Picayune Rehabilitation And Healthcare Center

Based on observation, interview, record review, and facility policy review, the facility failed to ensure the resident's right to reasonable accommodation as evidenced by a call light that was not within reach for one (1) of twenty-one (21) sampled residents, Resident #39. Findings included: A review of the facility's policy titled Resident Call System, dated 3/28/23, revealed, . Residents are provided with a means to call staff for assistance . Policy Interpretation and Implementation 1. Each resident is provided with a means to call staff directly for assistance . On 03/11/2025 at 11:38 AM, during an observation, Resident #39's call light was observed draped over a shelf and out of reach. Certified Nurse Aide (CNA) #1 confirmed the call light was not within reach of Resident #39. On 03/12/2025 at 10:08 AM, during an interview, Licensed Practical Nurse (LPN) #1 stated that call lights are supposed to be left within reach of the resident after each visit, and that CNAs are expected to make rounds every two (2) hours. On 03/13/2025 at 8:51 AM, during an interview, CNA #2 stated that…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record review, and facility policy review, the facility failed to ensure the residents' right to a comfortable, homelike environment related to the facility being an uncomfortably cold temperature for five (5) of 21 sampled residents, with the potential to affect all 99 residents in the facility. Residents #82, Resident #43, Resident #45, Resident #5, and Resident # 34. Findings included: A review of the facility's policy titled Resident Rights, revised April 2017, revealed, .Residents shall .r. Live in a physical environment which ensures their physical and emotional security and well-being . Resident #82 On 03/11/2025 at 9:30 AM, during an interview and observation, the room was cold and Resident #82 stated that it is always cold in her room. She was observed wearing long sleeves, a blouse, a jacket, and was covered with a blanket. A record review of the admission Record revealed the facility admitted Resident #82 on 06/07/2024 with current diagnoses including Alzheimer's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interviews, record review, and facility policy review, the facility failed to revise the comprehensive care plan to include the use of zinc oxide, as per a physician's order for one (1) of 21 care plans reviewed. (Resident #22) Findings included: A review of the facility's Care Plans, Comprehensive Person-Centered dated 2/24/25, revealed, .A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial, and functional needs is developed and implemented for each resident. Policy Interpretation and Implementation .13. Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' conditions change . On 03/11/2025 at 12:56 PM, during an observation of incontinence care, Certified Nursing Assistant (CNA) #8 applied zinc oxide to the resident's buttocks after providing perineal care. A record review of Resident #22's Comprehensive Care Plan revealed, I have potential for impairment of my skin integrity related to weakness,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interview, record review, and the facility's Certified Nurse Assistant (CNA) job description review, the facility failed to ensure professional standards practices were maintained when a CNA applied a medicated cream to a resident during one (1) of two (2) incontinent resident care observations. (Resident #22) Findings Include: A record review of the facility's Certified Nursing Assistant (CNA) Job Description dated March 2017, revealed, .Function: Cares for Residents under the direction and supervision of a registered nurse or a licensed practical/vocational nurse . A record review of a letter from the State Board of Nursing, dated 7/15/2005, revealed, .medication administration may only be delegated to another registered nurse or licensed practical nurse and not an unlicensed person. This would include medicated ointments, lotions and protective barriers, regardless of skin integrity . In an observation of incontinence care on 3/11/25 at 12:56 PM, Licensed Practical Nurse (LPN) #7/MDS Nurse gave CNA #8 zinc oxide cream to put on the resident's buttocks.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interview, and facility policy review, the facility failed to ensure food items in the cooler and freezer were wrapped, covered, and dated and ensure serving bowls were cleaned appropriately for one (1) of three (3) days of survey. Findings included: A review of the facility's policy titled Food Storage: Cold Foods dated 02/2023 revealed, .All Time/Temperature Control for Safety (TCS) foods, frozen and refrigerated, will be appropriately stored . Procedures . 5. All foods will be stored wrapped or covered in containers, labeled and dated . A review of the facility's policy titled Ware Washing, dated 02/2023 revealed, .All dishware, serviceware, and utensils will be cleaned and sanitized after each use . On 03/11/2025 at 8:43 AM, during an observation of the kitchen and interview with Dietary Manager (DM) #1 revealed: Walk-In Cooler #1, there was an opened cheesecake box, which did not indicate the date opened, and the cheesecake was not fully wrapped or covered in the container. In Freezer #1, an opened frozen mixed vegetables container and an opened box…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interviews, record review, and facility policy review, the facility failed to maintain proper infection control practices by failing to prevent cross-contamination of perineal wipes during perineal care for one (1) of four (4) residents observed. Resident #58. Findings included: A review of the facility's policy titled Perineal Care, revised 04/16/2024, revealed, .The purposes of this procedure are to provide cleanliness and comfort to the resident . to prevent infections and skin irritation . On 03/13/2025 at 9:18 AM, during an observation of perineal care of Resident #58, Certified Nursing Assistant (CNA)#3, assisted by CNA #5, gathered supplies, sanitized her hands, and donned gloves. CNA #3 removed six (6) premoistened wipes from the pack and used the wipes to clean the front area of the resident. The resident was assisted to her left side and then CNA #3 pulled six (6) additional wipes from the pack, touching the package with contaminated gloves, and then continued perineal care in the buttocks area. Resident #58 had a bowel movement during care and CNA…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and facility policy review, the facility failed to document in the medical record discussions regarding a resident's decision to accept or decline assistance with formulating an Advanced Directive (AD) for five (5) of 25 resident records reviewed. Resident #6, Resident #34, Resident #90, Resident #93, and Resident #96. Findings include: Review of the facility's policy, Advance Directives, revised 09/2022, revealed, The resident has the right to formulate an advance directive .If the Resident does not have an Advance Directive 1. If the resident or representative indicates that he or she has not established advance directives, the facility staff will offer assistance in establishing advance directives. a. The resident or representative is given the option to accept or decline assistance .b. Nursing staff will document in the medical record the offer to assist and the residents decision to accept or decline assistance . A review of the medical record for Resident #6,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interviews, record review, and facility policy review the facility failed to ensure a call light was accessible to a resident in her room for one (1) of 25 sampled residents. Resident #47 Findings include: A record review of the facility's policy Answering the Call Light, revised September 2022, revealed The purpose of this procedure is to ensure timely responses to the resident's requests and needs. General Guidelines . 5. Ensure that the call light is accessible to the resident when in bed, from the toilet, from the shower or bathing facility and from the floor . On 08/28/2023 at 10:58 AM, during an observation, Certified Nurse Aide #3 (CNA) pushed Resident #47, who was sitting in a shower chair, into her room and explained to the resident that she would go get her CNA and they would be right back. CNA #3 instructed Resident #47 to not try to get up and she left the room. Resident #47 was covered with a shower blanket while sitting in the shower chair near the bed. The call light was on the resident's bed but was out of reach for the resident and the resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, record reviews, and the facility policy review the facility failed to implement a care plan to ensure the call light was within reach for (1) of 25 sampled residents. Resident #47 Findings include: A review of the facility's policy, Care Plans, Comprehensive Person-Centered with a reviewed date of January 2023, revealed A comprehensive, person-centered care plan . to meet the resident's physical, psychosocial and functional needs is .implemented for each resident . A record review of the Comprehensive Care Plan, undated, revealed Focus: I am at risk for falls .Interventions/Tasks .Be sure my call light is within reach . During an observation on 08/28/2023 at 10:58 AM, Certified Nurse Aide #3 (CNA) pushed Resident #47, who was sitting in a shower chair, into her room. The call light was on the resident's bed but was out of reach for the resident and the resident was unable to move the shower chair to be able to access the call light. After three (3) minutes,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interviews and the facility policy review, the facility failed to accommodate Resident #87's needs in creating an individualized, home-like environment, as evidenced by not providing him access to his room and bathroom for one (1) of four (4) days of observations. Findings include Review of the facility's policy titled, Resident Rights, no date, revealed residents will be treated with consideration, respect, and full recognition of his dignity, and individuality, including privacy in treatment and in care for his personal needs. During the initial tour of the facility, on 1/6/2020 at 10:26 AM, an observation revealed Resident #87 was in a wheel chair, trying to propel himself into his room. The door to the resident's room would only open approximately eight (8) inches due to the door was being blocked by the end of the D bed that was positioned closest to the room door. During an interview, on 1/6/2020 at 10:28 AM, Resident #87 confirmed he was having a problem not being able to get back into his room. Resident #87 stated, It happens all the time.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interview, record review and facility policy review, the facility failed to provide privacy for Resident #34, during an invasive procedure, for one (1) of three (3) resident blood draw observations. Findings include: Review of the facility's policy titled, Resident Rights, no date, revealed residents will be treated with consideration, respect, and full recognition of his dignity, and individuality, including privacy in treatment and in care for his personal needs. During an observation, on 1/6/2020 at 10:06 AM, it was revealed Resident #34 was sitting in his wheel chair next to his bed having his blood drawn, by the Phlebotomist, with the privacy curtain open. Resident #34's roommate was on his side of the room, but able to view the Phlebotomist perform the blood draw on Resident #34. During an interview, on 1/6/2020 at 10:16 AM, Resident #34 stated that he wanted the curtain pulled between him and his roommate while he was getting his blood drawn. Resident #34 stated he would have appreciated having privacy. During an interview, on 1/8/2020 at 1:55 PM,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on staff interview, record review and facility policy review, the facility failed to document accurate information on the admission Minimum Data Set (MDS) for Resident #28, for one (1) of 21 MDSs reviewed. Findings include: Review of the facility's policy titled, Resident Assessment Instrument, revised September 2010, revealed all persons who have completed any portions of the MDS Resident Assessment Form must sign such document attesting to the accuracy of such information. Review of the admission Minimum Data Set (MDS), under Preadmission Screening and Resident Review, Section A1500, revealed the question, Is the resident currently considered by the state level II process to have serious mental illness and/or intellectual disability or a related condition? and No was answered. Under Active Diagnoses, Section I , the diagnoses that were checked included Schizophrenia, Non-Alzheimer's Dementia, and Depression. Review of the Medical Diagnosis from admission, on 10/23/19, for Resident #28 revealed diagnoses included Schizophrenia, Depression, Parkinson's Disease and Dementia…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on staff interview and record review, the facility failed to complete the Level I Pre-admission Screening Application for Long Term Care (PASARR) for Resident #28, for one (1) of 21 resident PASARRs reviewed. Findings include: Review of the facility's typed statement, signed and dated by the Administrator on 1/9/2020, revealed the facility follows the state regulations regarding the PASSAR. On 01/09/2020 at 11:01 AM, in an interview with the Director of Business Development/Licensed Practical Nurse (LPN) #1, she stated she was responsible for completing the Pre-admission Screening Application for Long Term Care (PASSAR) on new admissions only and confirmed she marked No for Resident # 28 when asked if they have a diagnosis of Mental Illness and stated she has Schizophrenia. LPN #1 confirmed Resident # 28 has not had a Level II screening since admission and confirmed the Level I was not complete. LPN #1 stated, It's plain as day, I messed up and confirmed the Level I PASSAR screen was incomplete. Review of the admission Record revealed the facility admitted Resident #28, on…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.