Inspection Reports for
Vicksburg Convalescent Center
1708 Cherry Street, Vicksburg, MS, 39180
Back to Facility Profile25 Reports
Inspection Report — Apr 9, 2026
Annual Inspection
Date: Apr 9, 2026
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 4/6/26 through 4/9/26.
Findings
During the survey, the SA determined the facility was in compliance with the requirements of participation in Medicare and Medicaid.
Inspection Report — Apr 9, 2026
Annual Inspection
Date: Apr 9, 2026
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 4/6/26 to 4/9/26.
Findings
During the survey, the SA determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement.
Inspection Report — Apr 7, 2026
Life Safety
Date: Apr 7, 2026
Visit Reason
The facility was surveyed for compliance with the 2012 Edition of the Life Safety Code (LSC) and Emergency Preparedness requirements on 04/07/2026.
Findings
The facility was found to be in compliance with all applicable Life Safety Code and Emergency Preparedness requirements. No deficiencies were cited during this survey.
Inspection Report — May 28, 2024
Annual Inspection
Date: May 28, 2024
Visit Reason
On 05/28/24 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was completed on 05/02/24.
Findings
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 05/24/24.
Inspection Report — May 28, 2024
Date: May 28, 2024
Visit Reason
On 05/28/24 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was completed on 05/02/24. The information provided by the facility confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements of participation.
Findings
The SA is recommending that your facility be placed back in compliance effective 05/24/24.
Inspection Report — May 2, 2024
Routine
Date: May 2, 2024
Visit Reason
The inspection was conducted to assess compliance with care standards, specifically focusing on assistance with activities of daily living for residents requiring help.
Findings
The facility failed to remove facial hair on a female resident who required assistance with activities of daily living. Observations, interviews, and record reviews confirmed that facial hair grooming was neglected despite facility policy requiring it during resident baths.
Deficiencies (1)
F 0677: The facility failed to remove facial hair on Resident #44 who required assistance with activities of daily living. Observations and staff interviews confirmed the resident had long facial hair that was not shaved during bathing.
Report Facts
Residents observed: 78
Residents affected: 1
Brief Interview for Mental Status (BIMS) Score: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Confirmed observation of facial hair on Resident #44 and described CNA responsibilities | |
| Certified Nursing Assistant (CNA) #1 | Admitted failure to shave Resident #44's facial hair during bath | |
| Licensed Practical Nurse (LPN) #2 | Provided information on Resident #44's confusion and inability to shave herself |
Inspection Report — May 2, 2024
Annual Inspection
Date: May 2, 2024
Visit Reason
The State Agency (SA) conducted an annual recertification at the facility from 4/30/24 through 5/02/24. During the survey, the SA determined that the facility was not in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements and deficiencies were cited at M610.
Findings
M610 - The facility failed to remove facial hair on a female resident who required assistance with activities of daily living. Resident #44 was observed with long facial hair that was not shaved during her bath on 4/30/24 despite staff responsibilities to provide grooming.
Deficiencies (1)
M610 - The facility failed to remove facial hair on a female resident who required assistance with activities of daily living. Resident #44 was observed with long facial hair that was not shaved during her bath on 4/30/24 despite staff responsibilities to provide grooming.
Report Facts
Deficiencies cited: 1
Inspection Report — May 2, 2024
Annual Inspection
Date: May 2, 2024
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 4/30/24 through 5/02/24. During the survey, the SA determined that the facility was not in compliance with the requirements of participation in Medicare and Medicaid and cited F677.
Findings
F0677 - The facility failed to remove facial hair on a female resident who required assistance with activities of daily living, as evidenced by observations and interviews with staff and the resident. The facility implemented focused resident grooming rounds and staff education to address the issue.
Deficiencies (1)
F0677 - ADL care was inadequate as the facility failed to remove facial hair on a female resident requiring assistance with activities of daily living, despite policy and staff responsibilities to provide grooming during baths.
Report Facts
Deficiencies cited: 1
Inspection Report — Apr 30, 2024
Life Safety
Date: Apr 30, 2024
Visit Reason
The facility was surveyed for 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. There were no Life Safety Code deficiencies cited during this survey.
Inspection Report — Jan 3, 2024
Complaint Investigation
Date: Jan 3, 2024
Visit Reason
The State Agency conducted a Complaint Investigation (CI MS #23667) at the facility on 1/3/24. The SA investigated physical environment, dietary services, rehab services and quality of care or treatment.
Complaint Details
Complaint number CI MS #23667 was investigated covering physical environment, dietary services, rehab services and quality of care or treatment; it was determined the facility was in compliance with no deficiencies cited.
Findings
The facility was found in compliance with the Minimum Standards of Operations for the Institutions of Aged or Infirm. No deficiencies were cited.
Report Facts
Complaint number: 23667
Inspection Report — Feb 1, 2023
Date: Feb 1, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Vicksburg Convalescent Center following a survey completed on February 1, 2023.
Findings
No health deficiencies were found during the survey.
Inspection Report — Feb 1, 2023
Annual Inspection
Date: Feb 1, 2023
Visit Reason
The State Agency (SA) conducted an annual re-certification survey at the facility from 01/30/23 to 02/01/23.
Findings
The facility was found in compliance with the Mississippi Regulation for Minimum Standards for Institutions for Aged or Infirm with no deficiencies cited.
Inspection Report — Feb 1, 2023
Life Safety
Date: Feb 1, 2023
Visit Reason
The facility was surveyed for 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. There were no Life Safety Code deficiencies cited during this survey.
Inspection Report — Jul 19, 2022
Complaint Investigation
Date: Jul 19, 2022
Visit Reason
The State Agency conducted a desk review of information related to the complaint survey completed on 06/22/22. The facility confirmed corrective measures were implemented and sustained compliance with Medicare and Medicaid requirements.
Complaint Details
CI MS#26995 complaint investigation was reviewed and found to be substantiated with no deficiencies cited; the facility was placed back in compliance.
Findings
The facility was found to be in compliance with Medicare and Medicaid requirements as of 07/14/22, with no deficiencies cited.
Report Facts
Deficiencies cited: 0
Inspection Report — Jun 22, 2022
Complaint Investigation
Date: Jun 22, 2022
Visit Reason
The State Agency (SA) conducted a complaint survey, MS00018815, at the facility on 6/22/22. SA determined, during the complaint survey, that the facility was not in compliance with the Minimum Standard of Operation for Institutions for the Aged or Infirm, at state licensure requirements M45.2.22 and M45.17.2.
Complaint Details
Complaint # MS00018815 involved allegations of unclean dentures, improper denture storage, missing refrigerator, and inadequate bathing for Resident #1. The complaint was substantiated with deficiencies cited.
Findings
The facility failed to provide adequate denture care and proper storage for Resident #1's dentures, and did not properly address grievances related to denture care, bathing, and a missing refrigerator. The facility's grievance process was not properly followed, resulting in unresolved complaints from the resident's Responsible Party.
Deficiencies (2)
M160 - Personal Care. The facility failed to provide adequate denture care and proper storage for Resident #1's dentures, as evidenced by dentures stored in a dirty, dry denture cup without water or cleansing tablets, despite staff in-service and policy standards.
M500 - Residents' Rights. The facility failed to properly document and resolve grievances related to Resident #1's denture care, bathing, and missing refrigerator, resulting in unresolved complaints and inadequate follow-up by the Social Worker.
Report Facts
Deficiencies cited: 2
Inspection Report — Jun 22, 2022
Complaint Investigation
Date: Jun 22, 2022
Visit Reason
The State Agency conducted a complaint survey, MS 00018815, at the facility on 6/22/22. The SA determined the facility was not in compliance with Medicare and Medicaid requirements and substantiated complaints for Grievances and Activities of Daily Living (ADL) care.
Complaint Details
Complaint MS 00018815 was substantiated for grievances and Activities of Daily Living care. The facility failed to resolve grievances and provide adequate denture care for Resident #1.
Findings
The facility failed to resolve grievances for a resident and failed to provide adequate Activities of Daily Living (ADL) personal care, specifically denture care and proper storage, for Resident #1. The resident's Responsible Party reported unclean dentures, dentures not stored properly, missing refrigerator, and concerns with bathing that were not properly addressed.
Deficiencies (2)
F0585 - Grievances. The facility failed to resolve grievances for Resident #1, as grievance forms were not completed or resolved for complaints about unclean dentures, improper denture storage, missing refrigerator, and bathing concerns.
F0676 - Activities Daily Living (ADLs)/Mntn Abilities. The facility failed to provide adequate ADL personal care for Resident #1, as dentures were not properly cleaned or stored in a denture cup with water and cleansing tablet, and the resident did not receive proper oral hygiene care.
Report Facts
Deficiencies cited: 2
Inspection Report — Jun 21, 2021
Complaint Investigation
Date: Jun 21, 2021
Visit Reason
The State Agency conducted a complaint survey on 6/21/21. During the survey, the SA determined the facility was in compliance with the requirements of the participation of Medicare and Medicaid.
Complaint Details
CI MS#17767 involved allegations of Resident/Patient/Client Neglect, Quality of Care related to Physician not notified of Resident change of condition, and Dietary Services related to Therapeutic diets not provided/monitored. The SA did not substantiate these allegations.
Findings
The facility was found in compliance with no deficiencies cited during this complaint survey.
Report Facts
Complaint number: 17767
Inspection Report — Dec 17, 2020
Routine
Date: Dec 17, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 12/17/2020.
Findings
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.
Inspection Report — Dec 17, 2020
Routine
Date: Dec 17, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency (SA) on 12/17/2020.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).
Inspection Report — Sep 11, 2020
Routine
Date: Sep 11, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on September 10-11, 2020.
Findings
The facility was found in substantial compliance with Medicare regulations at 42CFR Part 483, Subpart B-Requirements for Long Term Care Facilities.
Inspection Report — Aug 5, 2020
Routine
Date: Aug 5, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 8/5/20.
Findings
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.
Inspection Report — May 27, 2020
Routine
Date: May 27, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 5/27/20.
Findings
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.
Inspection Report — Dec 12, 2019
Annual Inspection
Date: Dec 12, 2019
Visit Reason
The inspection was conducted to assess compliance with regulatory standards including care planning, catheter care, nurse staffing posting, and food safety in the facility.
Findings
The facility failed to develop a complete catheter care plan for one resident, provided catheter care that increased risk of urinary tract infection, failed to post nurse staffing information accessibly, and failed to maintain food safety by storing expired foods, improper food handling, and unclean cookware.
Deficiencies (4)
F 0656: The facility failed to develop and implement a complete care plan for catheter care for one resident with an indwelling catheter.
F 0690: The facility failed to provide catheter care in a manner to prevent the possibility of urinary tract infection for one resident with a catheter.
F 0732: The facility failed to post nurse staffing information in an easily accessible area for residents and visitors.
F 0812: The facility failed to discard expired foods, provide proper sanitation during food handling, and properly clean cooking utensils as evidenced by expired foods, contaminated gloves during food prep, and cookware with heavy grease buildup.
Report Facts
Residents with catheters reviewed: 4
Expired food items: 7
Date of survey completion: Dec 12, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Observed providing catheter care and interviewed regarding catheter care technique |
| RN #1 | Registered Nurse | Interviewed and confirmed lack of catheter care intervention in care plan |
| RN #3 | Staff Education Nurse | Conducted performance check-off for catheter care and interviewed about proper catheter care |
| Assistant Director of Nursing | ADON | Interviewed regarding care plans and nurse staffing posting |
| Dietary Manager | DM | Interviewed regarding expired foods, food handling, and cookware sanitation |
| Dietary Aide | DA | Observed and interviewed regarding improper glove use during food prep |
| Administrator | Administrator | Interviewed regarding nurse staffing posting accessibility |
Inspection Report — Dec 12, 2019
Annual Inspection
Date: Dec 12, 2019
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 12/9/19 to 12/12/2019. During the survey, the SA determined the facility was not in compliance with the requirements of participation for Medicare and Medicaid, and cited deficiencies at F656, F690, F732, and F812.
Findings
The facility was found not in compliance with Medicare and Medicaid participation requirements, with deficiencies cited in care planning, catheter care, nurse staffing posting, and food safety practices.
Deficiencies (4)
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to develop a comprehensive care plan for catheter care for one of four residents with catheters, Resident #41, including measurable objectives and interventions.
F0690 - Bowel/Bladder Incontinence, Catheter. UTI. The facility failed to provide catheter care in a manner to prevent the possibility of a urinary tract infection for one of four residents with catheters, Resident #41, as evidenced by improper wiping technique and catheter handling.
F0732 - Posted Nurse Staffing Information. The facility failed to post nurse staffing information in a readily accessible area for residents and visitors, as the staffing form was placed upside down on a clipboard at the nursing station.
F0812 - Food Procurement, Store/Prepare/Serve-Sanitary. The facility failed to discard expired food items, provide proper sanitation during food handling, and properly clean cookware, as evidenced by expired cheeses and buttermilk, contaminated gloves during food prep, and cookware with heavy grease buildup.
Report Facts
Deficiencies cited: 4
Inspection Report — Mar 1, 2019
Annual Inspection
Date: Mar 1, 2019
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 2/27/19 to 3/1/19.
Findings
The facility was found in compliance with Medicare and Medicaid regulations for participation. No deficiencies were identified in the health, life safety, or emergency preparedness surveys.
Report Facts
Deficiencies cited: 0
3 CMS Surveys
CMS Survey — Dec 12, 2019
Dec 12, 2019
CMS Survey — Feb 1, 2023
Feb 1, 2023
CMS Survey — May 2, 2024
May 2, 2024
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