Inspection Reports for
Vicksburg Convalescent Center
1708 Cherry Street, Vicksburg, MS, 39180
Back to Facility Profile3 Reports
Inspection Report — May 2, 2024
Routine CMS
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 — Feb 1, 2023
CMS
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 — Dec 12, 2019
Annual Inspection CMS
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 |
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