Inspection Reports for
Stone County Nursing & Rehabilitation

The facility was found in compliance with the Minimum Standards of Operations for Alzheimer's Disease/Dementia Care Unit and there were no deficiencies 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 State Agency is recommending that the facility be placed back in compliance effective 02/29/24. No deficiencies were cited in this desk review.

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.

The facility was found not in compliance with state licensure requirements due to failure to ensure residents had access to their personal funds on weekends for two of 17 residents reviewed with a personal fund account.

The facility was found not in compliance with visitation rights, management of personal funds, and bed hold policy notification requirements. Deficiencies were cited for limiting visitation hours without clinical justification, restricting resident access to personal funds on weekends, and failing to provide written bed hold policy notification upon hospital transfer.

The SA determined the facility was in compliance with the Minimum Standards of Operations for Alzheimer's Disease/Dementia Care Unit and there were no deficiencies cited.

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 SA determined the facility was 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 10/6/23.

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 10/6/23.

Complaint Investigations (CI), MS #22402 and MS #22664, were investigated related to neglect. Deficiencies were cited for failure to notify the physician of low blood glucose and failure to prevent a resident fall resulting in injury.

The facility was found not in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. Two deficiencies were cited related to failure to notify the physician of low blood glucose readings and failure to provide adequate supervision and use appropriate equipment to prevent a resident fall resulting in injury.

Complaint Investigation (CI), MS #22402 and MS #22664, related to neglect. Deficiencies were cited.

The facility was found not in compliance with Medicare and Medicaid requirements and cited for failure to notify physicians of low blood glucose, failure to implement baseline care plan interventions, and failure to provide adequate supervision and equipment to prevent resident falls.

Complaint Investigation MS #19781 and MS #19896 involved staffing, resident care issues, grooming, and services not performed per plan of care. The complaints were not substantiated; no deficiencies were cited.

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.

Complaint Investigation MS #19781 involved staffing, residents left wet, pressure sores, and hydration; MS #19896 involved resident grooming and services not performed per physician and plan of care. The complaints were investigated and no deficiencies were cited.

The State Agency determined the facility was in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited.

The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period, which has the potential to cause more than minimal harm to all residents.

The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.

Complaint numbers MS #18460 and MS #17986 involved allegations of elopement and residents being left wet for extended periods; these complaints were not substantiated and no deficiencies were cited.

The facility was found in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm and there were no deficiencies cited.

Complaint investigations CI MS #18460 and CI MS #17986 were not substantiated; no deficiencies were cited.

The facility was found to be in compliance with infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19. Both complaint investigations were not substantiated and no deficiencies were cited.

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

The State Agency (SA) determined the facility was found to be in compliance with the requirements for participation in Medicare and Medicaid.

The facility was found not in compliance with state licensure requirements due to failure to medicate a resident for pain prior to wound care. Resident #31 was observed to receive wound care without prior pain assessment or medication, causing significant distress and pain during treatment.

The facility was cited for failing to follow the comprehensive care plan and pain management protocols for Resident #31, who was not assessed for pain prior to wound care and experienced pain during treatment. The facility failed to medicate the resident prior to wound care and did not stop wound care when the resident complained of pain.

There were no Life Safety Code deficiencies cited during this survey.

The facility was found in compliance with all applicable Federal, State and local emergency preparedness requirements. No deficiencies were cited.

Complaint investigation CI MS #16687 was conducted; the SA determined the facility was in compliance with no deficiencies cited.

The SA determined the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm, State licensure requirements.

CI MS #16687 The result of the investigation was unsubstantiated with no deficiencies cited for Quality of Care related to No Pressure Sore Precautions Taken. The SA determined the facility was in compliance with Medicare and Medicaid requirements for participation.

The facility was found to be in compliance and has implemented the Centers for Medicare and Medicaid (CMS) and the 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.

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.

Complaint investigation CI MS #15929, CI MS #15989, CI MS #16009 & CI MS #16111 regarding Insulin, Pain medication, Quality of Care, and Oxygen was not substantiated and no deficiencies were cited.

The facility was found in compliance with no deficiencies cited during the complaint investigation.

The facility was found not in compliance with Medicare and Medicaid requirements, with deficiencies cited in personal privacy/confidentiality of records and infection prevention and control. The facility failed to maintain resident privacy during medication administration and catheter care, and failed to prevent infection risks related to catheter drainage placement and hand hygiene during wound care.