Copiah Living Center

Inspectors wroteBased on observation, record review, facility policy review and interviews, the facility failed to ensure resident right to respectful, dignified care as evidenced by staff failed to position themselves at the resident's side while assisting the resident with eating for one (1) of four (4) sampled residents.

Inspectors wroteBased on observations, record review, facility policy review and interviews, the facility failed to promote dignity for a resident during dining as evidenced by a resident was observed unsafely positioned during a meal and the call light was out of reach for one (1) of four (4) sampled residents. Resident #1.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure incontinent residents received appropriate care and services to prevent the possibility of urinary tract infection for two (2) of two (2) residents reviewed for perineal care, Resident #20 and Resident #38. This deficiency was also cited on the last Recertification Survey, therefore the scope/severity was increased to E representing a pattern.

Inspectors wroteBased on record review, staff interview, and facility policy review, the facility's Quality Assurance and Performance Improvement (QAPI) Committee failed to sustain corrective actions to prevent recurrence of previously cited deficiencies, specifically, the facility was cited for failing to ensure an incontinent resident received appropriate care and services to prevent the possibility of a urinary tract infection and failed to ensure infection control measures were consistently implemented to prevent the development and/or transmission of infection during an annual recertification survey on 11/2/2023. The facility was cited again for the same deficiencies during the current survey, demonstrating that QAPI failed to sustain ongoing monitoring and oversight to prevent recurrence for two (2) of five (5) deficiencies cited.

Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to ensure residents' rights for respect and dignity, as evidenced by staff entering resident rooms and providing care while using personal cell phones and wearing earbuds, which residents described as rude and disrespectful. This deficient practice affected two (2) of 18 sampled residents, Resident #4 and Resident #43. Findings Included: A review of the facility's policy, Resident's Rights, dated 3/24, revealed, Every resident in this facility has the right to .12. Be treated courteously, fairly and with the fullest measure of dignity . Resident #4 On 5/8/25 at 9:28 AM, during an interview with Resident #4, she confirmed her concerns shared during the Resident Council meeting and explained that staff often entered her room while on the phone or wearing earbuds. [...]

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to accurately code antipsychotic medications on the Minimum Data Set (MDS) for one (1) of eighteen (18) sampled residents, Resident #17.

Inspectors wroteBased on observation, staff interviews and facility policy review, the facility failed to ensure items in the kitchen refrigerators, freezers, and dry storage room were dated, labeled, and discarded by the expiration date for one (1) of three (3) dietary observations. This has a potential to affect all residents receiving meals prepared by the facility's dietary department.

Inspectors wroteBased on interview and facility policy review the facility's Quality Assurance and Performance Improvement (QAPI) Committee failed to ensure the program was sustained during transitions in leadership and failed to maintain implemented procedures and monitor the interventions the committee put into place in November 2021. This was for one (1) recited deficiency originally cited in November 2021, on an annual recertification survey. The deficiency was in the area of Infection Control for failure to perform hand hygiene during perineal care. The facility's continued failure during two federal surveys shows a pattern of the facility's inability to sustain an effective QAPI Committee.

Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to ensure infection control measures were consistently implemented to prevent the development and/or transmission of infection for two (2) of 17 sampled residents.

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to complete a Significant Change Minimum Data Set (MDS) assessment within 14 days for a resident with a physical and mental decline for one (1) of 21 sampled residents.

Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to ensure an incontinent resident received appropriate care and services to prevent the possibility of a urinary tract infection for one (1) of four (4) residents observed for incontinent care.

Inspectors wroteBased on observation, staff and resident? interviews record review and facility policy review the facility failed to notify the physician that dialysis Residents were not receiving their morning medications as prescribed on dialysis days for two (2) of two (2) sampled residents reviewed. Resident #12 and Resident #51.

Inspectors wroteBased on observation, staff and resident interview, record review and facility policy review the facility failed to ensure residents were free from neglect by failing to administer medications ordered by the physician on dialysis days for two (2) of two (2) residents reviewed for dialysis. Resident # 12 and Resident #51.

Inspectors wroteBased on staff and resident interviews, record review, and facility policy review, the facility failed to ensure two (2) of two (2) sampled residents received written notice of transfer following a transfer to the hospital. Resident # 51 and Resident # 57. Findings Include: Review of the facility's policy, Notice of Hospital Transfer/Therapeutic Leave, revised 8/21, revealed . 2. When a resident is transferred to the hospital, or goes out on therapeutic leave, a copy of the completed form (notice) is provided to the resident, specifying the duration of the bed-hold according to the state plan, and the facility's policy regarding bed-hold periods. In case of emergency transfer, notice at the time of transfer means that the family or resident representative are provided with written notification within 24 hours of the transfer. [...]

Inspectors wroteBased on interviews, record review and facility policy review the facility failed to accurately code the Minimum Data Set (MDS) for three (3) of 16 resident MDS reviewed, Resident # 19, Resident #25, and Resident #50. Findings Include: A record review of a statement provided by the facility revealed the MDS assessment staff members of (Formal name of facility) uses the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual for researching and documenting information on the MDS 3.0 Assessment. Record review of the David Drug Guide for Rehabilitation Professionals revealed Aspirin .Classification Therapeutic: antipyretic, nonopioid analgesics . Pharmacologic: salicylates. Record review of the Resident Assessment Instrument (RAI) User's Manual for the MDS 3.0, dated October 2019, revealed Section P: Restraints and Alarms . [...]

Inspectors wroteBased on observation, interviews and facility policy review the facility failed to follow the comprehensive care plan for three (3) of (16) care plans reviewed. Resident #12, Resident #39 and Resident #51.

Inspectors wroteBased on staff interviews, records review, and facility policy review the facility failed to provide care and services for residents receiving dialysis for two (2) of two (2) sampled residents. Resident #12 and Resident #51.

Inspectors wroteBased on staff interviews, record reviews, and facility policy review, the facility's pharmacy consultant failed to review Electronic Medication Administration Records (EMAR) to ensure the correct medication process was completed for two (2) of two (2) dialysis residents reviewed. Resident #51 and Resident #12.

Inspectors wroteBased on observations, staff and resident interview, record review, and facility policy review the facility failed to administer significant medications as ordered for two (2) of two (2) dialysis residents. Resident #12 and Resident #51.

Inspectors wroteBased on observation, staff interview, record review and facility policy review the facility failed to prevent the possible spread of infection for two (2) of five (5) resident care observations (peri care and wound care). Resident #5 and Resident #39.