Attala County Nursing Center

Inspectors wroteBased on observation, staff and resident interviews, record review and facility policy review, the facility failed to provide a homelike environment for four (4) of 103 residents residing in the facility. Resident #11, Resident #20, Resident #38, and Resident #99. Resident #11 On 8/18/25 at 8:37 AM, an observation and interview revealed Resident #11's door was dragging the floor when opening and closing. Resident #11 stated his door is hard to open and close and that it has been this way for a while. During an interview on 8/19/25 at 11:00 AM, the Maintenance Supervisor stated he was aware of the issue with Resident #11's door and explained the door frame was bent. He said the door would have to be replaced and acknowledged there were other environmental concerns in the facility that he was working on repairing them. [...]

Inspectors wroteBased on staff interviews, record reviews, and facility policy review, the facility failed to accurately code a Medicare five (5) day and a Significant Change Minimum Data Set (MDS) assessment for one (1) of 25 MDS assessments reviewed. (Resident #41)

Inspectors wroteBased on observations, resident and staff interviews, record reviews, and facility policy review, the facility failed to implement comprehensive care plans for two (2) of 25 sampled residents. (Resident #42 and #67) Findings Include:Review of the facility policy titled, Care Plan Process with a revision date of 12/24 revealed, .The facility shall develop and implement a Baseline Careplan . for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meets professional standards of quality care .Resident #42Record review of the Activities of Daily Living (ADL) care plan revealed, .PERSONAL HYGIENE: The resident needs partial/moderate assistance with personal hygiene. Date Initiated: 06/06/2025. [...]

Inspectors wroteBased on observations, resident and staff interviews, record reviews, and facility policy review, the facility failed to provide Activities of Daily Living (ADL) care to maintain personal hygiene for two (2) of 25 sampled residents. (Resident #42 and #67) Findings IncludeReview of the facility policy titled, Nail Care with a revision date of 07/10 revealed under Purpose .to promote cleanliness, safety and a neat appearance; to observe skin condition on fingers and toes. Resident #42An observation and interview with Resident #42 on 8/18/25 at 10:39 AM and again on 8/19/25 at 4:22 PM revealed that the resident's fingernails were dirty with a brown substance underneath the nailbeds, they were approximately one-half inch past the fingertip and jagged. Resident #42 expressed a desire to have her nails trimmed, stating she preferred them to be trimmed short. [...]

Inspectors wroteBased on resident and staff interviews, record review, and facility policy review, the facility failed to assess and identify potential triggers for a trauma survivor for one (1) of five (5) residents reviewed for post-traumatic stress disorder (PTSD). Resident #5. Findings Include:Review of the facility policy Social Documentation-Progress Notes with revision date of 10/23 under Purpose revealed, To record observations, outcomes and responses in relation to social services as well as interventions, including trauma informed care, as identified in the comprehensive care plan, and the delivery of direct social services . An observation and interview on 08/19/2025 at 8:50 AM with Resident #5, revealed him lying in bed in his room. He revealed that back in May of 1977 when he was a teenager, he witnessed his father shoot his mother with a gun and this led to her death. [...]

Inspectors wroteBased on staff interviews, record review, and facility policy review, the facility failed to provide adequate weekend staffing for one (1) of two (2) quarterly Payroll-Based Journal (PBJ) reviews. Quarter 2 2025 (January 1-March 31) Findings Include Record review of the facility policy titled, “Nursing Services - Staffing” with a revision date of 11/17 revealed, “Staffing - The facility will have sufficient nursing staff twenty-four hours every day to provide nursing and nursing related services to attain or help maintain the highest practicable physical, mental and psychosocial well-being of each resident as is determine in the comprehensive assessment and the resident care plan.” Record review of “PBJ Staffing Data Report CASPER Report 1705D FY (Fiscal Year) Quarter 2 2025 (January 1 - March 31)”, revealed “Excessively Low Weekend Staffing - Triggered. [...]

Inspectors wroteBased on staff interviews, record reviews, and facility policy review, the facility failed to ensure that the physician was contacted for an order approval regarding psychotropic drug dosage recommendations for one (1) of four (4) residents reviewed for psychotropic drug dosage reduction. (Resident #10)

Inspectors wroteBased on observation, staff interviews, and facility policy review, the facility failed to ensure medications were stored in a properly secured refrigerator for (1) of (3) medication storage rooms.

Inspectors wroteBased on staff interview, facility policy review, and record review, the facility failed to ensure a resident's right to be free from misappropriation of property as evidenced by a medication diversion affecting four (4) of six (6) residents reviewed for misappropriation of medication. Residents #1, #2, #3, and #4. Findings Include: Record review of the facility policy titled, Incident Investigation & Reporting revised [DATE] revealed Purpose: 1. Each resident residing in this facility has the right to be free from any type of abuse including: verbal, sexual, mental, physical abuse, neglect, exploitation, misappropriation of resident property . Record review of the facility policy titled, Destruction of Unused, Expired, or Discontinued Medications revised 10/2019 revealed, A. Destruction of Non-Controlled Non-Hazardous Pharmaceutical Waste. [...]

Inspectors wroteBased on observation, staff and resident interview, and facility policy review the facility failed to maintain a safe environment as evidenced by a splintered chair rail molding for one (1) of 62 resident rooms observed. Resident #70.

Inspectors wroteBased on observation, staff interview, record review, and facility policy review the facility failed to implement a fluid restriction care plan for one (1) of 27 care plans reviewed.

Inspectors wroteBased on observation, resident and staff interview, record review, and facility policy the facility failed to follow a physician prescribed fluid restriction for one (1) of five (5) residents on fluid restriction. Resident #72.

Inspectors wroteBased on observations, staff, resident and resident representative's interviews, record review and facility policy review the facility failed to ensure a resident was free from physical restraints as evidenced by a full side rail used without an assessment, medical symptom, or ongoing evaluation for one (1) of seven (7) residents reviewed with full side rails.

Inspectors wroteBased on observations, staff, resident and resident representative's interviews, record review and facility policy review the facility failed to ensure a resident was free from accident hazards as evidenced by the facility's failure to identify a full side rail as a hazard. Resident #16 sustained a fall from the bed and a fractured wrist. Resident #16 was one (1) of two (2) residents reviewed for falls.

Inspectors wroteBased on observation, interviews, record review and facility policy review the facility failed to prevent the likelihood of contamination of food utensils as evidenced by a black substance on the wall in the dishwasher area with buildup, debris on a shelf used for drying plate covers and dirty fans for three (3) of four (4) kitchen tours.

Inspectors wroteBased on observation, staff and resident interviews, and record review, the facility failed to honor the residents' rights to self-determination with their choice to smoke according to the facility's smoking schedule, for two (2) of five (5) smokers interviewed.

Inspectors wroteBased on observation, staff interview, record review and facility policy review the facility failed to provide nail care for a resident dependent on staff for Activities of Daily Living (ADL's) as evidenced by a brown substance under the resident's nails for one (1) of five (5) residents reviewed for ADL's. Resident # 56 Findings Include. Review of the facility policy titled, Nail Care with a revision date of 10/17 revealed under Purpose .To promote cleanliness, safety and a neat appearance . An observation on 09/12/22 at 11:00 AM, revealed Resident # 56 lying in bed, fingernails long with a brown substance under every fingernail. An observation on 09/13/22 at 08:59 AM, revealed Resident # 56 had a brown substance under all of her fingernails. An observation on 9/13/22 at 12:08 PM, revealed Resident # 56 had a brown substance under all of her fingernails. [...]

Inspectors wroteBased on observations, staff and resident interviews, record reviews, and facility policy review, the facility failed to ensure that oxygen (O2) in use signage was on the door, nasal cannula storage bags were provided, and that nasal cannula storage bags, oxygen tubing, and humidifier bottles were labeled and dated for two (2) of five (5) residents reviewed for oxygen. Residents #29 and #58.