Inspection Reports for
Union County Health and Rehabilitation Center
1111 Bratton Road, New Albany, MS, 38652
Back to Facility Profile4 Reports
Inspection Report — Aug 14, 2025
CMS
Date: Aug 14, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with regulations regarding maintaining a safe, clean, comfortable, and homelike environment for residents.
Findings
The facility failed to ensure a clean home-like environment as two of fifty-five residents' wheelchairs were found to be dirty with thick grayish substances and food particles. Interviews with staff confirmed responsibility for cleaning wheelchairs but noted lapses in cleaning.
Deficiencies (1)
F 0584: The facility failed to maintain a safe, clean, and homelike environment as evidenced by dirty wheelchairs for two residents, Resident #43 and Resident #53, with thick grayish substances and food particles present.
Report Facts
Residents using wheelchairs: 55
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide (CNA) #1 | Confirmed night shift CNAs were responsible for cleaning wheelchairs and acknowledged the wheelchairs of Residents #43 and #53 were dirty | |
| Licensed Practical Nurse (LPN) #1 | Confirmed night shift CNAs were responsible for cleaning wheelchairs and mentioned a list of wheelchairs to be cleaned | |
| Director of Nurses (DON) | Confirmed dirty wheelchairs for Residents #43 and #53 and discussed prior conversations about cleaning all wheelchairs |
Inspection Report — Aug 8, 2024
Routine CMS
Date: Aug 8, 2024
Visit Reason
Routine inspection to assess compliance with regulatory standards related to resident dignity, medication administration, building safety, and infection control at Union CO Health and Rehab Center, Inc.
Findings
The facility was found deficient in promoting resident dignity by failing to provide privacy bags for urinary catheters, failing to notify physicians before holding long-acting insulin for a resident, maintaining a hazardous bent metal sprinkler panel frame in a resident's room, and failing to prevent infection risks related to catheter bag placement and hand hygiene during wound care.
Deficiencies (4)
F 0550: The facility failed to promote the dignity of a resident by not providing a privacy bag for a urinary catheter, leaving the catheter bag visible from the doorway.
F 0580: The facility failed to notify the physician before holding a resident's long-acting insulin for one of 14 residents reviewed.
F 0584: The facility failed to maintain the building safely by allowing a bent metal frame around a sprinkler panel in a resident's room to protrude, posing a risk of injury.
F 0880: The facility failed to prevent infection spread by allowing a urinary catheter bag and drainage tubing to lay on the floor and failing to perform hand hygiene after handling the catheter bag during wound care.
Report Facts
Residents with catheters observed: 5
Residents reviewed for insulin administration: 14
Resident rooms observed: 47
Care area observations: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Assistant (CNA) #2 | Confirmed no privacy bag was used for Resident #26's catheter | |
| Licensed Practical Nurse (LPN) #2 | Confirmed all residents with catheters should have privacy bags and catheter bags should not touch the floor | |
| Infection Preventionist | Confirmed privacy bag use and catheter bag infection risk | |
| Director of Nursing (DON) | Confirmed LPN #4 should have notified physician before holding insulin and acknowledged sprinkler panel hazard and hand hygiene failures | |
| Licensed Practical Nurse (LPN) #4 | Held insulin without notifying physician | |
| Licensed Practical Nurse (LPN) #3 | Stated physician notification is required before holding insulin | |
| Nurse Practitioner | Confirmed not notified about insulin being held | |
| Maintenance Staff | Acknowledged bent sprinkler panel frame was dangerous | |
| Certified Nursing Assistant (CNA) #1 | Noticed bent sprinkler panel frame but did not notify charge nurse | |
| Housekeeper | Unaware of bent sprinkler panel frame and prevention measures | |
| Licensed Practical Nurse (LPN) #1 | Failed to perform hand hygiene after handling catheter bag during wound care |
Inspection Report — Aug 9, 2023
CMS
Date: Aug 9, 2023
Visit Reason
The inspection was conducted to assess compliance with medical record documentation standards, specifically regarding accurate documentation of pressure ulcers for residents.
Findings
The facility failed to maintain accurate medical records on pressure ulcers for one of five residents reviewed. Documentation errors included misclassification of pressure ulcers and inaccurate recording of wound status as hospital-acquired when they were present on admission.
Deficiencies (1)
F 0842: The facility failed to safeguard resident-identifiable information and maintain accurate medical records on pressure ulcers for Resident #1. The wounds were not properly staged prior to hospital transfer and were inaccurately documented as hospital-acquired.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #1, charge nurse | Interviewed regarding wound care and documentation for Resident #1 | |
| Registered Nurse (RN) #2, Wound Care Supervisor | Interviewed regarding wound staging and documentation for Resident #1 | |
| Director of Nursing (DON) | Interviewed regarding wound treatment and documentation accuracy for Resident #1 | |
| Administrator (ADM) | Interviewed regarding facility's acknowledgment of documentation issues |
Inspection Report — May 4, 2023
Routine CMS
Date: May 4, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident privacy, care plan implementation, and infection prevention and control practices at the nursing home.
Findings
The facility failed to provide privacy during incontinent care by not closing window blinds, did not follow the care plan for proper catheter bag handling, and failed to perform hand hygiene during catheter care, posing potential risks to residents.
Deficiencies (3)
F 0583: The facility failed to provide privacy to a resident during incontinent care by not closing the window blinds in the resident's room.
F 0656: The facility failed to implement the care plan related to proper handling of a catheter bag by holding it above bladder level during resident transfer.
F 0880: The facility failed to prevent infection spread by not performing hand hygiene during incontinent care for a resident.
Report Facts
Residents observed for incontinent care: 3
Care plans reviewed: 13
Brief Interview for Mental Status (BIMS) score: 7
Brief Interview for Mental Status (BIMS) score: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) #1 | Failed to close window blinds during incontinent care | |
| Certified Nursing Assistant (CNA) #2 | Held catheter bag above bladder level during resident transfer | |
| Certified Nursing Assistant (CNA) #3 | Held catheter bag above bladder level and failed to perform hand hygiene during catheter care | |
| Director of Nursing (DON) | Confirmed privacy and care plan deficiencies and infection control issues |
Viewing
Loading inspection reports...
