Inspection Reports for Quitman County Health and Rehab Center
350 Getwell Drive, Marks, MS 38646, MS, 38646
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 50
Capacity: 60
Deficiencies: 0
Nov 5, 2025
Visit Reason
The State Agency conducted an onsite facility reported incident investigation related to abuse allegations at the facility.
Findings
The facility was found to be in compliance with Medicare and Medicaid participation requirements, and the abuse allegation was not substantiated.
Complaint Details
The State Agency investigated abuse allegations and did not substantiate the allegation.
Report Facts
Census: 50
Total Capacity: 60
Inspection Report
Complaint Investigation
Census: 50
Capacity: 60
Deficiencies: 0
Nov 5, 2025
Visit Reason
The State Agency conducted an onsite facility reported incident investigation for MS #2641051 at the facility on 11/5/25.
Findings
The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm and did not substantiate the allegation related to resident rights.
Complaint Details
The allegation related to resident rights was not substantiated.
Inspection Report
Complaint Investigation
Census: 47
Capacity: 60
Deficiencies: 0
Feb 13, 2025
Visit Reason
The State Agency conducted an anonymous Complaint Investigation (CI MS # 27140) at the facility on 2/13/25.
Findings
The facility was found to be in compliance with Medicare and Medicaid requirements and no deficiencies were cited.
Complaint Details
Anonymous complaint investigation CI MS # 27140; no deficiencies were cited.
Inspection Report
Complaint Investigation
Census: 47
Capacity: 60
Deficiencies: 0
Feb 13, 2025
Visit Reason
The State Agency conducted an anonymous complaint investigation at the facility on 2025-02-13.
Findings
The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirmed, and no deficiencies were cited.
Complaint Details
Anonymous complaint investigation (CI MS # 27140) was conducted and found no deficiencies.
Report Facts
Licensed beds: 60
Census: 47
Inspection Report
Plan of Correction
Deficiencies: 0
Oct 8, 2024
Visit Reason
The State Agency conducted a desk review of information related to the annual survey completed on 2024-08-29 to verify corrective measures taken by the facility.
Findings
The facility provided information confirming that measures were implemented to correct deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 2024-10-07.
Report Facts
Annual survey completion date: Aug 29, 2024
Inspection Report
Annual Inspection
Census: 45
Capacity: 60
Deficiencies: 3
Aug 29, 2024
Visit Reason
The State Agency conducted an annual re-certification survey at the facility from 8/26/24 through 8/29/24 to determine compliance with Medicare and Medicaid participation requirements.
Findings
The facility was found not in compliance with requirements related to advance directives, comprehensive care plans, and provision of activities of daily living (ADL) care including facial hair removal and nail care for dependent residents. Deficiencies were identified in verifying resident preferences for advance directives and in implementing ADL care plans for two residents.
Severity Breakdown
SS=D: 2
SS=E: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to verify documented advance directives signed by Resident Representative were the preferences of a cognitively intact resident (Resident #148). | SS=D |
| Failed to implement an Activity of Daily Living (ADL) care plan related to removal of facial hair (Resident #3) and nail care (Resident #44). | SS=E |
| Failed to provide ADL care related to removal of facial hair and nail care for two dependent residents. | SS=D |
Report Facts
Census: 45
Total Capacity: 60
Number of sampled residents: 13
Number of Advance Directives reviewed: 16
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Social Service Director | Spoke with resident #148 and explained advance directive/code status; involved in plan of correction | |
| Administrator | In-serviced staff on advance directives and ADL care policies; involved in plan of correction | |
| Registered Nursing Consultant | Spoke with resident #148 regarding advance directives | |
| Certified Nursing Assistant #1 | CNA | Interviewed regarding shower schedules and ADL care deficiencies for residents #3 and #44 |
| Registered Nurse Supervisor | RN Supervisor | Confirmed ADL care deficiencies and responsibility of CNAs |
| Director of Nursing | DON | Reviewed care plans, in-serviced staff, and monitored compliance with ADL care |
| Minimum Data Set Nurse | Reviewed care plans and participated in staff in-service and monitoring | |
| Charge Nurse | Participated in audits and monitoring of ADL care | |
| Medical Records Nurse | Involved in auditing advance directives | |
| Infection Preventionist | Participated in Quality Assurance Performance Improvement Committee reviews | |
| Medical Director | Participated in advance directive verification and QA committee reviews | |
| Licensed Practical Nurse | LPN | Provided nail care and facial hair removal for residents #3 and #44 |
Inspection Report
Annual Inspection
Census: 45
Capacity: 60
Deficiencies: 2
Aug 29, 2024
Visit Reason
The State Agency conducted an annual re-certification survey at the facility from 8/26/2024 through 8/29/2024 to assess compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.
Findings
The facility was found not in compliance with residents' rights and activities of daily living standards. Deficiencies included failure to verify documented advance directives for a cognitively intact resident and failure to provide adequate ADL care related to facial hair removal and nail care for two residents.
Severity Breakdown
Level II: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to verify the documented advance directives for a cognitively intact resident, including proper consent for Do Not Resuscitate (DNR) status. | Level II |
| Failed to provide adequate activities of daily living care related to removal of facial hair and nail care for two residents. | Level II |
Report Facts
Residents sampled: 13
Advance Directives reviewed: 16
Residents affected: 2
Residents census: 45
Facility capacity: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Social Service Director | Spoke with resident #148 and involved in verifying advance directives and placing corrected documentation on chart | |
| Administrator | In-serviced staff on advance directives and ADL care policies; involved in audit and monitoring | |
| Registered Nursing Consultant | Spoke with resident #148 regarding advance directives | |
| Director of Nursing | In-serviced nursing staff on ADL care and audited residents for compliance | |
| Licensed Practical Nurse | Provided nail care to residents #3 and #44 | |
| Certified Nursing Assistant | Removed facial hair from resident #3 and acknowledged failure to provide nail care for resident #44 | |
| Registered Nurse Supervisor | Confirmed deficient nail care and facial hair removal for resident #44 |
Inspection Report
Annual Inspection
Deficiencies: 0
Aug 29, 2024
Visit Reason
The State Agency conducted a desk review of information related to the annual survey completed on 08/29/24 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.
Findings
The facility was found to be in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm, and the State Agency recommended the facility be placed back in compliance effective 10/07/24.
Inspection Report
Deficiencies: 0
Aug 27, 2024
Visit Reason
The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.
Findings
The facility met all applicable emergency preparedness requirements with no deficiencies cited.
Inspection Report
Life Safety
Deficiencies: 0
Aug 27, 2024
Visit Reason
The survey was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).
Findings
The facility met the applicable provisions of the 2012 Life Safety Code with no deficiencies cited during this survey.
Inspection Report
Plan of Correction
Deficiencies: 1
Nov 13, 2023
Visit Reason
The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).
Findings
The facility failed to report complete information about COVID-19 to the NHSN during a required seven-day reporting period from 11/06/2023 to 11/12/2023, which has the potential to cause more than minimal harm to all residents.
Severity Breakdown
SS=F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a seven-day required reporting period. | SS=F |
Report Facts
Reporting period: 7
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 29, 2023
Visit Reason
The State Agency conducted a desk review of information related to the annual survey completed on 2023-07-13 to confirm compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.
Findings
The information provided by the facility confirmed compliance with the Minimum Standards of Operation, and the facility was recommended to be placed back in compliance effective 2023-08-25.
Report Facts
Annual survey date: Jul 13, 2023
Desk review date: Aug 29, 2023
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 29, 2023
Visit Reason
The State Agency conducted a desk review of information related to the annual survey completed on 07/13/23 to verify corrective measures taken by the facility.
Findings
The facility provided information confirming that measures were implemented to correct deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 08/25/23.
Report Facts
Survey completion date: Aug 29, 2023
Annual survey date: Jul 13, 2023
Inspection Report
Plan of Correction
Deficiencies: 1
Jul 17, 2023
Visit Reason
The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).
Findings
The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 07/10/2023 to 07/16/2023 as required by regulation, which has the potential to cause more than minimal harm to residents.
Severity Breakdown
F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period. | F |
Report Facts
Reporting period: 7
Inspection Report
Annual Inspection
Census: 49
Capacity: 60
Deficiencies: 6
Jul 13, 2023
Visit Reason
The State Agency conducted an annual recertification survey at the facility from 07/11/2023 through 07/13/2023 to determine compliance with Medicare and Medicaid participation requirements.
Findings
The facility was found not in compliance with multiple regulatory requirements including comprehensive care planning, medication administration, respiratory care, drug storage, food safety, and infection control. Deficiencies were identified in care plan implementation, controlled medication handling, oxygen therapy labeling, expired medication storage, kitchen sanitation documentation, and infection prevention practices.
Severity Breakdown
SS=D: 4
SS=E: 1
SS=F: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to implement the care plan for impaired respiratory function for one resident. | SS=D |
| Failed to sign out controlled medications prior to administration for one resident. | SS=D |
| Failed to label and date oxygen tubing and humidifier bottle for one resident receiving oxygen therapy. | SS=D |
| Failed to discard out-of-date influenza vaccines and failed to secure injectable Lorazepam in a locked secured box in the refrigerator. | SS=E |
| Failed to ensure kitchen sanitation was maintained with proper documentation of dish machine and pot/pan sink temperatures and chemical sanitation levels. | SS=F |
| Failed to perform hand hygiene after glove removal, failed to dispose of a pill dropped on medication cart, and failed to use a barrier when administering eye drops for two residents. | SS=D |
Report Facts
Deficiencies cited: 6
Licensed beds: 60
Resident census: 49
Expired flu vaccines: 25
Lorazepam vials: 9
Dish machine temperature: 126
Pot/pan sink temperature: 130
Sanitation level: 310
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Named in findings related to failure to sign out controlled medications, improper oxygen tubing labeling, and infection control deficiencies including hand hygiene and medication administration. |
| Director of Nursing | Director of Nursing | Involved in interviews confirming deficiencies and corrective actions related to care plans, medication administration, oxygen therapy, expired medication storage, and infection control. |
| Administrator | Administrator | Participated in policy reviews and corrective action plans related to medication storage and infection control. |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Observed with expired vaccines and improper medication storage. |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Responsible for flu vaccines and confirmed responsibility for discarding expired vaccines. |
| Dietary Manager | Dietary Manager | Responsible for kitchen sanitation and documentation of dish machine and pot/pan sink temperatures and sanitation levels. |
Inspection Report
Life Safety
Deficiencies: 0
Jul 13, 2023
Visit Reason
The survey was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).
Findings
The facility met the applicable provisions of the 2012 Edition of the Life Safety Code, and no LSC deficiencies were cited during this survey.
Inspection Report
Deficiencies: 0
Jul 13, 2023
Visit Reason
The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.
Findings
The facility met all applicable emergency preparedness requirements and no deficiencies were cited during the survey.
Inspection Report
Annual Inspection
Census: 49
Capacity: 60
Deficiencies: 4
Jul 11, 2023
Visit Reason
The State Agency conducted an annual recertification survey at the facility from 07/11/23 through 07/13/23 to assess compliance with the Minimum Standards of Operation for Institutions of the Aged or Infirm.
Findings
The facility was found not in compliance with several standards including special needs care, drug labeling and storage, dishwashing sanitation, and infection control practices. Deficiencies were identified related to unlabeled oxygen equipment, expired vaccines, improper medication storage, inadequate dishwashing documentation and sanitation, and lapses in hand hygiene and medication administration protocols.
Severity Breakdown
Level II: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to label and date oxygen tubing and humidifier bottle for one resident receiving oxygen therapy. | Level II |
| Failed to discard out-of-date influenza vaccines and failed to secure injectable Lorazepam in a locked secured box in the refrigerator. | Level II |
| Failed to ensure kitchen sanitation was maintained in a manner that meets professional standards for 44 of 49 residents; lack of documentation of dishwashing temperatures and chemical sanitation levels. | Level II |
| Failed to maintain an effective infection control program; lapses in hand hygiene, medication contamination, and improper use of barriers during medication administration for two residents. | Level II |
Report Facts
Licensed beds: 60
Resident census: 49
Expired flu vaccines: 26
Lorazepam vials: 9
Residents affected by dishwashing deficiency: 44
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Named in findings related to oxygen tubing labeling, medication administration errors, and infection control lapses |
| Director of Nursing | Director of Nursing | Involved in assessment, education, and corrective actions related to oxygen therapy, medication storage, infection control, and hand hygiene |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Observed medication storage deficiencies and interviewed about expired vaccines and medication refrigeration |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Responsible for flu vaccine management and interviewed about expired vaccines |
| Dietary Manager | Dietary Manager | Responsible for dishwashing sanitation and documentation; interviewed about deficiencies and corrective actions |
| Administrator | Administrator | Participated in interviews regarding medication storage and infection control policies |
Inspection Report
Annual Inspection
Census: 41
Capacity: 60
Deficiencies: 0
Sep 23, 2021
Visit Reason
The State Agency conducted an annual re-certification survey at the facility from 09/20/2021 to 09/23/2021.
Findings
The facility was found to be in compliance with the Mississippi Regulations for the Minimum Standards for the Institutions for the Aged or Infirm.
Inspection Report
Annual Inspection
Census: 41
Capacity: 60
Deficiencies: 1
Sep 23, 2021
Visit Reason
The State Agency conducted an annual re-certification survey from 09/20/2021 to 09/23/2021 to assess compliance with Medicare and Medicaid participation requirements.
Findings
The facility was found not in compliance due to infection control deficiencies, specifically failure to disinfect reusable equipment and perform proper hand hygiene during medication administration, increasing the risk of infection transmission.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to disinfect a plastic tray barrier and stethoscope, and failure to perform hand hygiene appropriately between residents during medication administration observations for three of six residents. | SS=D |
Report Facts
Licensed beds: 60
Resident census: 41
Residents observed: 6
Residents with deficient practice observed: 3
Frequency of hand hygiene monitoring: 5
Duration of monitoring: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in infection control deficiency for failure to disinfect equipment and perform hand hygiene during medication administration |
| Director of Nursing | Director of Nursing (DON) | Provided education and counseling to LPN #1 and confirmed infection control expectations |
Inspection Report
Annual Inspection
Deficiencies: 0
Sep 23, 2021
Visit Reason
The State Agency conducted a desk review related to the annual survey conducted on 9/23/21 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements.
Findings
The facility was found to be in compliance with the Minimum Standards of Operation and state licensure requirements. The agency recommended the facility be placed back in compliance effective 11/12/21.
Inspection Report
Annual Inspection
Deficiencies: 0
Sep 23, 2021
Visit Reason
The State Agency conducted a desk review of information related to the annual survey conducted on 9/23/21 to verify corrective measures taken by the facility.
Findings
The facility provided information confirming corrective actions were implemented to address deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 11/12/21.
Inspection Report
Life Safety
Deficiencies: 0
Sep 22, 2021
Visit Reason
The facility was surveyed under the Centers for Medicare Medicaid Services (CMS) COVID-19 Emergency Declaration Blanket 1135 Waivers for Health Care Provider to assess compliance with the 2012 Edition of the Life Safety Code (LSC).
Findings
The facility met the applicable provisions of the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA). No LSC deficiencies were cited during this survey.
Inspection Report
Deficiencies: 0
Sep 22, 2021
Visit Reason
The survey was conducted to assess the facility's compliance with applicable Federal, State, and local emergency preparedness requirements.
Findings
The facility met all applicable Federal, State, and local emergency preparedness requirements. No deficiencies were cited during the survey.
Inspection Report
Complaint Investigation
Census: 38
Capacity: 45
Deficiencies: 0
Jun 10, 2021
Visit Reason
A complaint investigation was conducted for complaints #17644 and #16775, involving allegations of quality of care/treatment and abuse.
Findings
Both complaints were unsubstantiated with no deficiencies cited. The facility was found to be in compliance with CMS regulations.
Complaint Details
Complaints #17644 and #16775 were investigated and found to be unsubstantiated with no deficiencies cited.
Report Facts
Complaint numbers: 2
Inspection Report
Deficiencies: 1
Apr 12, 2021
Visit Reason
The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).
Findings
The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 04/05/2021 to 04/11/2021, as required by regulation, potentially causing more than minimal harm to residents.
Severity Breakdown
SS=F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period. | SS=F |
Report Facts
Reporting period: 7
Inspection Report
Annual Inspection
Census: 55
Capacity: 77
Deficiencies: 2
Mar 12, 2021
Visit Reason
The State Agency conducted an annual recertification survey along with two complaint investigations from 03/09/21 through 03/12/21 to assess compliance with Medicare and Medicaid participation requirements.
Findings
The facility was found not in compliance with Medicare and Medicaid requirements, with citations issued for pharmacy services and infection prevention and control. The complaint investigations were not substantiated and resulted in no citations.
Complaint Details
Two complaint investigations (CI #17481 and CI #17638) were conducted; neither was substantiated with no citations related to neglect, infection control, cold food, or sexual abuse.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to remove expired medications from one medication cart and the medication storage room, risking ineffective or unsafe medication administration. | SS=D |
| Failure to prevent possible spread of infection as a nurse entered an isolation room without donning full Personal Protective Equipment (PPE) for a dialysis resident. | SS=D |
Report Facts
Medication carts with expired medications: 1
Medication storage rooms with expired medications: 1
Medication carts inspected: 3
Facility licensed beds: 77
Residents present during survey: 55
PPE training and observation frequency: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in infection control deficiency for failure to wear full PPE when entering isolation room of Resident #17. |
| Director of Nursing | Director of Nursing (DON) | Provided statements and corrective actions related to expired medication removal and infection control deficiencies. |
| LPN #2 | Licensed Practical Nurse | Interviewed regarding expired medications found on medication cart and storage room. |
| LPN #3 | Licensed Practical Nurse | Interviewed about disposal practices of expired medications. |
| Registered Nurse #1 | Infection Control Nurse | Provided infection control policy details and PPE requirements for dialysis residents. |
| Registered Nurse #2 | Staff Development Nurse | Provided information on infection control training and in-service dates. |
Inspection Report
Routine
Census: 42
Capacity: 60
Deficiencies: 0
Sep 16, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Routine
Census: 47
Capacity: 60
Deficiencies: 0
May 29, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 5/29/20 to assess compliance with infection control regulations and preparedness for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparation.
Inspection Report
Routine
Census: 47
Capacity: 60
Deficiencies: 0
May 29, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 5/29/20 to assess compliance with infection control regulations and preparedness for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Routine
Census: 47
Capacity: 60
Deficiencies: 0
May 29, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 5/29/2020 to assess compliance with infection control regulations and preparedness for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Census: 47
Total licensed capacity: 60
Inspection Report
Annual Inspection
Census: 47
Capacity: 60
Deficiencies: 2
Apr 4, 2019
Visit Reason
The State Agency conducted a recertification survey from April 2, 2019 to April 4, 2019 to determine compliance with the Minimum Standards for The Institutions For The Aged And Infirm.
Findings
The facility was found not in compliance with state statute M640 related to accident hazards, specifically failing to properly assess the use of lap belts as a potential accident hazard for two residents. Additionally, the facility failed to properly perform fire drills as required by NFPA 19.7.1.2, missing documentation for several shifts in the past year.
Severity Breakdown
Level II: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to properly assess the use of lap belts as a potential accident hazard for two residents (#33 and #42). | Level II |
| Failed to properly perform fire drills as per NFPA 19.7.1.2, with missing documentation for multiple shifts in the past year. | — |
Report Facts
Residents present at time of entrance: 47
Total licensed capacity: 60
Fire drill shifts missing documentation: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minimum Data Set Coordinator | Completed fall assessments and restraint elimination assessments for residents #33 and #42; initiated in-service training for nursing staff. | |
| Acting Director of Nursing | Acting Director of Nursing | Stated therapy staff were to screen for lap belt use and make recommendations. |
| Licensed Practical Nurse #66 | Licensed Practical Nurse | Confirmed Resident #42 used a self-releasing lap belt and attempted to stand up from wheelchair. |
| Certified Nursing Assistant #22 | Certified Nursing Assistant | Confirmed Resident #42 would attempt to stand when sitting in wheelchair even with lap belt attached. |
| Director of Rehabilitation | Director of Rehabilitation | Confirmed Resident #42 was safer with lap belt and that therapy would assess residents after falls. |
| Administrator | Administrator | Acknowledged fire drill deficiencies and participated in Quality Assurance Committee meetings. |
| Maintenance Supervisor | Maintenance Supervisor | Acknowledged fire drill deficiencies; relieved of duties and replaced. |
Report
File
quitman_county_health_&_rehab_809_Apr.pdf
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