Inspection Reports for
Mission Point Health Campus of Jackson

The complaint investigation was substantiated based on witness statements and interviews confirming that LPN G used inappropriate language and displayed a poor attitude towards residents R202 and R204.

The facility failed to treat two residents with dignity and respect, as evidenced by inappropriate language used by LPN G towards residents R202 and R204. Witness statements and interviews confirmed the use of harsh and disrespectful language by the nurse.

Complaint alleged Resident A was neglected, including being unbathed, improperly dressed, and not out of bed for three days, and that Resident A may not have received needed medical care. Both allegations were not substantiated.

The investigation found that the allegations of neglect and failure to provide medical care were not substantiated. However, a violation was established related to the resident's service plan not being updated to include the frequency of bathing activities as required.

The facility had multiple deficiencies including failure to develop baseline care plans, medication regimen review issues, improper medication administration, food safety and temperature control problems, inadequate infection prevention practices related to COVID-19, and poor maintenance of the physical plant.

This citation pertains to intake #MI00146888. The complaint was substantiated as the facility did not coordinate transportation for the resident's out-of-town appointment on 9/5/24, causing the resident to miss the appointment.

The facility failed to arrange and provide transportation for one resident's medical appointment, resulting in a missed appointment and potential delay of care.

The complaint investigation pertained to Intakes MI00145676 and MI00145685 involving failure to permit a resident's return post-hospitalization, failure to provide transfer/discharge notices, and failure to administer medication as ordered.

The facility failed to allow one resident to return after hospital stabilization, failed to provide written reasons and proper notification for transfers/discharges for two residents, and failed to administer prescribed medication for one resident, potentially causing a relapse and escalation of behaviors.

The complaint alleged Resident A was neglected, with briefs unchanged, lack of repositioning, and bed sores. The violation was substantiated as a repeat violation.

The investigation substantiated a violation regarding neglect and lack of care consistent with Resident A's service plan, including insufficient documentation of showers and intermittent refusal of care by the resident.

The complaint involved Resident #1 being physically restrained without proper authorization and the facility's failure to timely report the abuse allegation. The incident occurred on 2/5/24, was discovered on 2/7/24, and reported to the State Agency on 2/8/24. The investigation confirmed the restraint use and delayed reporting.

The facility failed to ensure freedom from physical restraints for one resident who was found restrained without an order. The facility also failed to timely report an allegation of abuse related to the restraint incident. Corrective actions included staff termination, education, audits, and monitoring.

Complaint alleged Resident A lacked care, including delays in staff assistance and inadequate care leading to hospitalization and death. The complaint also alleged staff had their children at work. The lack of care allegation was substantiated; the children at work allegation was not substantiated.

The investigation established that Resident A was not provided care consistent with her service plan, which was not updated to reflect her needs in the assisted living setting. Additionally, Resident B's care was also found inconsistent with her service plan. The allegation that staff had their children at work was not substantiated as medical records staff were not part of the licensed home and no children were observed in the licensed area.

The facility had multiple deficiencies including failure to provide proper beneficiary notices, incomplete care plans for residents, inadequate respiratory care and oxygen management, medication regimen irregularities not addressed, improper medication labeling, food safety violations related to labeling and refrigeration, lack of coordination of hospice services, delayed influenza vaccinations, and maintenance issues affecting safety and cleanliness.

The complaint was substantiated. Resident #3 was discharged on 10/14/23 without necessary equipment or home health services, leading to falls and hospitalization. The facility delayed referrals for home health services until after discharge and did not arrange for recommended assistive devices or meals on wheels.

The facility failed to provide necessary medical equipment and home health service referrals prior to Resident #3's discharge on two occasions, resulting in unsafe discharge conditions. Resident #3 experienced falls and lack of support at home, leading to hospitalization and readmission to the facility.

The complaint investigation was based on intake number MI00140818 concerning failure to report and investigate injuries of unknown origin on Resident #1. The complaint was substantiated as the facility did not follow policy or report the injuries.

The facility failed to identify and investigate facial abrasions of unknown origin on Resident #1, resulting in no incident report or investigation. Multiple staff interviews and record reviews revealed inconsistent documentation and lack of reporting of the injuries.

This citation pertains to intake MI00140359. The complaint was substantiated based on interviews and record reviews showing failure to prevent and treat pressure ulcers in residents #1 and #2.

The facility failed to prevent and treat pressure ulcers in 2 of 3 residents reviewed, resulting in worsening and multiple facility-acquired pressure ulcers and pain. Care plans and interventions were inadequate or not implemented, including failure to follow hospital discharge instructions and lack of pressure-relieving devices.

The facility was found to be non-compliant with multiple state rules including lack of designated supervisor on each shift, incomplete meal census records, inadequate ventilation in certain bathrooms, improper water temperature regulation, expired food items, incomplete medication instructions, incomplete resident service plans, and untimely tuberculosis screenings for employees.

The investigation was triggered by complaints regarding medication administration delays, medication errors including administration of unknown medications (Benadryl) without orders, staffing shortages, and failure to follow grievance policies. The complaints were substantiated with findings of late medications, improper medication administration by unlicensed staff, and insufficient staffing.

The facility failed to ensure timely medication administration and proper grievance follow-up for residents, resulting in resident dissatisfaction and potential harm. Additionally, the facility did not implement care plans correctly, had insufficient nursing staff, and allowed unlicensed staff to administer medications, including suppositories, contrary to policy.

The facility was found deficient in multiple areas including failure to maintain accurate advanced directives, incomplete and inaccurate resident assessments and care plans, inadequate medication management and documentation, insufficient therapy services, malfunctioning emergency call systems, and an ineffective pest control program.