Inspection Reports for
Sardis Community Nursing Home

CI MS#26995. The complaint survey was completed on 03/19/26. The facility was found to have corrected the deficient practice and sustained compliance; no deficiencies were cited.

The State Agency is recommending that the facility be placed back in compliance effective 04/20/26. No deficiencies were cited in this desk review.

CI MS# 2785079 involved allegations of failure to develop and implement a comprehensive, person-centered care plan and failure to ensure residents receive services to prevent and treat pressure ulcers. Deficiencies F0656 and F0686 were cited.

Two deficiencies were cited related to Resident #1: failure to develop and implement a comprehensive, person-centered care plan for a newly identified skin breakdown to the sacrum, and failure to provide ordered treatment services to promote healing and prevent further skin breakdown of the pressure ulcer.

The facility was found to be back in compliance effective 01/15/26 with no deficiencies cited during this revisit survey.

CI #2620733 involved allegations of resident abuse and neglect. The complaint was substantiated with deficiencies cited for abuse and failure to investigate the abuse allegation.

The facility was found not in compliance due to failure to prevent abuse and failure to thoroughly investigate the abuse allegation involving Resident #1.

The complaint investigation involved an allegation that Nurse Aide #1 abused Resident #1 on 2025-09-17 by pulling him from his wheelchair onto the floor, spraying him with an aerosol disinfectant, verbally berating him, and throwing his belongings away. Multiple staff and resident interviews and witness statements supported the occurrence of abuse. The Administrator concluded the abuse was unsubstantiated due to inability to prove intent, but acknowledged this decision was not supported by the totality of evidence.

The facility failed to ensure Resident #1 was free from abuse when Nurse Aide #1 pulled the resident from his wheelchair onto the floor, verbally berated him, sprayed him with an aerosol substance, and threw his belongings into the garbage. The facility also failed to thoroughly investigate the abuse allegation, excluding key witness statements and concluding the abuse was unsubstantiated due to lack of proof of intent.

The information provided by the facility confirmed the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm. The SA is recommending that your facility be placed back in compliance effective 8/4/25.

The facility was found to meet the applicable provisions of the 2012 Edition of the Life Safety Code. There were no Life Safety Code deficiencies cited during this survey.

The facility was found deficient in multiple areas including failure to maintain a homelike environment, inaccurate resident assessments, incomplete care plans, failure to provide required assistance with activities of daily living, inadequate monitoring of anticoagulant medication effects, incomplete wound treatment documentation, and improper infection control practices related to hand hygiene.

The facility was found not in compliance with Medicare and Medicaid participation requirements, with deficiencies cited in areas including environment, assessments, care planning, ADL care, drug regimen, resident records, and infection control.

Complaint number CI MS #27960 was investigated and found to have no deficiencies; the facility was in compliance.

The facility was found in compliance with the requirements for participation in Medicare and Medicaid with no deficiencies cited.

Complaint CI MS# 26661 involved allegations related to transfer and discharge rights and was investigated with no deficiencies cited.

The facility was found in compliance with Medicare and Medicaid participation requirements and no deficiencies were cited.

The State Agency is recommending that the facility be placed back in compliance effective 09/06/24. No deficiencies were cited in this desk review.

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code. There were no Life Safety Code deficiencies cited during this survey.

The facility was found not in compliance with Medicare and Medicaid participation requirements due to failures in completing resident assessments, developing comprehensive care plans, providing adequate ADL care, and implementing trauma-informed care.

The facility failed to provide adequate activities of daily living assistance, specifically daily oral care and nail care for one resident (Resident #31). Observations and interviews confirmed the resident had poor oral hygiene and dirty fingernails, which could lead to infection and other health problems.

The complaint investigation substantiated failures in completing required MDS assessments, implementing individualized care plans, providing daily oral and nail care, and conducting trauma informed care assessments for residents with specific needs.

The facility failed to complete and submit a discharge tracking MDS assessment for a transferred resident, failed to implement care plans addressing oral and nail care and individualized behavioral needs for residents, and failed to complete a trauma informed care assessment for a resident diagnosed with PTSD. These failures were confirmed through record reviews, observations, and staff interviews.

Complaint Investigation CI MS #24336 and CI MS #24353 involved billing, quality of care, call lights, equipment, and accidents. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the Minimum Standards of Operation for Institutions of Aged or Infirm. No deficiencies were cited during the complaint investigation.

Complaint CI MS #23740 investigated neglect and staffing; the complaint was not substantiated and no deficiencies were cited.

The facility was found in compliance with the requirements for participation in Medicare and Medicaid. No deficiencies were cited during the complaint investigation.

Complaint Investigations CI MS #22745 and CI MS #22719 were conducted; no deficiencies were cited and the facility was found in compliance.

The facility was found in compliance with the requirements for participation in Medicare and Medicaid and no deficiencies were cited.

The information provided by the facility confirmed the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm. The SA is recommending that your facility be placed back in compliance effective 07/17/23.

The State Agency is recommending that the facility be placed back in compliance effective 07/17/23. No deficiencies were cited in this desk review.

The facility was found not in compliance with state licensure requirements, citing deficiencies in employee tuberculosis testing, residents' rights regarding restraints, and pharmaceutical services related to medication administration.

The facility was found not in compliance with Medicare and Medicaid participation requirements, citing five deficiencies related to medication notification, restraint use, professional standards of care, pharmacy services, and infection control.

The facility failed to notify the physician and pharmacy about the lack of medication Clopidogrel for Resident #18, resulting in the medication not being administered for several days. The facility also failed to ensure Resident #42 was free from physical restraints, as she was found with a winged mattress and full side rails without physician orders or consent. Additionally, the facility did not administer a required second step TB skin test to one employee, indicating a lapse in infection control procedures.

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code. There were no Life Safety Code deficiencies cited during this survey.

Complaint MS #19391 alleged neglect, pressure ulcers and medication pass but was not substantiated; no deficiencies were cited.

The complaint was not substantiated and there were no deficiencies cited. The facility was found in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm.

Complaint MS #18784 involved allegations of Neglect, Quality of Care/not dressed properly, Admit/Transfer/Discharge Rights, Quality of Care/orders not followed, Quality of Care/safety, Injury of Unknown Origin. Complaint MS #19371 involved allegations of Elopement and Assessment. Both complaints were not substantiated and no deficiencies were cited.

The State Agency did not substantiate the complaints and found no deficiencies. The facility was determined to be in compliance with Medicare and Medicaid requirements.

The State Agency is recommending that the facility be placed back in compliance effective 01/27/22. No deficiencies were cited in this desk review.

Complaint Investigations CI #18437 and CI #18438 were unsubstantiated with no deficiencies cited for allegations of abuse.

The facility remains out of compliance with CMS regulations and Mississippi Licensure Regulations due to deficiencies cited on the 12/16/2021 survey. No deficiencies were cited for the current complaint investigations.

Two deficiencies were cited related to care planning and respiratory care. The facility failed to develop a timely comprehensive care plan for oxygen therapy for one resident and failed to properly date oxygen tubing, label humidification bottles, place oxygen usage signage, and provide storage bags for tubing for two residents.

The facility meets the applicable provisions of the 2012 (existing) Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA). There were no LSC deficiencies cited during this survey.

The facility was found in compliance with all applicable Federal, State and local emergency preparedness requirements.

Complaint MS #18210 alleged dietary diets not provided or monitored, Resident/patient/Client Neglect assess/monitor, or Quality of care services not performed per plan of care physicians order; the complaint was not substantiated and no deficiencies were cited.

The facility was found to be in compliance with the Mississippi Regulations of Minimum Standards for the Aged and Infirmed and no deficiencies were cited.

The facility was found to be in compliance with infection control regulations during the COVID-19 focused survey.

The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).

The facility was found to be in compliance with Emergency Preparedness Requirements and 42 CFR §483.80. No deficiencies were cited.

Complaint investigation CI MS #17423 found the facility in compliance with no deficiencies cited.

The facility was found in compliance with the Mississippi Regulations for the Minimum Standards for the Institutions for Aged or Infirm.

Complaint investigation CI MS #17423 was conducted; no deficiencies were cited as the facility was found in compliance.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations with CMS and CDC recommended practices to prepare for COVID-19.

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.

The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).

The complaint investigation included CI MS #16710 for abuse, which was not substantiated, and CI MS #17024 for insect bites, which was substantiated. No deficiencies were cited.

The facility was found to be in compliance with infection control regulations and Medicare and Medicaid participation requirements. No deficiencies were cited during the Covid-19 focused infection control survey or the complaint investigation.

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.

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

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.

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.

Two deficiencies were cited related to laboratory services and infection prevention and control. The facility failed to obtain a timely urine analysis for one resident and failed to prevent potential infection spread during medication administration.