Inspection Reports for
Meadville Convalescent Home
300 Highway 556, Meadville, MS, 39653
Back to Facility Profile43 Reports
Inspection Report — Apr 30, 2026
Complaint Investigation
Date: Apr 30, 2026
Visit Reason
The State Agency conducted a Complaint Investigation at the facility on 4/30/26 for Complaint 2963039 which was investigated related to quality of care.
Complaint Details
Complaint 2963039 was investigated related to quality of care and was found to be unsubstantiated with no deficiencies cited.
Findings
The facility was found in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited.
Inspection Report — Apr 30, 2026
Complaint Investigation
Date: Apr 30, 2026
Visit Reason
The State Agency conducted a Complaint Investigation at the facility on 4/30/26 for Complaint 2963039 which was investigated related to quality of care.
Complaint Details
Complaint 2963039 was investigated related to quality of care and was found to be unsubstantiated with no deficiencies cited.
Findings
The facility was found in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited.
Inspection Report — Jan 22, 2026
Complaint Investigation
Date: Jan 22, 2026
Visit Reason
The State Agency conducted three Complaint Investigations (CI MS #2717839, CI MS #2712976, and CI MS #2712983) at the facility on 1/22/26 related to nursing services, quality of care, resident rights, and discharge rights.
Complaint Details
Three complaint investigations (CI MS #2717839, CI MS #2712976, and CI MS #2712983) were conducted related to nursing services, quality of care, resident rights, and discharge rights. The facility was found in compliance with no deficiencies cited.
Findings
The facility was found in compliance with Medicare and Medicaid requirements and no deficiencies were cited related to the complaint investigations.
Report Facts
Complaint Investigations conducted: 3
Inspection Report — Jan 22, 2026
Complaint Investigation
Date: Jan 22, 2026
Visit Reason
The State Agency conducted three Complaint Investigations (CI MS #2717839, CI MS #2712976, and CI MS #2712983) at the facility on 01/22/2026. The investigations related to nursing services and quality of care, resident rights, and discharge rights.
Complaint Details
Three complaint investigations (CI MS #2717839, CI MS #2712976, and CI MS #2712983) were conducted related to nursing services, quality of care, resident rights, and discharge rights. The facility was found in compliance and no deficiencies were cited.
Findings
The facility was found 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.
Report Facts
Complaint Investigations conducted: 3
Inspection Report — Dec 30, 2025
Follow-Up
Date: Dec 30, 2025
Visit Reason
The State Agency conducted a follow-up revisit at the facility on 12/30/25 related to the annual recertification survey that was conducted from 8/18/25 through 8/21/25. The facility remained out of compliance due to deficiencies cited on the 11/12/25 survey, but corrective measures taken on the 8/21/25 survey were found corrected as of 10/10/25.
Findings
The facility was found to have corrected the deficiencies cited on the 8/21/25 survey but remained out of compliance due to deficiencies cited on the 11/12/25 survey. The State Agency is recommending the facility be placed back in compliance effective 12/22/25.
Inspection Report — Dec 30, 2025
Follow-Up
Date: Dec 30, 2025
Visit Reason
The State Agency conducted a follow-up revisit at the facility on 12/30/25 related to the annual recertification survey conducted from 8/18/25 through 8/21/25. The SA found that corrective measures taken corrected deficiencies cited on 8/21/25, but the facility remained out of compliance due to deficiencies cited on the 11/12/25 survey.
Findings
The facility remained out of compliance with state licensure requirements due to deficiencies cited on the 11/12/25 survey. The SA is recommending the facility be placed back in compliance effective 12/22/25.
Inspection Report — Dec 29, 2025
Complaint Investigation
Date: Dec 29, 2025
Visit Reason
The State Agency conducted two Complaint Investigations (CI MS #2697321 and CI MS #2697349) related to misappropriation of funds/property and neglect and quality of care.
Complaint Details
Two complaint investigations were conducted: CI MS #2697321 for misappropriation of funds/property and CI MS #2697349 for neglect and quality of care. The facility was found in compliance and no deficiencies were cited for these complaints.
Findings
The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements during this survey, with no deficiencies cited.
Report Facts
Complaint Investigations: 2
Inspection Report — Nov 12, 2025
Complaint Investigation
Date: Nov 12, 2025
Visit Reason
The State Agency conducted a Complaint Investigation (CI) MS# 2661170 at the facility from 11/10/25 through 11/12/25 related to accidents, residents’ rights and quality of care.
Complaint Details
CI MS# 2661170 was investigated related to accidents, residents’ rights and quality of care. The SA determined the facility was not in compliance and cited two deficiencies, F552 and F555.
Findings
Two deficiencies were cited related to residents' rights to be informed and to choose their attending physician. The facility failed to inform residents and their representatives about changes in attending physicians and wound care providers, and failed to honor residents' choice of attending physician for nine of eleven sampled residents.
Deficiencies (2)
F0552 - The facility failed to ensure the resident’s right to be informed of, and participate in, treatment decisions including advance notice of care changes for Resident #3.
F0555 - The facility failed to inform residents and their representatives that their chosen attending physician was unable to meet requirements and sought alternate physician participation without resident input for nine of eleven sampled residents.
Report Facts
Deficiencies cited: 2
Inspection Report — Oct 23, 2025
Complaint Investigation
Date: Oct 23, 2025
Visit Reason
The State Agency conducted a Complaint Investigation at the facility from 10/22/25 through 10/23/25. Complaint 2648898 was investigated related to resident abuse.
Complaint Details
Complaint 2648898 was investigated related to resident abuse. The facility was found in compliance with no deficiencies cited.
Findings
During the survey, the State Agency determined the facility was in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited.
Report Facts
Complaint count: 1
Inspection Report — Aug 21, 2025
Annual Inspection
Date: Aug 21, 2025
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 8/19/25 to 8/21/25. During the survey, the SA determined the facility was not in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements and cited M500, M655 and M815.
Findings
The facility was found not in compliance with state licensure requirements, citing deficiencies related to residents' rights, special needs care, and safe food handling procedures.
Deficiencies (3)
M0500 - Residents' rights. The facility failed to respect a resident's dignity by leaving a feeding pump exposed in a public area for one of two residents receiving PEG feedings.
M0655 - Special needs. The facility failed to ensure respiratory care was provided according to professional standards for one of thirteen residents, as an 'Oxygen in Use' sign was not posted on the door of a resident receiving oxygen therapy.
M0815 - Safe food handling procedures. The facility failed to ensure expired nutritional supplements were removed from storage, with nine cartons expired on 08/11/25 and two cartons expired on 07/29/25 found in the medication storage room.
Report Facts
Deficiencies cited: 3
Inspection Report — Aug 21, 2025
Annual Inspection
Date: Aug 21, 2025
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 8/19/25 through 8/21/25. During the survey, the SA determined the facility was not in compliance with the requirements of participation in Medicare and Medicaid and cited F550, F656, F693, F695 and F812.
Findings
The facility was found not in compliance with multiple requirements including resident dignity, care plan implementation, respiratory care, and food safety. Deficiencies were cited related to exposed feeding pumps, improper peg site care, missing oxygen signage, and expired nutritional supplements in storage.
Deficiencies (5)
F0550 - Resident Rights/Exercise of Rights. The facility failed to respect a resident's dignity by leaving a feeding pump exposed in a public area for one resident receiving PEG feedings.
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to follow the care plan for PEG tube care, including not drying the site before applying dressing, for one resident.
F0693 - Tube Feeding Mgmt/Restore Eating Skills. The facility failed to provide PEG site care according to physician orders, including improper cleaning technique and not drying the site, for one resident.
F0695 - Respiratory/Tracheostomy Care and Suctioning. The facility failed to post an 'Oxygen in Use' sign on the door of a resident receiving oxygen therapy.
F0812 - Food Procurement, Store/Prepare/Serve-Sanitary. The facility failed to remove expired nutritional supplements from storage, with nine cartons expired on 08/11/25 and two cartons expired on 07/29/25.
Report Facts
Deficiencies cited: 5
Inspection Report — Aug 21, 2025
Life Safety
Date: Aug 21, 2025
Visit Reason
The facility was surveyed for compliance with the 2012 Edition of the Life Safety Code (LSC) and Emergency Preparedness requirements.
Findings
The facility met all applicable provisions of the 2012 Edition of the Life Safety Code and all Federal, State, and local emergency preparedness requirements. No deficiencies were cited during this survey.
Inspection Report — Jul 2, 2024
Follow-Up
Date: Jul 2, 2024
Visit Reason
The State Agency (SA) conducted a follow-up revisit at the facility on 7/02/24 related to an annual survey that was conducted from 4/22/24 through 4/24/24.
Findings
The SA found the facility to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement and recommends the facility be placed back in compliance effective 6/27/24. However, the facility remains out of compliance due to deficiencies cited on the 5/30/2024 survey.
Inspection Report — Jul 2, 2024
Follow-Up
Date: Jul 2, 2024
Visit Reason
The State Agency conducted a follow-up revisit at the facility on 7/02/24 related to an annual survey that was conducted from 4/22/24 through 4/24/24.
Findings
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 6/27/24. However, the facility remains out of compliance due to deficiencies cited on the 5/30/2024 survey.
Inspection Report — Jul 1, 2024
Complaint Investigation
Date: Jul 1, 2024
Visit Reason
The State Agency conducted a Complaint Investigation (CI MS #25486) related to Quality of Care regarding personal hygiene.
Complaint Details
CI MS #25486 was investigated related to Quality of Care regarding personal hygiene. The SA determined the facility was in compliance with no deficiencies cited.
Findings
The facility was found in compliance with Medicare and Medicaid requirements during this complaint investigation. No deficiencies were cited in this survey.
Report Facts
Complaint investigations: 1
Inspection Report — Jul 1, 2024
Complaint Investigation
Date: Jul 1, 2024
Visit Reason
The State Agency (SA) conducted a Complaint Investigation (CI MS #25486) at the facility on 7/1/24 related to Quality of Care regarding personal hygiene.
Complaint Details
Complaint Investigation CI MS #25486 regarding Quality of Care related to personal hygiene was investigated and found to have no deficiencies cited; the facility was in compliance.
Findings
The SA 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 during this investigation.
Report Facts
Complaint Investigations: 1
Inspection Report — May 30, 2024
Complaint Investigation
Date: May 30, 2024
Visit Reason
The State Agency conducted a Complaint Investigation (CI MS #25150) related to Resident Neglect and Quality of Care/Treatment for call lights not answered by staff in a timely manner and Resident Representative not notified of a change in the condition of a resident.
Complaint Details
CI MS #25150 was investigated related to Resident Neglect and Quality of Care/Treatment for call lights not answered by staff in a timely manner and Resident Representative not notified of a change in the condition of a resident. Deficiency F580 was cited.
Findings
The facility failed to notify the Resident Representative of a change in the resident's condition for one of four sampled residents. The Resident Representative was not notified of a positive COVID-19 test and subsequent condition changes until several days later, despite facility policy requiring prompt notification.
Deficiencies (1)
F0580 - Notify of Changes (Injury/Decline/Room, etc.). The facility failed to promptly notify the Resident Representative of a significant change in the resident's condition, including a positive COVID-19 diagnosis and subsequent deterioration, for one sampled resident.
Report Facts
Deficiencies cited: 1
Inspection Report — May 30, 2024
Complaint Investigation
Date: May 30, 2024
Visit Reason
The State Agency conducted a Complaint Investigation (CI), MS #25150 at the facility on 5/30/24 related to Resident Neglect and Quality of Care/Treatment for call lights not answered by staff in a timely manner and responsible party not notified of change in the condition of a resident.
Complaint Details
CI MS #25150 was investigated related to Resident Neglect and Quality of Care/Treatment for call lights not answered by staff in a timely manner and responsible party not notified of change in the condition of a resident. Deficiency M500 was cited.
Findings
The facility was found not in compliance with the Minimum Standards for Institutions for the Aged or Infirm and cited M500 for failing to notify the resident's Responsible Representative of a significant change in condition in a timely manner.
Deficiencies (1)
M500 - The facility failed to notify the resident's Responsible Representative of a significant change in the resident's condition in a timely manner for one of four sampled residents.
Report Facts
Deficiencies cited: 1
Inspection Report — Apr 24, 2024
Annual Inspection
Date: Apr 24, 2024
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 04/21/2024 through 04/24/2024. During the survey, the SA determined the facility was not in compliance with the requirements of participation in Medicare and Medicaid and cited F578, F584, F604, F656, F684, F812, F851 and F880.
Findings
The facility was found not in compliance with multiple requirements including advance directives, safe environment, restraint use, care planning, quality of care, food safety, staffing data submission, and infection control. Deficiencies were cited for failure to follow policies and procedures, maintain safe and sanitary conditions, and properly document and implement care.
Deficiencies (8)
F0578 - Request/Refuse/Discontinue Treatment; Formulate Advance Directive. The facility failed to ensure Advance Directives were completed according to resident preference for two residents, Resident #7 and Resident #41, with no documentation or proper forms in place.
F0584 - Safe/Clean/Comfortable/Homelike Environment. The facility failed to ensure tiles in the resident shower area were free from black grime and broken tiles were repaired, and floors in three common areas were free from cracked tiles and gaps for one of four days of survey.
F0604 - Right to be Free from Physical Restraints. The facility failed to ensure a resident was free from a physical restraint by not identifying a seatbelt as a restraint and lacking proper orders and documentation for Resident #1.
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to develop and implement a comprehensive person-centered care plan reflecting the use of restraints for Resident #1, lacking reassessment, physician order, and monitoring.
F0684 - Quality of Care. The facility failed to ensure physician orders were implemented and followed as ordered for Resident #11, including failure to order and follow up on a renal ultrasound as recommended by the nephrologist.
F0812 - Food Procurement, Store/Prepare/Serve-Sanitary. The facility failed to monitor and record freezer and refrigerator temperatures daily and discard expired foods, including expired seasoning sauce and opened liquid eggs without dates, risking food safety for residents.
F0851 - Payroll Based Journal. The facility failed to accurately submit direct care staffing information based on payroll data to CMS for the first quarter of FY 2024, resulting in inaccurate reporting of licensed nursing coverage.
F0880 - Infection Prevention & Control. The facility failed to ensure that Resident #11's CPAP mask was properly stored when not in use, as it was found lying on a table without a labeled storage bag, risking contamination and infection.
Report Facts
Deficiencies cited: 8
Inspection Report — Apr 24, 2024
Annual Inspection
Date: Apr 24, 2024
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 04/21/2024 through 04/24/2024. During the survey, the SA determined the facility was not in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements and cited M815, M1205 and M1570.
Findings
The facility was found not in compliance with state licensure requirements, citing deficiencies in residents' rights related to restraints, safe food handling procedures, floor maintenance, and infection control practices.
Deficiencies (4)
M500 - Residents' rights were not ensured as the facility failed to identify a wheelchair seatbelt as a physical restraint and lacked proper orders, assessments, and monitoring for its use for one resident.
M815 - The facility failed to monitor and record freezer and refrigerator temperatures daily and failed to discard expired foods, including expired seasoning sauce and unlabeled opened liquid eggs, risking food safety for residents.
M1205 - Floors were not maintained properly as buckling floor tiles and black grime were found in the resident shower area, and cracked tiles and gaps were present in common areas, posing potential hazards.
M1570 - Infection control was inadequate as a resident's CPAP mask was not properly stored in a labeled bag when not in use, increasing risk of contamination and infection.
Report Facts
Deficiencies cited: 3
Inspection Report — Apr 23, 2024
Date: Apr 23, 2024
Visit Reason
Based on record review and interviews, the facility failed to properly perform fire drills as per NFPA 101 section 19.7.1.2. The deficient practice affected all smoke compartments and 52 residents in facility on the day of survey.
Findings
The facility failed to provide complete and proper documentation of fire drills for the 1st quarter of 2024 and the last three quarters of 2023. The facility was conducting only two fire drills per quarter and not all employees were participating in the fire drills.
Deficiencies (1)
M1245 - The facility failed to properly perform fire drills as required by NFPA 101 section 19.7.1.2, affecting all smoke compartments and 52 residents on the day of survey.
Report Facts
Deficiencies cited: 1
Inspection Report — Apr 23, 2024
Life Safety
Date: Apr 23, 2024
Visit Reason
The State Agency conducted a Life Safety Code survey at the facility on 04/23/2024.
Findings
The facility failed to properly perform fire drills as required by NFPA 101, affecting all smoke compartments and 52 residents. Documentation was incomplete for the first quarter of 2024 and the last three quarters of 2023, and not all employees participated in the drills.
Deficiencies (1)
K0712 - The facility failed to properly perform fire drills as required by NFPA 101 section 19.7.1.2, with incomplete documentation and insufficient employee participation.
Report Facts
Deficiencies cited: 1
Inspection Report — Apr 23, 2024
Life Safety
Date: Apr 23, 2024
Visit Reason
Survey conducted on 4/23/24 reveals the above facility meets all applicable Federal, State and local emergency preparedness requirements.
Findings
The facility was found in compliance with all applicable Federal, State and local emergency preparedness requirements.
Inspection Report — Nov 20, 2023
Routine
Date: Nov 20, 2023
Visit Reason
The facility was surveyed for compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network (NHSN).
Findings
The facility failed to report complete information about COVID-19 to the CDC's NHSN during a required seven-day period, potentially causing more than minimal harm to all residents.
Deficiencies (1)
F0884 - The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Report Facts
Deficiencies cited: 1
Inspection Report — Oct 2, 2023
Routine
Date: Oct 2, 2023
Visit Reason
The facility was surveyed for compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network (NHSN).
Findings
The facility failed to report complete information about COVID-19 to the CDC's NHSN during a required seven-day period, potentially causing more than minimal harm to all residents.
Deficiencies (1)
F0884 - The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Report Facts
Deficiencies cited: 1
Inspection Report — Aug 31, 2023
Complaint Investigation
Date: Aug 31, 2023
Visit Reason
The State Agency conducted a Complaint Investigation (CI), MS #22548, at the facility on 8/31/23 related to resident assessment and delay in hospitalization.
Complaint Details
Complaint Investigation MS #22548 was related to resident assessment and delay in hospitalization. The complaint was investigated and the facility was found in compliance with no deficiencies cited.
Findings
The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.
Inspection Report — Aug 31, 2023
Complaint Investigation
Date: Aug 31, 2023
Visit Reason
The State Agency conducted a Complaint Investigation (CI), MS #22548, related to resident assessment and delay in hospitalization.
Complaint Details
CI MS#22548 was investigated related to resident assessment and delay in hospitalization. The SA determined the facility was in compliance with no deficiencies cited.
Findings
The facility was found in compliance with the requirements for participation in Medicare and Medicaid and no deficiencies were cited.
Report Facts
Complaint investigations: 1
Inspection Report — Dec 12, 2022
Routine
Date: Dec 12, 2022
Visit Reason
The facility was surveyed for compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network (NHSN).
Findings
The facility failed to report complete information about COVID-19 to the CDC's NHSN during a required seven-day period, which has the potential to cause more than minimal harm to all residents.
Deficiencies (1)
F0884 - The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Report Facts
Deficiencies cited: 1
Inspection Report — Oct 6, 2022
Date: Oct 6, 2022
Visit Reason
On 10/6/22 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was completed on 08/31/22.
Findings
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 your facility be placed back in compliance effective 10/04/22.
Inspection Report — Oct 6, 2022
Annual Inspection
Date: Oct 6, 2022
Visit Reason
On 10/6/22 the State Agency (SA) conducted a desk review of the information that was provided related to the annual survey that was completed on 08/31/22. The information confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements of participation.
Findings
The State Agency is recommending that the facility be placed back in compliance effective 10/04/22. No deficiencies were cited in this desk review.
Inspection Report — Aug 31, 2022
Annual Inspection
Date: Aug 31, 2022
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 8/28/2022 to 8/31/2022. The SA determined that the facility was not in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm and cited M945.
Findings
M945 - The facility failed to store food in accordance with professional standards for food service safety related to food items not dated with a use-by date, and food items not discarded after the expiration date, for one of three kitchen observations.
Deficiencies (1)
M945 - The facility failed to store food in accordance with professional standards for food service safety related to food items not dated with a use-by date, and food items not discarded after the expiration date, for one of three kitchen observations.
Report Facts
Deficiencies cited: 1
Inspection Report — Aug 31, 2022
Annual Inspection
Date: Aug 31, 2022
Visit Reason
The State Agency (SA) conducted an annual re-certification survey at the facility from 8/28/2022 to 8/31/2022. During the survey, the SA determined that the facility was not in compliance with the requirements for participation in Medicare and Medicaid and cited F641 and F812.
Findings
Two deficiencies were cited related to inaccurate resident assessments and improper food storage. The facility failed to accurately code the Minimum Data Set for one resident and failed to store food in accordance with professional standards, including unlabeled and expired food items.
Deficiencies (2)
F0641 - The facility failed to accurately code the Minimum Data Set (MDS) for one of sixteen assessments reviewed, resulting in incorrect anticoagulant medication coding for Resident #28.
F0812 - The facility failed to store food according to professional standards, with food items not dated or discarded after expiration, including unlabeled opened containers and expired products in the kitchen.
Report Facts
Deficiencies cited: 2
Inspection Report — Aug 30, 2022
Life Safety
Date: Aug 30, 2022
Visit Reason
Survey conducted on 08/30/22 reveals the facility does not meet all applicable Federal, State and local emergency preparedness requirements.
Findings
E0004 - The facility failed to provide an updated Emergency Preparedness plan as required, with the latest plan dated 2020 instead of 2021 or 2022.
Deficiencies (1)
E0004 - The facility failed to provide an updated Emergency Preparedness plan as required, with the latest plan dated 2020 instead of 2021 or 2022.
Report Facts
Deficiencies cited: 1
Inspection Report — Jul 27, 2022
Routine
Date: Jul 27, 2022
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Survey Agency (SSA) on 07/27/2022.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to E-0024 (b) (6).
Inspection Report — Jul 27, 2022
Complaint Investigation
Date: Jul 27, 2022
Visit Reason
The State Survey Agency (SSA) conducted a complaint survey, MS #19411, at the facility on 07/27/2022.
Complaint Details
Complaint MS #19411 regarding infection control was investigated and not substantiated.
Findings
The SSA did not substantiate the complaint for infection control and determined the facility was in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged and Infirm. There were no deficiencies cited.
Report Facts
Complaint count: 1
Inspection Report — Jul 27, 2022
Complaint Investigation
Date: Jul 27, 2022
Visit Reason
The State Survey Agency conducted a Complaint Investigation (CI), MS #19411, and a COVID-19 Focused Emergency Preparedness survey at the facility on 07/27/2022.
Complaint Details
Complaint Investigation CI MS#19411 regarding infection control was not substantiated.
Findings
The complaint investigation regarding infection control was not substantiated and the facility was found to be in compliance with Medicare and Medicaid requirements. No deficiencies were cited.
Report Facts
Complaints investigated: 1
Inspection Report — Aug 23, 2021
Routine
Date: Aug 23, 2021
Visit Reason
The facility was surveyed for compliance with COVID-19 reporting requirements as specified by CMS and CDC.
Findings
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period. This failure has the potential to cause more than minimal harm to all residents.
Deficiencies (1)
F0884 - The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Report Facts
Deficiencies cited: 1
Inspection Report — Dec 22, 2020
Routine
Date: Dec 22, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency (SA) on 12/22/2020.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).
Inspection Report — Aug 18, 2020
Routine
Date: Aug 18, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on August 18, 2020.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).
Inspection Report — Aug 18, 2020
Routine
Date: Aug 18, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on August 18, 2020.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.
Inspection Report — May 22, 2020
Routine
Date: May 22, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 5/22/20. 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.
Findings
The facility was found to be in compliance with infection control regulations and no deficiencies were cited.
Inspection Report — Dec 5, 2019
Annual Inspection
Date: Dec 5, 2019
Visit Reason
The State Agency (SA) conducted an annual re-certification survey from 12/3/19 to 12/5/19. During the survey, The SA determined the facility was not in compliance with Medicare and Medicaid requirements of participation and cited F641, F644, F656, F657, and F695.
Findings
The facility was found not in compliance with Medicare and Medicaid requirements due to deficiencies in assessment accuracy, PASARR coordination, comprehensive care planning, care plan timing and revision, and respiratory care including oxygen administration.
Deficiencies (6)
F0641 - Accuracy of Assessments. The facility failed to accurately code the Minimum Data Set (MDS) assessments for hospice care, anti-coagulant medication, and oxygen therapy for three residents.
F0644 - Coordination of PASARR and Assessments. The facility failed to refer a resident for a Level II screening after a new serious mental disorder diagnosis and medication change.
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to develop care plans related to hospice services and oxygen use for two residents.
F0657 - Care Plan Timing and Revision. The facility failed to revise a resident's care plan to include oxygen use and ensure proper oxygen administration.
F0695 - Respiratory/Tracheostomy Care and Suctioning. The facility failed to ensure oxygen therapy was administered per physician's orders for two residents, including improper oxygen flow rates and lack of signage.
K0918 - Electrical Systems - Essential Electric System Maintenance and Testing. The facility failed to provide documentation of weekly generator inspections and monthly load tests for several months.
Report Facts
Deficiencies cited: 6
Inspection Report — Jan 4, 2019
Annual Inspection
Date: Jan 4, 2019
Visit Reason
The State Agency (SA) conducted an annual recertification survey from 01/02/2019 to 01/04/2019. During the survey, the SA determined the facility was not in compliance with Medicare and Medicaid requirements for participation.
Findings
The facility was found not in compliance with Medicare and Medicaid requirements, citing deficiencies in comprehensive care planning, catheter and incontinent care, timely laboratory services, and generator maintenance.
Deficiencies (4)
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to develop a care plan addressing catheter care for Resident #26 and failed to follow the care plan for Resident #42 related to catheter care.
F0690 - Bowel/Bladder Incontinence, Catheter, UTI. The facility failed to provide catheter and incontinent/perineal care to prevent infection for Resident #26 and failed to prevent trauma during catheter care for Resident #42.
F0770 - Laboratory Services. The facility failed to ensure Culture and Sensitivity laboratory results were obtained in a timely manner for Resident #25.
K0918 - Electrical Systems - Essential Electric System Maintenance and Testing. The facility failed to maintain the generator's Life Safety Branch and failed to properly inspect and maintain the generator, resulting in failure to power all emergency lighting, emergency power plugs, and illuminated exit signs.
Report Facts
Deficiencies cited: 4
Viewing
Loading inspection reports...



