Inspection Reports for
Starkville Manor Health Care and Rehabilitation

The facility failed to ensure a resident's right to be treated with dignity and respect for one of five residents sampled. A Certified Nursing Assistant was found to have acted unprofessionally and was subsequently removed from the resident's care.

The facility was found deficient in multiple areas including failure to ensure dignity and assistance during meals for a resident with physical impairments, failure to implement care plans for splint application and personal hygiene, failure to provide assistance with activities of daily living, failure to maintain range of motion due to not applying a physician-ordered hand splint, and failure to submit accurate staffing data to CMS.

The facility failed to ensure that residents' personal funds were available on the same day as requested for two of five residents reviewed. Interviews with residents and staff revealed that the facility often did not have enough cash on hand to meet residents' requests, causing delays. The Administrator acknowledged these delays and confirmed the facility's failure to maintain adequate funds as required by regulations.

The complaint investigation revealed failure to implement physician orders for wound care, neglect, failure to provide appropriate care and services, and inadequate staff training and documentation, resulting in immediate jeopardy to resident health and safety.

The facility failed to protect residents from neglect by not following physician orders for wound care for multiple residents, resulting in worsening wounds and risk of serious harm. There were delays in obtaining diagnostic tests and treatments, failure to provide appropriate wound care, and inadequate staff training and documentation. Immediate Jeopardy was identified and later removed after corrective actions including staff termination, education, and monitoring were implemented.

The investigation was initiated after the termination of the Business Office Manager for poor work performance and attendance, during which an audit revealed misappropriation of resident funds. Resident #1 denied requesting large withdrawals, and multiple residents were found to have missing funds that were later reimbursed. The issue was discovered through staff interviews, record reviews, and resident interviews.

The facility failed to properly hold, secure, and manage residents' personal money deposited with the nursing home, resulting in misappropriation of funds for three residents. The audit revealed missing withdrawal tickets, unauthorized withdrawals, and unaccounted funds totaling $4,439.67, affecting 29 residents out of 111 with trust funds.

The visit was complaint-related due to allegations of failure to post survey results, inadequate nursing staff coverage, and failure to post accurate staffing and census information. The complaints were substantiated based on observations, interviews, and record reviews.

The facility failed to post survey results for three days, did not maintain sufficient nursing staff for resident care over multiple days, and failed to post accurate census and staffing information for three days. Staffing shortages were confirmed by multiple staff and residents, with recent improvements noted after hiring contract staff.

The facility was found deficient in maintaining a clean and safe environment, providing adequate care plans and ADL assistance, ensuring timely incontinent care, maintaining sufficient staffing levels, securing medications properly, and holding required quarterly Quality Assurance meetings.