Jackson County Medical Care Facility

Inspectors wroteBased on observation and interview, the facility failed to ensure proper storage and handling of food and disinfection of thermometers affecting up to 176 residents in the facility.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure three out of three residents (Resident #21, 54 & 151) were treated with respect and dignity. Findings Include Resident #54 (R54) Review of the medical records reflected that R54 was admitted to the facility on [DATE]. Diagnoses of Alzheimer's Disease, Dementia and Depression. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/11/2026 revealed R54 had a Brief Interview of Mental Status (BIMS) of 11 (Moderate Cognitive Impairment) out of 15. Under section G0100, Activities of Daily Living (ADL) Assistance reveals R54 receives extensive assistance with bed mobility, total assistance with transfers, and extensive assistance with toileting; she was able to feed herself. R54 is able to make her needs known. [...]

Inspectors wroteBased on Observation, Interview and Record Review the facility failed to ensure that survey results were readily accessible to the residents of the facility with a current census of 176 residents. During a Resident Council Meeting held on 04/15/2026 at 1:00 PM with a group of 10 residents the survey process was discussed. It was conveyed that all survey results are to be available for easy access for residents and families to read. Nine out of the 10 residents stated that did not know the results of any surveys. They did not know where a binder with this information was located. They added that they wondered about the outcome of the surveys, because they never heard anything more about it once surveyors left the building. Sharing that they were now going to ask about it. [...]

Inspectors wroteBased on interview, observation and record review the facility failed to maintain personal privacy and confidentiality of medical information in two residents (R54 and R151) of two reviewed for personal privacy. Findings IncludeResident #54 (R54)Review of the medical records reflected that R54 was admitted to the facility on [DATE]. Diagnoses of Alzheimer's Disease, Dementia and Depression. The most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/11/2026 revealed R54 had a Brief Interview of Mental Status (BIMS) of 11 (Moderate Cognitive Impairment) out of 15. Under section G0100, Activities of Daily Living (ADL) Assistance reveals R54 receives extensive assistance with bed mobility, total assistance with transfers, and extensive assistance with toileting; she was able to feed herself. R54 is able to make her needs known. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to implement a process for resident grievances to be resolved by the facility in a current facility census of 176 residents. During a Resident Council Meeting held on 04/15/2026 at 1:00 PM with a group of 10 residents' grievances were discussed. The residents shared that in order to fill out a grievance form they had to go to the Social Workers office on their unit, and the Social Workers would fill them out. Residents stated they did not know the turnaround time in getting them resolved. When asked if they had these forms at eye level and displaced throughout the facility other than the Social Workers office, the residents stated they did not have those forms available at eye level in any of the common areas. [...]

Inspectors wroteBased on interview and record review, the facility failed to refer one (R9) of one reviewed to the state-designated authority for a change in condition.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were secure and inaccessible to unauthorized staff and residents.

Inspectors wroteThis citation pertains to intake #2712733Based on observations, interviews and record review, the facility failed to protect the resident's (R2) right to be free from neglect resulting in a fall with staff and suffering a fractured right humerus. Findings Include: Review of Resident #2 (R2) clinical record, including the Minimum Data Set (MDS) dated [DATE] revealed R2 was a [AGE] year-old female with diagnosis of dementia. R2 scored 6 out of 15 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS). Review of R2's fall risk assessment dated [DATE] indicated R2 was at high risk for falls. Review of R2's comprehensive care plan for the Activity of Daily Living (ADL) dated 11/23/25 revealed R2 required 2 staff persons for transfers using a mechanical lift assistive device stand-up lift. [...]

Inspectors wroteBased on interview, and record review the facility failed to ensure accurate advance directive (legal documents that allow a person to identify decisions about end-of-life care ahead of time) information was in place for one resident (#319) of one resident reviewed for advance directives from a total sample of 35 residents.

Inspectors wroteBased on interview and record review the facility failed to ensure a Preadmission/Annual Resident Review (PAS/ARR) was completed after the 30 day exemption period and failed to notify the State Agency Health Authority for 1 Residents ( #62) of 3 residents reviewed for PAS/ARR.

Inspectors wroteBased on observation, interview and record review, the facility failed to formulate comprehensive Care Plans for two (Resident #92 and Resident #370) of 35 reviewed for Care Plans.

Inspectors wroteBased on observation, interview and record review the facility failed to provide assistance with activities of daily living (ADL) for one (R12) of five residents reviewed for ADL's, resulting in the potential for unmet needs.

Inspectors wroteBased on observation, interview and record review the facility failed to provide proper assistive devices to maintain hearing for one (Resident 25) of one reviewed for specialty services, resulting in unmet needs.

Inspectors wroteBased on observation, interview and record review the facility failed to justify continued use of psychotropic medications for one residents (#154) of five residents reviewed.

Inspectors wroteOn 12/05/23 at 09:35 AM, room [ROOM NUMBER] was observed to have a trash receptacle for disposal of contaminated personal protective equipment (PPE) inside the room, near the door. There was no lid on the trash receptacle. The discarded, contaminated PPE was nearing the top of the receptacle. On 12/05/23 at 09:21 AM, room [ROOM NUMBER] was observed to have a trash receptacle for disposal of contaminated PPE in the bathroom. There was no lid on the trash receptacle. The discarded, contaminated PPE was nearing the top of the receptacle. On 12/06/23 during the lunch meal 2 unidentified staff were observed on unit 4, neither staff were observed to have worn the face shield that the facility deemed required on unit 4. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure that four of five residents reviewed for vaccinations (Residents #101, #50, #51, #133) were up to date on their Prevnar 20/Pneumococcal 20/PVC 20 vaccine, resulting in residents potentially getting pneumonia, having medical complications and decreased quality of life.

Inspectors wroteBased on observation, interview and record review the facility failed to implement the care plan for one resident (R#101) of 22 residents reviewed for care plans, resulting in hunger and frustration.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure one resident (R#101) of one reviewed for assistance with meals was provided the physician ordered dishware/utensils, beverage consistency and physical assistance needed to for meals, resulting in hunger and frustration.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure timely optometry services for one (Resident #67) of one reviewed for vision, resulting in lack of timely eye care services and the potential for delayed treatment.

Inspectors wroteResident #152 (R152) 12/04/23 at 8:48 AM R152 was observed sitting in a chair in her room, with a plate of food placed directly on lap and eating. R152 Minimum Data Set (MDS) assessment dated [DATE] revealed she admitted to the facility on [DATE], had a diagnosis of Alzheimer's Disease, a brief interview for mental status (BIMS, a brief performance-based cognitive screener) score of 04 (00-07 Severe Impairment) and needed set-up assistance for eating. Care plan for alteration in nutritional status with last revision date of 9/27/23, indicated because of R152's dementia, it could affect her ability to recall the importance of adequate daily nutrition and she could miss a meal because of sleeping through it. [...]