Inspection Reports for
Mission Point Health Campus of Jackson

The home was found in non-compliance with 6 rules; a written corrective action plan was required before the license is renewed.

Resident A has been neglected: not established. Resident A may not have received medical care when needed: not established. Additional findings: failure to update service plan to include bathing frequency — established.

One violation was established regarding the failure to update Resident A's service plan to include bathing frequency. No violations were established for neglect or failure to provide medical care when needed.

Resident A was neglected: established. Additional findings: none.

One repeat violation was established regarding lack of care consistent with Resident A's service plan.

Resident A lacked care: established. Staff have their children at work: not established.

Two allegations were investigated. Resident A lacked care: violation established. Staff having their children at work: violation not established.

The home was found in non-compliance with 7 rules; a written corrective action plan was required before the license is renewed.

The licensee name and facility name were changed as requested effective 8/7/20.

The new resident room #516 was inspected and found to be in compliance with the HFA rules requirements for a resident room. The license capacity was approved to increase to 40 beds.

No rule or statutory violations were found; the facility was found in substantial compliance with applicable licensing statutes and administrative rules.

Resident dignity and respect violations: established for both R202 and R204 due to inappropriate language and staff attitude.

Two deficiencies were found related to staff disrespectful behavior toward residents R202 and R204, violating residents' rights to dignity and respect.

Infection control PPE use for COVID-19: not established. Medication administration errors: established. Food service temperature and palatability: established. Food service equipment cleanliness and maintenance: established. Physical plant maintenance: established.

Multiple deficiencies were found including failure to ensure proper infection control PPE use for COVID-19, medication administration errors, inadequate food temperature and palatability, failure to maintain clean and sanitary food service equipment, and poor maintenance of the physical plant.

Failure to provide transportation to a medical appointment: established.

One violation was established for failure to arrange transportation for a resident's medical appointment, resulting in a missed appointment and potential delay of care.

Failure to permit resident R214 to return after hospital stay: established. Failure to provide transfer/discharge notices for residents R212 and R214: established. Failure to administer medication as ordered for resident R214: established.

Three deficiencies were found related to failure to permit a resident to return after hospital stabilization, failure to provide timely transfer/discharge notices, and failure to administer medication as ordered.

Use of physical restraints on Resident #1: established. Failure to timely report abuse allegation: established.

Two violations were established: the facility failed to ensure freedom from physical restraints for one resident and failed to timely report an allegation of abuse to the Nursing Home Administrator and State Agency.

The facility was found to have multiple deficiencies including failure to provide comprehensive care plans, failure to provide assist with activities of daily living, failure to ensure safe and appropriate respiratory care, failure to ensure medication regimen irregularities were reviewed and acted upon, failure to properly label and dispose of medications, failure to maintain food safety standards, failure to coordinate hospice services, failure to ensure timely influenza immunizations, and failure to maintain a safe, clean, and comfortable environment.

Failure to facilitate safe discharge for Resident #3: established.

The facility failed to facilitate a safe discharge for Resident #3, resulting in discharge without recommended equipment or services, leading to harm and readmission.

Failure to timely report and investigate facial abrasions on Resident #1: established.

The facility failed to identify and report injury of unknown origin for one resident with multiple facial abrasions, resulting in no investigation to determine if physical abuse occurred.

Pressure ulcer care and prevention: established.

The facility failed to prevent and treat pressure ulcers in 2 of 3 residents reviewed, resulting in worsening and new pressure ulcers and pain. Care plans and interventions were inadequate or not implemented.

Medication administration delays and monitoring concerns for Resident #1: established. Staffing shortages impacting care and medication timeliness: established. Improper medication administration and storage for Resident #3: established.

The facility was found to have multiple deficiencies including failure to ensure timely medication administration for two residents, insufficient nursing staff to meet resident needs, improper storage and administration of medications by unlicensed staff, and failure to implement care plans for one resident.

Advanced directives discrepancies for residents #7 and #34: established. Failure to notify bed hold policy for resident #42: established. Inaccurate MDS and incomplete care plans for residents #30 and #31: established. Medication management issues for resident #7: established. Medication labeling and storage issues: established. Lack of rehabilitative therapy for resident #30: established. Emergency call system failures: established. Pest control program deficiencies: established.

Multiple deficiencies were found including failure to ensure accurate advanced directives, incomplete and inaccurate care plans, lack of proper medication management and documentation, failure to provide adequate rehabilitative therapy, malfunctioning emergency call light system, and ineffective pest control program.