection control regulations, specifically failing to follow COVID-19 infection prevention guidelines. Deficiencies included a Dietary Aide not wearing a face mask properly, a nurse failing to don a gown before entering a droplet precaution room, and a Certified Nurse Assistant failing to wash hands and prevent contamination of clean linens. The facility implemented immediate training and increased staff surveillance to address these issues.

Six complaint investigations were conducted related to pressure ulcers, hydration with PEG tube, wound care, catheter care, dietary concerns, and personal hygiene and hydration. All complaints were determined to be unsubstantiated.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency from 10/26/2020 to 11/02/2020 to assess compliance with federal regulations related to infection control.

The facility was found to be in compliance with 42 CFR §483.73 related to infection control requirements.

The State Agency conducted an unannounced COVID-19 Focused Infection Control Survey and six complaint investigations related to pressure ulcers, hydration, wound care, catheter care, dietary concerns, personal hygiene, and hydration from 10/26/2020 to 11/2/2020.

The facility was found not in compliance with infection control regulations, specifically failing to follow COVID-19 infection prevention guidelines. Deficiencies included staff not wearing masks properly, failure to don gowns before entering droplet precaution rooms, and improper hand hygiene and linen handling.

Six complaint investigations were conducted: CI #16854 (pressure ulcers), CI #16728 (hydration with peg tube), CI #17209 (pressure ulcers, wound care, catheter care), CI #16977 (pressure ulcers), CI #16903 (dietary concerns), and CI #16980 (personal hygiene and hydration). All were determined to be unsubstantiated.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency from 10/26/20 to 11/2/20 to assess compliance with emergency preparedness regulations.

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

A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 8/3/20 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 08/03/2020 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 7/15/2020.

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 on 7/15/20 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 Survey Agency conducted a complaint investigation on 6/29/2020.

The investigation was unsubstantiated with no deficiencies cited for Infection Control, Quality of Care, and Nursing Services. The facility was determined to be in compliance with Medicare and Medicaid requirements for participation.

Complaint investigation was unsubstantiated 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 implementation of CMS and CDC recommended practices for COVID-19 preparation.

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

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

The State Survey Agency conducted a complaint investigation at the facility on December 9, 2019.

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

The complaint investigation was unsubstantiated with no deficiencies cited.

The State Survey Agency conducted a complaint investigation at the facility on 10/8/19.

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

Complaint investigation was unsubstantiated with no deficiencies cited.

The State Agency conducted an annual survey at the facility from 05/20/19 to 05/23/19 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with requirements related to comprehensive care plans, catheter care, infection prevention and control, and contact precautions. Deficiencies were identified in catheter care technique, infection control practices during medication administration, and adherence to contact precaution protocols.

The State Agency conducted a recertification survey from 05/20/2019 to 05/23/2019 to determine compliance with the Minimum Standards for The Institutions For The Aged And Infirm.

The facility was found not in compliance due to improper catheter care that could lead to urinary tract infections. Specifically, one resident with an indwelling urinary catheter received care that did not prevent possible cross contamination, involving incorrect wiping technique by a Certified Nursing Assistant.

The State Survey Agency conducted an annual recertification survey at the facility from 6/18/18 through 6/25/18 to determine compliance with Medicare and Medicaid requirements.

The facility was found not in compliance with Medicare and Medicaid requirements, with deficiencies cited in comprehensive assessments after significant change, accuracy of assessments, development and implementation of comprehensive care plans, care plan timing and revision, qualified persons providing care, bowel/bladder incontinence and catheter care, nutrition and hydration status maintenance, infection prevention and control, and fire safety.

The State Survey Agency conducted an annual recertification survey at the facility from 6/18/18 through 6/25/18 to determine compliance with Medicare and Medicaid requirements.

The facility was found not in compliance with Medicare and Medicaid requirements, with multiple deficiencies cited including failure to complete comprehensive assessments after significant change, inaccurate assessments, failure to develop and implement comprehensive care plans, improper catheter and incontinent care, failure to provide adequate feeding assistance, and infection control issues.