Diversicare of Moss Point

Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to ensure dishes were properly air-dried prior to use when dishware with visible moisture was used during meal service, including (10) plate dome covers and five (5) serving bowls for one (1) of two (2) kitchen observations.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure a safe, clean, comfortable, homelike environment for residents when the facility failed to maintain resident rooms free from debris, ensure linens were clean and intact, ensure soiled items were handled in a manner that maintained a clean resident environment, and maintain clean and sanitary shower facilities, affecting three (3) of 19 sampled residents (Residents #25, #7, and #72) and all residents utilizing the North shower room.

Inspectors wroteBased on interview and record review, the facility failed to ensure an ongoing program of activities designed to meet the interests and preferences of one (1) of two (2) residents reviewed for activities. Resident #70, when the facility failed to ensure weekend activities were implemented, monitored, and reflective of the resident's expressed interests.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure meals were served with an acceptable flavor, palatability, and appearance for two (2) of four (4) meal observations, with the potential to affect all residents receiving meals in the facility. (4/20/26 and 4/21/26)

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to prevent the possible spread of infection for two (2) of four (4) survey days when, on 4/21/26, staff failed to utilize appropriate Personal Protective Equipment (PPE) during high-contact resident care for a resident on Enhanced Barrier Precautions and on 4/19/26, the facility failed to ensure a nurse did not carry uncovered medications and water into one resident's room, contact the resident and the resident's environment, and then administer the same medications to another resident without performing hand hygiene.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to maintain an effective pest control program to prevent and control the presence of pests throughout the facility, resulting in ongoing roach activity in resident rooms and common areas for four (4) of (19) sampled residents. (Residents #25, #7, #72, and #110).

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a Foley (indwelling catheter) securement device was in place to prevent tension and pulling on the catheter for one (1) of (1) resident reviewed for catheters. Resident #89.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident receiving enteral nutrition via a Percutaneous Endoscopic Gastrostomy (PEG) tube received care and services to prevent complications when the tube feeding solution, water flush bag, and syringes were not labeled for one (1) of (1) residents reviewed for enteral feeding. Resident #90.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to maintain a medication error rate of less than five percent (5%) when two (2) medications were prepared to be administered without appropriate clinical assessment during medication administration. Resident #110, resulting in two (2) errors out of (27) opportunities, with a medication error rate of 7.41%.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure medications were administered safely, resulting in significant medication errors when staff prepared to administer antihypertensive medications to a resident with a blood pressure of 88/56 without appropriate assessment or adherence to hold parameters (Resident #110) and failed to administer ordered antibiotic therapy as prescribed (Resident #69) for two (2) of six (6) residents reviewed for medication administration.

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure accurate and complete medical records when nursing staff failed to document accurately on administration records for one (1) of (19) sampled residents. Resident #14.

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 follow infection control practices by not implementing Enhanced Barrier Precautions (EBP) for a resident at high risk for Multidrug Resistant Organisms (MDRO) during an annual recertification survey on 12/05/2024 and was cited again for the same deficiency during the current survey, demonstrating that QAPI failed to sustain ongoing monitoring and oversight to prevent recurrence for one (1) of (12) deficiencies cited. F880. [...]

Inspectors wroteBased on staff interview, record review, and facility policy review, the facility failed to provide written notification of resident transfers to the resident or the resident representative (RR) for three (3) of (3) residents reviewed for hospitalizations. (Residents #47, #65, and #69).

Inspectors wroteBased on staff interview, record review, and facility policy review, the facility failed to provide written notification of the facility's bed hold policies and information at the time of the transfer to the resident or the Resident Representative (RR) for three (3) of (3) residents reviewed for hospitalizations. (Residents #47, #65, and #69).

Inspectors wroteBased on staff interview, record review, and facility policy review, the facility failed to transmit a discharge Minimum Data Set (MDS) assessment in a timely manner for one (1) of twenty-one (21) MDS assessments reviewed. (Resident #86)

Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to develop care plan interventions related to triggers for a resident diagnosed with Post-Traumatic Stress Disorder (PTSD) (Resident #27) and failed to implement care plan interventions related to enhanced barrier precautions (EBP)(Resident #203) for two (2) of (21) sampled residents.

Inspectors wroteBased on interviews, record review, and facility Social Services Manual review, the facility failed to ensure triggers and resident-specific interventions were identified and initiated for a resident with Post-Traumatic Stress Disorder (PTSD) for one (1) of 21 sampled residents, Resident #27.

Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to store food in accordance with professional standards for food safety related to foods not labeled, food with no identified date, exposed foods, a scoop left in the flour bin, and an unclean ice machine for one (1) of two (2) kitchen observations.

Inspectors wroteBased on observation, staff interviews, record reviews, and facility policy reviews, the facility failed to follow infection control practices by not implementing Enhanced Barrier Precautions (EBP) for a resident at high risk for Multidrug-resistant Organisms (MDRO) for one (1) of 21 sampled residents. (Resident #203)

Inspectors wroteBased on observation, interviews and facility policy review the facility failed to properly seal dry goods, label, and date refrigerated foods, and remove expired foods for one (1) of three (3) kitchen observations.

Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure Resident Council grievances were resolved related to food concerns for nine (9) of nine residents who attended the Resident Council meeting.