Inspection Reports for
Plaza Community Living Center
4403 Hospital Road, Pascagoula, MS, 39581-5335
Back to Facility Profile66 Reports
Inspection Report — Jul 21, 2026
Annual Inspection
Date: Jul 21, 2026
Visit Reason
The State Agency conducted a desk review of the information provided related to the annual recertification/complaint survey completed from 06/01/26 through 06/04/26.
Findings
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 State Agency is recommending that the facility be placed back in compliance effective 07/17/26.
Report Facts
Deficiencies cited: 0
Inspection Report — Jun 4, 2026
Annual Inspection
Date: Jun 4, 2026
Visit Reason
The State Agency conducted an annual re-licensure survey and Complaint Investigation (CI), MS #3008833, at the facility from 06/01/26 through 06/04/26. The complaint was investigated related to Nursing Services, Quality of care/treatment, and environment. During the re-licensure survey, M610, M715, and M1210 were cited.
Complaint Details
Complaint Investigation (CI) MS #3008833 was related to Nursing Services, Quality of care/treatment, and environment. Deficiencies were cited including M1210.
Findings
The facility was found not in compliance with state licensure requirements due to failures in providing necessary assistance with activities of daily living, improper storage of Schedule II controlled substances, and failure to maintain walls and ceilings in good repair with recurring roof leaks.
Deficiencies (3)
M0610 - Activities of daily living. The facility failed to provide necessary assistance with activities of daily living by not assisting two residents with shaving as needed, including allowing one resident to dry shave unsafely without staff assistance.
M0715 - Labeling of drugs. The facility failed to ensure Schedule II controlled substances were maintained in permanently affixed compartments, as two of four medication carts contained removable narcotic storage boxes.
M1210 - Walls and Ceilings. The facility failed to maintain a clean, comfortable, and homelike environment due to dark-colored staining and residue on vents and walls, damaged wall surfaces with paint scraped away, and recurring roof leaks on three of six halls.
Report Facts
Deficiencies cited: 3
Inspection Report — Jun 4, 2026
Annual Inspection
Date: Jun 4, 2026
Visit Reason
The State Agency (SA) conducted an annual recertification survey and Complaint Investigation (CI), MS #3008833, at the facility from 06/01/26 through 06/04/26. MS #3008833 was investigated related to Nursing Services, Quality of care/treatment, and Environment.
Complaint Details
Complaint Investigation (CI), MS #3008833, was investigated related to Nursing Services, Quality of care/treatment, and Environment. Deficiency F584 was cited related to the complaint.
Findings
The facility was found not in compliance with multiple deficiencies including failure to maintain a safe, clean, and homelike environment, failure to provide proper discharge notifications, inaccurate assessments, failure to implement care plans, inadequate ADL care, improper storage of controlled substances, and failure to sustain corrective actions through QAPI.
Deficiencies (7)
F0584 - Safe/clean/comfortable/homelike environment. The facility failed to ensure residents’ right to a clean, comfortable, and homelike environment as evidenced by dark-colored staining and residue on hallway vents and walls, damaged wall surfaces with paint scraped away, and recurring roof leaks on three of six halls.
F0628 - Discharge process. The facility failed to provide written notification of a resident transfer to the resident or representative and failed to notify the ombudsman for one of three closed records reviewed (Resident #93).
F0641 - Accuracy of assessments. The facility failed to ensure a Minimum Data Set (MDS) assessment accurately reflected services received by coding dialysis as not received when the resident received dialysis during the assessment period (Resident #2).
F0656 - Develop/implement comprehensive care plan. The facility failed to implement care plan interventions related to shaving for two residents (Residents #32 and #26).
F0677 - ADL care provided for dependent residents. The facility failed to provide necessary assistance with activities of daily living to maintain personal hygiene and grooming by failing to remove facial hair for two residents (Residents #32 and #26).
F0761 - Label/store drugs and biologicals. The facility failed to ensure Schedule II controlled substances were maintained in permanently affixed compartments when two of four medication carts contained removable narcotic storage boxes.
F0865 - QAPI program/plan, disclosure/good faith attempt. The facility’s Quality Assurance and Performance Improvement (QAPI) Committee failed to sustain corrective actions to prevent recurrence of previously cited deficiencies related to providing residents with a homelike environment.
Report Facts
Deficiencies cited: 7
Inspection Report — Jun 3, 2026
Life Safety
Date: Jun 3, 2026
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 was found to be in compliance with all applicable Life Safety Code and Emergency Preparedness requirements. No deficiencies were cited during this survey.
Inspection Report — May 4, 2026
Complaint Investigation
Date: May 4, 2026
Visit Reason
On 05/04/26 the State Agency conducted a desk review of the information provided related to the complaint survey completed on 03/26/26. The facility confirmed measures were put in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements.
Complaint Details
CI MS#26995 complaint investigation completed on 03/26/26; the facility was found in compliance with no deficiencies cited.
Findings
The State Agency found the facility in compliance and recommended it be placed back in compliance effective 04/30/26. No deficiencies were cited in this document.
Inspection Report — Mar 26, 2026
Complaint Investigation
Date: Mar 26, 2026
Visit Reason
The State Agency conducted a Complaint Investigation (CI MS #2736288) at the facility on 03/26/2026 for quality of care and treatment and nursing services.
Complaint Details
CI MS #2736288 was investigated for quality of care and treatment and nursing services. The SA determined the facility was not in compliance and cited F656.
Findings
The facility was found not in compliance and cited for failing to develop and implement a comprehensive person-centered care plan for pressure injuries for one of three sampled residents.
Deficiencies (1)
F0656 - The facility failed to develop and implement a comprehensive person-centered care plan for pressure injuries for one resident, despite physician orders and assessment findings indicating unstageable pressure injuries.
Report Facts
Deficiencies cited: 1
Inspection Report — Mar 26, 2026
Complaint Investigation
Date: Mar 26, 2026
Visit Reason
The State Agency (SA) conducted a Complaint Investigation (CI MS #2736288) at the facility on 3/26/26. CI MS #2736288 was investigated for quality of care/treatment and nursing services.
Complaint Details
Complaint number CI MS #2736288 was investigated for quality of care/treatment and nursing services. The complaint was not substantiated; no deficiencies were cited.
Findings
The SA determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements. There were no deficiencies cited.
Inspection Report — Jan 22, 2026
Complaint Investigation
Date: Jan 22, 2026
Visit Reason
The State Agency conducted five Complaint Investigations (CI MS #2719787, CI MS #2695846, CI MS #2695847, CI MS #2702881, and CI MS #2676410) at the facility from 1/20/26 through 1/22/26. The investigations covered resident abuse and infection control, quality of care, falsification of reports, residents not receiving baths or assistance with meals, weight loss, and pest control.
Complaint Details
Five complaint investigations were conducted: CI MS #2719787 (resident abuse and infection control), CI MS #2695846 (quality of care, falsification of reports, residents not receiving baths), CI MS #2695847 (residents not receiving baths and not being assisted with meals), CI MS #2702881 (quality of care, residents not being assisted with meals, weight loss), and CI MS #2676410 (pest control). 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 Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.
Report Facts
Complaint investigations conducted: 5
Inspection Report — Jan 22, 2026
Complaint Investigation
Date: Jan 22, 2026
Visit Reason
The State Agency conducted five Complaint Investigations (CI MS #2719787, CI MS #2695846, CI MS #2695847, CI MS #2702881, and CI MS #2676410) related to resident abuse, infection control, quality of care, falsification of reports, residents not receiving baths or assistance with meals, weight loss, and pest control.
Complaint Details
Five complaint investigations were conducted regarding resident abuse, infection control, quality of care, falsification of reports, residents not receiving baths or assistance with meals, weight loss, and pest control. The facility was found in compliance with no deficiencies cited.
Findings
During the survey, the State Agency determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited.
Report Facts
Complaint Investigations conducted: 5
Inspection Report — Sep 4, 2025
Complaint Investigation
Date: Sep 4, 2025
Visit Reason
The State Agency conducted Complaint Investigations (CIs), MS #2581231, MS #2601558, MS #2595156, and MS #2600621, at the facility from 9/2/25 through 9/4/25. The complaints involved allegations of neglect, failure to maintain a secure environment, insufficient staffing during a fire, and staff misconduct including mishandling narcotics and inappropriate language.
Complaint Details
Four complaints were investigated: MS #2581231 (neglect with resident injury requiring hospitalization), MS #2601558 (failure to maintain secure environment), MS #2595156 (neglect and insufficient staffing during fire), and MS #2600621 (staff misconduct). 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 Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.
Report Facts
Complaint Investigations: 4
Inspection Report — Sep 4, 2025
Complaint Investigation
Date: Sep 4, 2025
Visit Reason
The State Agency conducted Complaint Investigations (CIs), MS #2581231, MS #2601558, MS #2595156, and MS #2600621, at the facility from 9/2/25 through 9/4/25. The investigations involved allegations of neglect, facility failure to maintain a secure environment, insufficient staffing during a fire, and staff misconduct including mishandling narcotics and inappropriate language.
Complaint Details
Four complaints were investigated: MS #2581231 for neglect resulting in a resident's hematoma requiring hospitalization; MS #2601558 for failure to maintain secure environment due to malfunctioning doors; MS #2595156 for neglect and insufficient staffing during a fire; and MS #2600621 for staff misconduct including narcotics mishandling and inappropriate language. The facility was found in compliance with no deficiencies cited.
Findings
During the survey, the State Agency determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited.
Report Facts
Complaint investigations: 4
Inspection Report — Feb 19, 2025
Annual Inspection
Date: Feb 19, 2025
Visit Reason
On 02/19/25 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 01/09/25. The information provided by the facility 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 SA is recommending that your facility be placed back in compliance effective 02/13/25. No deficiencies were cited in this desk review.
Inspection Report — Feb 19, 2025
Date: Feb 19, 2025
Visit Reason
On 02/19/25 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 01/09/25. The information provided by the facility 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 SA is recommending that your facility be placed back in compliance effective 02/13/25. No deficiencies were cited in this desk review.
Inspection Report — Jan 9, 2025
Annual Inspection
Date: Jan 9, 2025
Visit Reason
The State Agency conducted an Annual Recertification Survey with three Complaint Investigations (CI MS #26993, CI MS #26961, and CI MS #26842) at the facility from 01/06/2025 through 01/09/2025.
Complaint Details
The survey included three complaint investigations: CI MS #26993 for abuse and neglect and CI MS #26842 for quality of care and dignity with no citations, and CI MS #26961 related to resident on resident abuse, dignity, safety and infection control with citations of F600, F607, and F689.
Findings
The facility was found not in compliance with Medicare and Medicaid participation requirements, citing multiple deficiencies including environmental issues, abuse prevention failures, inaccurate assessments, accident hazards, food safety, and infection control.
Deficiencies (7)
F0584 - Safe/clean/homelike environment. The facility failed to ensure residents' rights for a clean, sanitary, and homelike environment as evidenced by holes in walls and leaks in ceilings in the dining room and hallways.
F0600 - Free from abuse and neglect. The facility failed to protect residents' right to be free from physical abuse involving altercations between residents #62 and #48 and residents #41 and #78.
F0607 - Develop/Implement Abuse/Neglect Policies. The facility failed to implement policies properly by not reporting an allegation of abuse by Resident #54 timely, allowing an accused staff member to work during investigation, and not completing a thorough investigation of an altercation between residents #48 and #62.
F0641 - Accuracy of Assessments. The facility failed to accurately code Minimum Data Set (MDS) assessments when bedrails used as enablers were miscoded as physical restraints for residents #14, #73, and #43.
F0689 - Free of accident hazards/supervision/devices. The facility failed to provide adequate supervision to prevent resident-on-resident altercations between residents #62 and #48 and residents #41 and #78.
F0812 - Food procurement, store/prepare/serve-sanitary. The facility failed to discard expired food items, remove opened, exposed, and unlabeled food items from the freezer, and ensure dietary staff wore hair restraints while plating food.
F0880 - Infection prevention & control. The facility failed to prevent possible spread of infection when a Certified Nurse Aide placed soiled linens on the floor and against her clothes.
Report Facts
Deficiencies cited: 9
Inspection Report — Jan 9, 2025
Annual Inspection
Date: Jan 9, 2025
Visit Reason
The State Agency (SA) conducted an annual recertification survey with Complaint Investigations (CIs), MS #26993, CI MS #26961, and CI MS #26842, at the facility from 1/06/25 through 1/09/25. The SA investigated CI MS #26993 for abuse and neglect and CI MS #26842 for quality of care and dignity and there were no citations related to those CIs. The SA investigated CI MS #26961 related to resident on resident abuse, dignity, safety and infection control and cited M500 and M640. 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, M640, M815, M1210, and M1570.
Complaint Details
Complaint Investigations (CIs) MS #26993 and MS #26842 were investigated with no citations. CI MS #26961 related to resident-on-resident abuse, dignity, safety, and infection control was substantiated with citations M500 and M640.
Findings
The facility was found not in compliance with state licensure requirements, citing deficiencies in residents' rights, accident prevention, safe food handling, maintenance of walls and ceilings, and infection control. The facility failed to protect residents from abuse and accidents, maintain a clean and homelike environment, ensure safe food handling practices, and prevent infection transmission.
Deficiencies (5)
M500 - Residents' Rights. The facility failed to protect residents' right to be free from physical abuse when Resident #62 received scratches in an altercation with Resident #48 and Resident #41 sustained a hematoma from Resident #78 during unsupervised incidents.
M640 - Accidents. The facility failed to provide adequate supervision to prevent resident-on-resident altercations between Residents #62 and #48 and Residents #41 and #78, resulting in injuries.
M815 - Safe Food Handling Procedures. The facility failed to discard expired food items, remove opened and unlabeled food from the freezer, and ensure dietary staff wore hair restraints while plating food.
M1210 - Walls and Ceilings. The facility failed to maintain a clean, sanitary, and homelike environment as evidenced by leaks in the dining room ceiling, holes in resident room walls, and open gaps around air conditioning units.
M1570 - Infection Control. The facility failed to prevent possible infection spread when a Certified Nurse Aide placed soiled linens on the floor and against her clothes before properly bagging them.
Report Facts
Deficiencies cited: 5
Inspection Report — Jan 6, 2025
Life Safety
Date: Jan 6, 2025
Visit Reason
The facility met the applicable provisions of the 2012 (existing) Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA). No deficiencies were cited.
Findings
The facility was found in compliance with the Life Safety Code requirements. No deficiencies were cited during this survey.
Inspection Report — Jul 18, 2024
Complaint Investigation
Date: Jul 18, 2024
Visit Reason
The State Agency conducted a Complaint Investigation (CI MS #25151) related to bed bugs, head lice, and environmental issues.
Complaint Details
CI MS #25151 was investigated related to bed bugs, head lice, and environmental issues. 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 there were no deficiencies cited.
Report Facts
Complaint investigations: 1
Inspection Report — Jul 18, 2024
Complaint Investigation
Date: Jul 18, 2024
Visit Reason
The State Agency conducted a Complaint Investigation (CI), MS #25151, at the facility on 7/18/24 related to bed bugs, head lice, and environmental issues.
Complaint Details
Complaint MS #25151 was investigated related to bed bugs, head lice, and environmental issues. The SA determined the facility was 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 — Mar 21, 2024
Complaint Investigation
Date: Mar 21, 2024
Visit Reason
The State Agency conducted a Complaint Investigation (CI), MS #24138, at the facility on 3/21/24 related to neglect.
Complaint Details
Complaint number CI MS#24138 was investigated related to neglect. 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 — Mar 21, 2024
Complaint Investigation
Date: Mar 21, 2024
Visit Reason
The State Agency conducted a Complaint Investigation (CI), MS #24138, at the facility on 3/21/24 related to neglect.
Complaint Details
Complaint number CI MS #24138 was investigated related to neglect. The facility was found 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 count: 1
Inspection Report — Oct 4, 2023
Complaint Investigation
Date: Oct 4, 2023
Visit Reason
The State Agency conducted a Complaint Investigation (CI), MS #22769 at the facility on 10/4/23. The SA investigated the complaint related to services not provided per plan of care, falls, resident not turned/repositioned, and resident assessment.
Complaint Details
Complaint CI MS#22769 related to services not provided per plan of care, falls, resident not turned/repositioned, and resident assessment was investigated and found to be unsubstantiated 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 — Oct 4, 2023
Complaint Investigation
Date: Oct 4, 2023
Visit Reason
The State Agency conducted a Complaint Investigation (CI), MS #22769 at the facility on 10/4/23 related to services not provided per plan of care, falls, resident not turned/repositioned, and resident assessment.
Complaint Details
CI MS#22769 - Complaint related to services not provided per plan of care, falls, resident not turned/repositioned, and resident assessment. The complaint was investigated and the facility was found in compliance with no deficiencies cited.
Findings
The facility was found to be in compliance with the requirements of participation in Medicare and Medicaid, and there were no deficiencies cited.
Report Facts
Complaint investigations: 1
Inspection Report — Jul 12, 2023
Life Safety
Date: Jul 12, 2023
Visit Reason
On 07/12/23 the State Agency (SA) conducted a desk review of the information that was provided related to the annual survey conducted on 05/23/23. The information confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with the 2012 Edition of the Life Safety Code.
Findings
The facility was found to be in compliance with the Life Safety Code based on the desk review and corrective measures provided.
Inspection Report — Jul 5, 2023
Follow-Up
Date: Jul 5, 2023
Visit Reason
The State Agency conducted a follow-up revisit at the facility on 7/5/2023 related to an Annual recertification survey conducted on 5/21/23 through 5/25/23.
Findings
The State Agency 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 6/20/23.
Inspection Report — Jul 5, 2023
Follow-Up
Date: Jul 5, 2023
Visit Reason
The State Agency conducted a follow-up revisit at the facility on 7/5/2023 related to an Annual recertification survey conducted on 5/21/23 through 5/25/23.
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 6/20/23.
Inspection Report — May 25, 2023
Annual Inspection
Date: May 25, 2023
Visit Reason
The State Agency (SA) conducted an annual recertification survey, along with two (2) Complaint Investigations (CI) MS #21491 and CI MS #21492, at the facility from 05/21/23 through 05/25/23.
Complaint Details
Two complaint investigations were conducted: CI MS #21491 related to pressure sore precautions with no deficiencies cited, and CI MS #21492 related to neglect and facility staffing with deficiency F0725 cited.
Findings
The facility was found not in compliance with Medicare and Medicaid participation requirements. Deficiencies were cited related to resident dignity, safe environment, PASARR screenings, care planning, nursing staff sufficiency, medication administration, and medication storage.
Deficiencies (11)
F0550 - Resident Rights. The facility failed to maintain the dignity of Resident #25 during mealtime by not providing timely incontinence care, causing the resident to eat lunch while sitting in a soiled brief.
F0584 - Safe/clean/homelike environment. The facility failed to provide a safe, clean, and homelike environment in the main dining room due to ongoing roof leaks causing water puddles, stains, and potential mold growth.
F0644 - Coordination of PASARR and Assessments. The facility failed to complete a Level I PASARR screening for Resident #11 upon admission and readmission.
F0645 - PASARR Screening for MD & ID. The facility failed to accurately complete Level I PASARR screenings and failed to complete Level II screenings for Residents #23 and #40 who had diagnoses of major mental illness.
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to develop and implement individualized person-centered care plans for Residents #7 and #25, including proper documentation and timely assistance with incontinence care.
F0677 - ADL Care Provided for Dependent Residents. The facility failed to provide timely incontinence care to Resident #25, who was dependent on staff, resulting in the resident being left in a soiled brief for hours and developing new skin breakdown.
F0684 - Quality of Care. The facility failed to administer intravenous antibiotics as ordered for Resident #35, missing three doses due to IV line issues and lack of timely physician notification.
F0690 - Bowel/Bladder Incontinence, Catheter, UTI. The facility failed to prevent the risk of urinary tract infection for Resident #7 by allowing the resident to be double briefed and saturated with urine.
F0725 - Sufficient Nursing Staff. The facility failed to provide sufficient nursing staff on the South Wing to meet resident needs, with only three CNAs assigned to care for 55 residents, resulting in unmet care needs.
F0732 - Posted Nurse Staffing Information. The facility failed to post direct care daily staffing numbers in a location accessible to residents and visitors for four of five days of survey.
F0761 - Label/Store Drugs and Biologicals. The facility failed to remove expired insulin from the medication cart, risking ineffective medication administration.
Report Facts
Deficiencies cited: 11
Inspection Report — May 23, 2023
Life Safety
Date: May 23, 2023
Visit Reason
The facility underwent a Life Safety Code survey to assess compliance with the 2012 Edition of the Life Safety Code of the National Fire Protection Association (NFPA).
Findings
K0363 - Corridor doors were missing latch bolts in three resident rooms, making them incapable of resisting the passage of smoke and affecting 67 of 91 residents. The Maintenance Supervisor replaced the latch bolts and verified compliance during the exit interview.
Deficiencies (1)
K0363 - Corridor doors were missing latch bolts in three resident rooms, making them incapable of resisting the passage of smoke and affecting 67 of 91 residents.
Report Facts
Deficiencies cited: 1
Inspection Report — May 23, 2023
Life Safety
Date: May 23, 2023
Visit Reason
Survey conducted on 5/23/23 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 — Mar 20, 2023
Routine
Date: Mar 20, 2023
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, 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 — Dec 21, 2022
Complaint Investigation
Date: Dec 21, 2022
Visit Reason
The State Agency conducted a Complaint survey, CI: 19972 on 12/21/2022.
Complaint Details
Complaint CI MS#19972 was not substantiated for resident falls, pressure sores, or notification of responsible representative and no deficiencies were cited.
Findings
The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm. No deficiencies were cited.
Report Facts
Complaint count: 1
Inspection Report — Dec 21, 2022
Complaint Investigation
Date: Dec 21, 2022
Visit Reason
The State Agency conducted a complaint investigation, CI #19972, at the facility on 12/21/22.
Complaint Details
Complaint CI #19972 alleged resident falls, pressure sores, and notification of responsible representative; the complaint was not substantiated and no deficiencies were cited.
Findings
The facility was found in compliance with the requirements of participation in Medicare and Medicaid. No deficiencies were cited.
Report Facts
Complaint count: 1
Inspection Report — Sep 19, 2022
Routine
Date: Sep 19, 2022
Visit Reason
The survey was conducted to assess the facility's 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 seven-day period as required by regulation.
Deficiencies (1)
F0884 - The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period between 09/12/2022 and 09/18/2022 as required by regulation.
Report Facts
Deficiencies cited: 1
Inspection Report — Jul 27, 2022
Complaint Investigation
Date: Jul 27, 2022
Visit Reason
The State Agency conducted a complaint survey, CI: MS #19318 at the facility on 7/27/22.
Complaint Details
CI MS #19318: Complaint for misappropriation of property, abuse, and residents not treated with respect and dignity was investigated and not substantiated; no deficiencies cited.
Findings
The facility was found in compliance with Medicare and Medicaid requirements. The complaint for misappropriation of property, abuse, and residents not treated with respect and dignity was not substantiated and no deficiencies were cited.
Report Facts
Deficiencies cited: 0
Inspection Report — Jul 27, 2022
Complaint Investigation
Date: Jul 27, 2022
Visit Reason
The State Agency conducted a complaint survey, CI: MS #19318 at the facility on 7/27/22.
Complaint Details
Complaint CI MS #19318 alleged misappropriation of property, abuse, and resident not treated with respect and dignity; the complaint was not substantiated and no deficiencies were cited.
Findings
The complaint of misappropriation of property, abuse, and resident not treated with respect and dignity was not substantiated. The facility was found in compliance with Mississippi Regulations for Minimum Standards and no deficiencies were cited.
Inspection Report — Nov 30, 2021
Complaint Investigation
Date: Nov 30, 2021
Visit Reason
On 11/29/21 through 11/30/21 the State Agency performed one Complaint Investigation, MS #18309, at the facility.
Complaint Details
Complaint MS #18309 alleged concerns about facility staffing, quality of care-medications not given according to physician orders, physical environment-not sufficient supplies, offensive odors, and other issues. These concerns were not substantiated and no deficiencies were cited.
Findings
The facility was found to be in compliance with the Minimum Standards for the Institutions for the Aged or Infirm. No deficiencies were cited.
Report Facts
Complaint count: 1
Inspection Report — Sep 16, 2021
Follow-Up
Date: Sep 16, 2021
Visit Reason
The State Agency conducted a follow up/revisit survey for the Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) on 9/16/21.
Findings
The State Agency determined the facility was found to be in compliance with the requirements for participation in Medicare and Medicaid.
Inspection Report — Jul 17, 2021
Complaint Investigation
Date: Jul 17, 2021
Visit Reason
The State Agency (SA) conducted Complaint Investigations (CI) MS# 17869, MS# 17884, and MS# 17935 on 7/08/21 through 7/17/21 at the facility. The SA substantiated CI MS# 17869 and MS# 17935 related to elopements, when the facility failed to provide adequate staff supervision to prevent Resident #1 and Resident #5's elopements. The SA substantiated CI MS#17884 related to a fall with an injury for Resident #6.
Complaint Details
CI MS# 17869 and MS# 17935 were substantiated related to elopements of Residents #1 and #5 due to inadequate staff supervision. CI MS#17884 was substantiated related to a fall with injury for Resident #6. An Immediate Jeopardy was identified beginning 7/1/21 due to failure to prevent elopement of Resident #1. The IJ was removed on 7/16/21 after corrective actions.
Findings
The facility failed to provide adequate supervision to prevent the elopements of Residents #1 and #5 and failed to prevent a fall for Resident #6, placing these residents and others at risk of serious harm. Resident #1 eloped and was found after approximately 88 minutes with minor injuries. Resident #5 eloped and was found about 0.6 miles away. Resident #6 sustained a fall resulting in a displaced right femoral neck fracture, which was not reported timely by staff.
Deficiencies (5)
F0600 - Freedom from abuse and neglect. The facility failed to protect Resident #6 from neglect related to a fall with injury when staff did not report or document the fall, delayed hospital transfer, and failed to notify the Administrator, resulting in a fractured hip.
F0609 - Reporting of alleged violations. The facility failed to report an incident of neglect related to Resident #6's fall to the State Agency within two hours as required.
F0610 - Investigation and prevention of alleged violations. The facility failed to thoroughly investigate a fall of unknown origin resulting in injury for Resident #6.
F0657 - Care plan timing and revision. The facility failed to revise Resident #6's care plan to reflect appropriate fall interventions for her current severe cognitive impairment.
F0689 - Free of accident hazards/supervision/devices. The facility failed to provide adequate supervision to prevent the elopements of Residents #1 and #5 and a fall for Resident #6. Resident #1 eloped and was found after 88 minutes outside the facility with minor injuries. Resident #5 eloped and was found 0.6 miles away. Resident #6 fell and sustained a hip fracture that was not reported timely. The facility also failed to maintain secure exit doors, including a door to the laundry room that allowed Resident #5 to exit unsupervised.
Report Facts
Deficiencies cited: 5
Residents at risk for elopement: 11
Resident #1 elopement duration: 88
Resident #5 elopement duration: 26
Resident #5 elopement distance: 0.6
Resident #6 fall risk score: 21
Inspection Report — Apr 29, 2021
Date: Apr 29, 2021
Visit Reason
No initial comments text was provided in the document to specify the visit reason.
Findings
The document contains only the Initial Comments block with no deficiencies cited, indicating the facility was found in compliance.
Inspection Report — Apr 29, 2021
Complaint Investigation
Date: Apr 29, 2021
Visit Reason
The State Survey Agency conducted a complaint investigation (CI MS #17629, CI MS #17715, CI MS #17765) from 4/28/21 to 4/29/21.
Complaint Details
CI MS #17629, CI MS #17715, and CI MS #17765 were investigated and all were unsubstantiated with no deficiencies cited. The allegations involved Quality of Care related to Responsible Party Not Notified of Change, Resident Safety, Injury of Unknown Origin, Neglect, Client Services not Performed Per Physicians Orders, Physical Environment, and No Pressure Sore Precaution.
Findings
The facility was found in compliance with Medicare and Medicaid requirements for participation with no deficiencies cited.
Report Facts
Complaint investigations: 3
Inspection Report — Apr 13, 2021
Date: Apr 13, 2021
Visit Reason
A desk review was conducted on 4/13/21. The facility is in substantial compliance as of 3/26/2021.
Findings
The facility was found to be in substantial compliance with no deficiencies cited.
Inspection Report — Feb 26, 2021
Annual Inspection
Date: Feb 26, 2021
Visit Reason
The State Agency (SA) determined during an annual recertification survey, conducted from 2/23/21 to 2/26/21, the facility was not in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm, state licensure requirements at M500 and M645.
Findings
The facility failed to provide dietary supplements as ordered by the physician for one of six residents, Resident #33, resulting in significant weight loss. Observations, interviews, and record reviews confirmed Resident #33 did not receive the ordered Boost Breeze supplement with meals on multiple occasions.
Deficiencies (2)
M645 - Nutrition. The facility failed to provide dietary supplements as ordered by the physician for one of six residents, Resident #33, who experienced a 16.17% weight loss over six months and was not served the ordered Boost Breeze supplement with meals on multiple occasions.
M500 - Minimum Standards of Operation. The facility was found not in compliance with state licensure requirements at M500 as cited in the Initial Comments.
Report Facts
Deficiencies cited: 2
Inspection Report — Feb 26, 2021
Annual Inspection
Date: Feb 26, 2021
Visit Reason
The State Agency conducted an annual recertification along with a complaint investigation CI MS #17350 from 2/23/21 to 2/26/21. During the survey, the SA determined that the facility was not in compliance with the requirements of participation in Medicare and Medicaid.
Complaint Details
Complaint investigation CI MS #17350 was conducted but was not substantiated for neglect and quality of care with no citations related to the complaint.
Findings
The facility was found not in compliance with multiple deficiencies related to resident rights, nutrition, respiratory care, and infection control. The facility failed to provide dignified feeding assistance, failed to provide dietary supplements as ordered, failed to follow physician orders for oxygen administration, and failed to follow infection prevention protocols including hand hygiene and PPE use.
Deficiencies (4)
F0550 - Resident Rights/Exercise of Rights. The facility failed to interact with a resident during meal observation and did not provide feeding assistance with dignity and respect.
F0692 - Nutrition/Hydration Status Maintenance. The facility failed to provide dietary supplements as ordered by the physician for one resident.
F0695 - Respiratory/Tracheostomy Care and Suctioning. The facility failed to follow the physician order of oxygen administration for one resident.
F0880 - Infection Prevention & Control. The facility failed to prevent the possible spread of infection by failure to sanitize hands during medication administration, failure to don PPE when providing care, failure to wear masks properly, and failure to prevent cross contamination with linens.
Report Facts
Deficiencies cited: 4
Inspection Report — Feb 23, 2021
Date: Feb 23, 2021
Visit Reason
Based on the Initial Comments and document context, the survey was conducted to assess compliance with Life Safety Code requirements related to the fire alarm system.
Findings
M243 - The facility failed to maintain a complete manual fire alarm system as directed by NFPA 72 Chapter 10 and NFPA 101 section 9.6, evidenced by a trouble signal indicating two malfunctioning smoke detectors affecting all seven smoke compartments and 101 residents.
Deficiencies (1)
M243 - The facility failed to maintain a complete manual fire alarm system as directed by NFPA 72 Chapter 10 and NFPA 101 section 9.6, evidenced by a trouble signal indicating two malfunctioning smoke detectors affecting all seven smoke compartments and 101 residents.
Report Facts
Deficiencies cited: 1
Inspection Report — Feb 23, 2021
Life Safety
Date: Feb 23, 2021
Visit Reason
The facility was surveyed for compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).
Findings
K0341 - The facility failed to maintain a complete manual fire alarm system as two smoke detectors were malfunctioning, affecting all seven smoke compartments and 101 residents.
Deficiencies (1)
K0341 - The facility failed to maintain a complete manual fire alarm system as two smoke detectors were malfunctioning, affecting all seven smoke compartments and 101 residents.
Report Facts
Deficiencies cited: 1
Inspection Report — Feb 23, 2021
Life Safety
Date: Feb 23, 2021
Visit Reason
Survey conducted on 02/23/21 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. No deficiencies were cited.
Inspection Report — Dec 15, 2020
Routine
Date: Dec 15, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 12/15/2020.
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 — Dec 15, 2020
Routine
Date: Dec 15, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency (SA) on 12/15/2020.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).
Inspection Report — Nov 24, 2020
Complaint Investigation
Date: Nov 24, 2020
Visit Reason
The State Agency (SA) conducted a complaint investigation (CI MS #16913) at the facility on 11/24/2020.
Complaint Details
Complaint CI MS #16913 for Resident Verbal Abuse was unsubstantiated with no deficiencies cited.
Findings
The investigation was unsubstantiated for Resident Verbal Abuse with no deficiencies cited. The facility was found in compliance with the Minimum Standards for State Licensure Requirements for nursing homes.
Report Facts
Complaint investigations: 1
Inspection Report — Nov 24, 2020
Routine
Date: Nov 24, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey along with a complaint investigation (CI MS #16913) was conducted by the State Agency (SA) on 11/24/2020.
Complaint Details
CI MS #16913 - Resident Verbal Abuse allegation was unsubstantiated with no deficiencies cited.
Findings
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 complaint investigation for Resident Verbal Abuse was unsubstantiated with no deficiencies cited.
Report Facts
Complaint investigations: 1
Inspection Report — Nov 24, 2020
Routine
Date: Nov 24, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on 11/24/2020.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).
Inspection Report — Jul 27, 2020
Routine
Date: Jul 27, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on 7/27/2020.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).
Inspection Report — Jul 27, 2020
Routine
Date: Jul 27, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 7/27/2020.
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 — Jul 21, 2020
Routine
Date: Jul 21, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on 7/21/2020.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).
Inspection Report — Jul 21, 2020
Routine
Date: Jul 21, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 7/21/20.
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 — Jun 1, 2020
Routine
Date: Jun 1, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 6/1/20.
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 — Feb 13, 2020
Complaint Investigation
Date: Feb 13, 2020
Visit Reason
The State Survey Agency conducted multiple complaint investigations on 2/13/20 regarding Quality of Care related to improper incontinent care, physical environment, no proper medical equipment, facility staffing, resident left soiled for extended periods, and pharmaceutical services.
Complaint Details
Multiple complaint investigations (CI MS #16558, #16559, #16562, #16581, #16582, #16583) were conducted on 2/13/20 and all were unsubstantiated with no deficiencies cited.
Findings
The investigations were unsubstantiated with no deficiencies cited. The facility was found in compliance with Medicare and Medicaid requirements for participation.
Report Facts
Complaints investigated: 6
Inspection Report — Jan 7, 2020
Complaint Investigation
Date: Jan 7, 2020
Visit Reason
The State Agency conducted a complaint survey (CI MS #16463) at the facility on 1/7/2020 regarding a complaint of improper discharge of a resident. The complaint was not substantiated, but the facility was found non-compliant for failing to provide the resident's Representative Person a written Notice of Discharge.
Complaint Details
CI MS #16463: Complaint of improper discharge of a resident. The complaint was not substantiated, but a deficiency was cited for failure to provide written discharge notice to the resident's Representative Person.
Findings
The facility failed to provide a written notice of discharge to the Representative Person for one of three residents reviewed, Resident #1, who was discharged due to escalating behaviors posing a safety risk. Staff and family interviews confirmed the discharge notice was not mailed, and the facility did not pursue notification after the family refused transfer to a distant facility.
Deficiencies (1)
F0625 - Notice of Bed Hold Policy Before/Upon Transfer. The facility failed to provide written notice of discharge and the right to appeal to the resident's Representative Person when Resident #1 required discharge due to behaviors posing a threat to self, residents, and staff.
Report Facts
Deficiencies cited: 1
Inspection Report — Dec 12, 2019
Complaint Investigation
Date: Dec 12, 2019
Visit Reason
The State Agency conducted a complaint investigation on 12/12/19 regarding Abuse.
Complaint Details
CI MS #16365: The complaint investigation was substantiated for Abuse with no deficiencies cited.
Findings
The investigation was substantiated for Abuse with no deficiencies cited. The facility was found in compliance with Medicare and Medicaid participation requirements.
Report Facts
Complaints investigated: 1
Inspection Report — Oct 24, 2019
Complaint Investigation
Date: Oct 24, 2019
Visit Reason
The State Survey Agency conducted a complaint investigation on 10/24/19.
Complaint Details
CI MS #16245: Complaint investigation conducted and found unsubstantiated with no deficiencies cited.
Findings
The investigation was unsubstantiated with no deficiencies cited. The facility was found in compliance with Medicare and Medicaid requirements for participation.
Inspection Report — Aug 14, 2019
Complaint Investigation
Date: Aug 14, 2019
Visit Reason
A complaint investigation was conducted on August 14, 2019 in the facility.
Complaint Details
CI MS #16059 & CI MS #16099: A complaint investigation was conducted and found unsubstantiated with no deficiencies cited.
Findings
The result of the investigation was unsubstantiated with no deficiencies cited.
Inspection Report — Jun 1, 2019
Complaint Investigation
Date: Jun 1, 2019
Visit Reason
The State Agency (SA) conducted an abbreviated/partial extended survey investigating CI MS #15932 beginning 5/30/19 through 6/01/19. Concerns identified in the complaint were related to possible neglect.
Complaint Details
CI MS #15932. The complaint alleged possible neglect. The concerns were not substantiated and no deficiencies were cited.
Findings
The concerns identified in the complaint were not substantiated and no deficiencies were cited.
Inspection Report — May 23, 2019
Annual Inspection
Date: May 23, 2019
Visit Reason
A standard survey was conducted by Healthcare Management Solutions (HMS) on behalf of the MS State Department of Health from 05/20/19 through 05/23/19. The standard survey revealed that the facility was not in substantial compliance with the requirements of participation in Medicare/Medicaid.
Findings
The facility was found not in substantial compliance with multiple deficiencies including care planning, wound care, medication administration, activities, dietary services, and resident rights. Several residents had unmet needs in care plan implementation, wound treatment, medication availability, and activity provision.
Deficiencies (16)
F0553 - Right to Participate in Planning Care. The facility failed to ensure residents or their representatives were invited to participate in the development and implementation of their person-centered plan of care for four of 19 sampled residents.
F0576 - Right to Forms of Communication w/ Privacy. The facility failed to ensure residents received mail on Saturdays and failed to provide privacy for telephone communication on the South Unit.
F0580 - Notify of Changes (Injury/Decline/Room, etc.). The facility failed to notify Resident #80 of a room change prior to moving her, and there was no documentation of notification.
F0584 - Safe/Clean/Comfortable/Homelike Environment. The facility failed to ensure wheelchairs and furniture were clean and in good repair for four residents.
F0610 - Investigate/Prevent/Correct Alleged Violation. The facility failed to investigate, document, and report an injury of unknown origin for Resident #36.
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to implement a resident-centered care plan for three residents, resulting in harm from an unstageable pressure ulcer and unmet activity and medication needs.
F0679 - Activities Meet Interest/Needs Each Resident. The facility failed to provide ongoing activities based on preferences for two residents.
F0686 - Treatment/Services to Prevent/Heal Pressure Ulcer. The facility failed to provide treatment and services to prevent deterioration and promote healing of a pressure ulcer for Resident #54.
F0688 - Increase/Prevent Decrease in ROM/Mobility. The facility failed to ensure Resident #8 received restorative services and a splint as recommended by therapy.
F0690 - Bowel/Bladder Incontinence, Catheter, UTI. The facility failed to maintain suprapubic catheter tubing off the floor to reduce risk of infection for Resident #8.
F0755 - Pharmacy Services/Procedures/Pharmacist/Records. The facility failed to ensure timely acquisition of medication for Resident #3, resulting in missed doses of an inhaler for three days.
F0784 - Nutritive Value/Appear, Palatable/Prefer Temp. The facility failed to ensure food was served at palatable temperatures for residents on the North Unit.
F0812 - Food Procurement, Store/Prepare/Serve-Sanitary. The facility failed to ensure the dishwasher was functioning with sanitizer and the kitchen was clean and sanitary.
F0842 - Resident Records - Identifiable Information. The facility failed to maintain complete and accurate medical records for Residents #54 and #3, including missing wound care documentation and inaccurate medication administration records.
F0758 - Free from Unnec Psychotropic Meds/PRN Use. The facility failed to ensure Resident #12 was not administered PRN antianxiety medication beyond 14 days without clinical justification.
F0883 - Influenza and Pneumococcal Immunizations. The facility failed to follow CDC guidelines for pneumococcal vaccine administration for three residents.
Report Facts
Deficiencies cited: 16
Inspection Report — Feb 22, 2019
Complaint Investigation
Date: Feb 22, 2019
Visit Reason
A complaint investigation was conducted on February 22, 2019 in the facility.
Complaint Details
CI MS #15671: A complaint investigation was conducted and found unsubstantiated with no deficiencies cited.
Findings
The investigation was unsubstantiated with no deficiencies cited.
Inspection Report — Sep 13, 2018
Complaint Investigation
Date: Sep 13, 2018
Visit Reason
The State Agency conducted a complaint survey from 9/12/18 through 9/13/18 for MS #15424, MS #15423, and MS #15390. The survey investigated allegations of abuse, quality of care, toileting issues, and environmental issues.
Complaint Details
Complaint investigation for MS #15424, MS #15423, and MS #15390. MS #15424 was substantiated for abuse and reporting practices. MS #15423 was not substantiated for quality of care but had substantiated environmental issues. MS #15390 was not substantiated for toileting issues but had substantiated environmental issues.
Findings
The facility was found not in compliance with Medicare and Medicaid Requirements for Participation. Deficiencies were cited for abuse and reporting practices, and environmental issues. The facility failed to prevent abuse of a cognitively impaired resident and failed to maintain a safe, functional, sanitary, and comfortable environment.
Deficiencies (4)
F0600 - Freedom from Abuse, Neglect, and Exploitation. The facility failed to prevent abuse for one of four residents reviewed when an LPN taped a chair as a prank on a cognitively impaired resident and failed to report the incident timely.
F0921 - Safe/Functional/Sanitary/Comfortable Environment. The facility failed to maintain a sanitary and comfortable environment as furniture was scarred and peeling, paint was patched in some areas, walls were crumbling, doors were scarred and scratched in two units, and there was a suspected water leak and damaged ceiling tiles.
M0500 - Residents' Rights. The facility failed to ensure residents were free from abuse and neglect as evidenced by the abuse incident involving Resident #2.
M1010 - Housekeeping Facilities and Services. The facility failed to maintain the physical plant in good repair and provide a safe, functional, and comfortable environment for residents as evidenced by damaged walls, ceilings, and furniture in multiple rooms.
Report Facts
Deficiencies cited: 4
Inspection Report — Apr 12, 2018
Complaint Investigation
Date: Apr 12, 2018
Visit Reason
A complaint investigation was conducted on April 12, 2018 in the facility.
Complaint Details
CI MS #15127: A complaint investigation was conducted and found unsubstantiated with no deficiencies cited.
Findings
The result of the investigation was unsubstantiated with no deficiencies cited.
Inspection Report — plaza community living center 862 Apr
Complaint Investigation
Date: plaza community living center 862 Apr
Visit Reason
A complaint investigation was conducted on April 12, 2019 in the facility.
Complaint Details
CI MS#15791 & CI MS#15814; complaint investigation unsubstantiated with no deficiencies cited.
Findings
The result of the investigation was unsubstantiated with no deficiencies cited.
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