Tunica County Health & Rehab, LLC

Based on observations, staff interviews, and facility policy review, the facility failed to ensure food was prepared and served under sanitary conditions and failed to label and store food properly for one (1) of three (3) kitchen tours. Findings include: Review of the facility policy titled, 005 Food Preparation Service revised October 2017, revealed, Policy Statement: Food and nutrition services employees shall prepare and serve food in a manner that complies with safe food handling practices .Food Service Distribution .23. Food and nutrition services staff shall wear hair restraints (hair net, bat, beard restraint, etc.) so that hair does not contact food . Review of the facility policy titled, 006 Food Receiving Storage revised October 2017, revealed, Policy Statement: Foods shall be received and stored in a manner that complies with safe food handling practices. Policy Interpretation and Implementation .8. All food stored in the refrigerator or freezer will be covered, labeled and dated (use by date). Review of the facility policy titled, Food Storage Labeling reviewed: 3/24,…

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, staff interview, record review and facility policy review, the facility failed to maintain a safe, clean, comfortable, and homelike environment by not repairing or reporting leaking air-conditioning (AC) units in two (2) of 30 resident rooms reviewed. rooms [ROOM NUMBERS]. Findings included: Record review of the facility policy Quality of Life-Homelike Environment revised April 2014, revealed Policy Statement: Residents are provided with a safe, clean, comfortable and homelike environment. An observation of room [ROOM NUMBER] on 9/29/25 at 11:05 AM, revealed a sheet on the floor pushed under the AC unit. An observation of room [ROOM NUMBER] on 9/29/25 at 11:45 AM revealed a sheet and blanket on the floor under the AC unit. A follow-up observation of room [ROOM NUMBER] and 131 on 9/30/25 at 8:30 AM, revealed both rooms continued to have sheets and a blanket pushed under the AC units. An interview with Licensed Practical Nurse (LPN #1) on 9/30/35 at 1:46 PM verified that the sheet remained 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.

Based on staff interviews, record review and facility policy review, the facility failed to accurately code a Minimum Data Set (MDS) for one (1) of (24) resident assessments reviewed (Resident #2).Findings include: Review of the facility policy, Certified Accuracy, last revised December 2009, revealed Policy Statement: All personnel who complete any portion of the Resident Assessment (MDS) must sign and certify the accuracy of that portion of the assessment . Record review of the Quarterly MDS for Resident #2 dated 8/20/25 revealed Section P0100 (Restraints) coded Bed rail used daily. Record review of the restraint assessment form RESTRAINT-PHYSICAL dated 8/18/25 for Resident #2 revealed No restraints used at this time. During an interview on 9/30/25 at 1:55 PM, the Director of Nursing confirmed that Resident #2 used bilateral side rails to aid in mobility and define bed boundaries, and these were not considered restraints. During an interview on 9/30/25 at 2:16 PM, the MDS nurse confirmed Resident # 2 had been assessed for side rail use, and the side rails were not restraints. She…

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, resident and staff interviews, record review, and facility policy review, the facility failed to ensure fingernail care was provided for one (1) of (53) residents reviewed for activities of daily living (ADLs). (Resident #33). Findings include: Review of the facility policy titled, Care of Fingernails/Toenails, last revised October 2010, revealed: Purpose: The purposes of this procedure are to clean the nail bed, to keep nails trimmed, and to prevent infections . On 9/29/25 at 10:45 AM, Resident #33's fingernails were observed to be long and dirty. They were approximately 1/2 inch long past the tips of his finger and had a thick, dark brown substance under the nail beds. During an interview at this time, the resident stated he felt his nails were too long and dirty and reported he had not received any nail care since admission. An observation and interview on 9/30/25 at 1:06 PM with Licensed Practical Nurse (LPN) #1 confirmed Resident #33's fingernails were long with a dark buildup under the beds. She confirmed the nails required attention and stated failure to…

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 resident and staff interview, record review, and facility policy review, the facility failed to notify the provider of a change in a resident's status, when a resident refused her medications two or more consecutive times for (1) one of (7) seven residents with medication regimen review. Resident #46 Findings include: Review of the policy titled, Change in a Resident's Condition or Status revised February 2014, revealed, the nurse supervisor/charge nurse will notify the resident's attending physician when there has been a refusal of treatment or medications (i.e., (example) two (2) or more consecutive times). Review of the E-Medication Administration Record (EMAR) from June 4th -June 17th for Resident #46, revealed Cosopt eye drops: instill one drop to both eyes twice daily for Glaucoma-(6) six refused doses. Docusate Sodium 100 (mg) milligram twice daily for prevention of constipation-12 refused doses. Pepcid 20 mg one tablet twice daily for GERD (Gastroesophageal Reflux Disease) -(5) five refused doses. Aspirin 81 mg one tablet daily for history of CVA (Cerebral Vascular…

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 implement a fall risk care plan when staff transferred a resident in a mechanical lift with only one (1) staff assist when the resident required the assistance of two (2) staff members for 1 of 16 residents care plans reviewed. (Resident # 1) Findings include: Review of the policy titled, Care Plans-Comprehensive, revealed Policy Statement: An individualized comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental, and psychosocial needs for each resident. Record review of a care plan for Resident #1 with a problem/need of Resident is at risk for falls (r/t) related to Cerebral Vascular Accident (CVA) with left hemiparesis, and muscle weakness. Resident has had an increase in fall risk (d/t) due to the decline in cognition as exhibited by (AEB) unable to recall that resident can't stand and walk, Approaches include Transfer Resident using the Vander-Lift x (times) 2 staff members. Record review of the incident report dated…

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 implement interventions to reduce the risk of accidents and hazards when staff transferred a resident in a mechanical lift with only one (1) staff assist, when the resident required the assistance of two (2) staff members for 1 of three (3) residents reviewed for accidents and hazards. (Resident # 1) Findings include: Review of the policy titled, Lifting Machine, Using a Portable, revised February 2014, revealed two (2) nursing assistants are required to perform the procedure. Record review of the incident report dated 6/14/24 at 7:04 PM for Resident #1, revealed while Certified Nurse's Assistant (CNA) was transferring the resident with the lift, the resident became unstable due to being combative with care, and was assisted to the floor in an attempt to prevent a fall. The nurse assessed a small, reddened area noted to the left knee. Resident #1 was lifted from the floor via lift x (times) four (4) staff members and placed in a wheelchair. An interview with CNA #3 on 6/18/24 at 9:00 AM,…

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 resident and staff interview, record review, and facility policy review the facility failed to communicate pertinent resident information with a contracted End-Stage Renal Disease (ESRD) facility, when a dialysis resident had refused medications two (2) or more consecutive times for one (1) of three (3) dialysis residents reviewed. Resident #46 Findings include: Cross reference F580 Review of the policy titled , End-Stage Renal Disease, Care of a Resident with, revealed agreements between this facility and the contracted ESRD facility include all aspects of how the resident's care will be managed, including the facility will share pertinent information with the dialysis unit on residents per communication. Review of the E-Medication Administration Record (EMAR) from June 4th -June 17th for Resident #46, revealed Cosopt eye drops: instill one drop to both eyes twice daily for Glaucoma-(6) six refused doses. Docusate Sodium 100 (mg) milligram twice daily for prevention of constipation-12 refused doses. Pepcid 20 mg one tablet twice daily for GERD (Gastroesophageal Reflux…

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 store food in accordance with professional standards for food safety as evidenced by failure to maintain the cleanliness of a resident's personal refrigerator for one (1) of 16 resident refrigerators observed. Resident #8. Findings include: A record review of the facility policy titled, Food brought by Family/Visitors/Outside Sources, revised January 2018, revealed foods requiring refrigeration may be stored in a resident's personal refrigerator. A designated employee will be assigned the following task, keeping the refrigerator clean and free from spills. A record review of the facilities Night shift wheelchair and refrigerator schedule revealed Thursday, clean refrigerators in your assigned group. An observation of Resident #8's refrigerator with Licensed Practical Nurse (LPN) #1 on 6/18/24 at 10:00 AM, revealed 1 quarter sized and two (2) nickel sized black spots were noted in the top compartment of the refrigerator door and numerous small black spots were covering the entire…

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 Resident Representative and staff interview, record review and facility policy review the facility failed to notify a Resident Representative of a change in status of a resident resulting in hospitalization for one (1) of three (3) residents reviewed with changes in mental/physical condition. Resident #1 Findings include: Review of the facility policy titled, Change in a Resident's Condition or Status, revealed, Policy Statement: Our facility shall promptly notify the resident, his or her Attending Physician, and representative (sponsor) of changes in the resident's medical/mental condition and/or status . A phone interview with the Resident Representative (RR) for Resident #1 on 12/27/23 at 10:30 AM, revealed the hospital called him on 12/7/23 stating his dad was to be discharged at 10:00 AM and that he was admitted on [DATE] for changes in his mental status. He also revealed he was unaware that his dad had even been sent to the hospital, so he called and spoke with the Director of Nursing (DON) at the…

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 clean the ice machine that served the residents and staff as evidenced by five (5) spots of a black substance on the ice inside the ice machine for one (1) of three (3) survey days. Findings include: Record review of the facility policy titled, Ice Machines and Ice Storage Chests with a revision date of April 2012 revealed under Policy Statement .Ice-making machines and ice storage/distribution containers will be used and maintained to assure a safe and sanitary supply of ice. Record review revealed a typed statement from the Administrator that the facility has no written policy on the cleaning of the ice machines. An interview and observation on 3/28/23 at 4:00 PM, with the Dietary Manager revealed that the ice machine in the kitchen had quit working about two weeks ago. She revealed a new ice machine had been purchased and received but not installed yet. She revealed that the only ice machine functioning in the facility was behind the nurse's desk. An observation on 03/29/23 at 8:50 AM,…

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, resident and staff interviews, record review and facility policy review the facility failed to honor food preferences for one (1) of fifteen residents reviewed for food preferences. Resident #6 Findings include: Review of the facility's, Resident Food Preferences policy with no revision date, revealed, Food likes and dislikes, 1. Upon the resident's admission, or within twenty-four hours after his/her admission, the Dietitian or nursing staff will identify a resident's food preferences. When possible, this will be done by direct interview with the resident. Review of the facility's, Resident Rights policy with no revision date, revealed, Residents are entitled to exercise their rights and privileges to the fullest extent possible. An interview on 03/27/23 at 03:15 PM, Resident #6 revealed I eat breakfast in my room since I have a colostomy and it's just easier in the morning to stay in here. I have told them that I don't want sausage and cereal; I do like grits and oatmeal that's easier to…

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.