Ms Care Center of Greenville

Inspectors wroteBased on resident and staff interviews, record reviews, and facility policy reviews, the facility failed to honor a resident's rights to make her own healthcare decisions for end-of-life care for one (1) of 24 residents reviewed for advanced directives.

Inspectors wroteBased on staff interview, record review, and facility policy review, the facility failed to accurately complete Section A of the Minimum Data Set (MDS) for a resident with a serious mental illness (SMI) for one (1) of 21 MDS reviewed. Resident #23 Findings Include: Review of the facility policy titled Accuracy of Assessments unrevised revealed, The facility must ensure the assessment represents accurately the resident's status during the observation/look back period. The assessment must be reflective of the resident's status at the time of the assessment, by staff qualified to assess relevant care areas and are knowledgeable about the resident's status, needs, strengths, and areas of decline. Record review of the Preadmission Screening and Resident Review (PASRR) Summary of Findings Report dated 11/02/16 revealed under, Mental Health: [...]

Inspectors wroteBased on resident and staff interview, record review and facility policy review the facility failed to report an allegation of abuse when a resident reported that a Certified Nursing Assistant (CNA) balled up her fist, placed her knuckles into the resident's thigh and twisted for one (1) of eight (8) residents reviewed for abuse. Resident #1.

Inspectors wroteBased on observations, staff interview, record review and facility policy review the facility failed to implement a care plan for shaving for Resident #26, failed to develop a care plan for maintaining a PICC (peripherally inserted central catheter) line for Resident #62, and failed to implement a care plan for fluid restriction for Resident #69. This was for three (3) of 19 care plans reviewed.

Inspectors wroteBased on observation, staff interview, resident interview, record review and facility policy review the facility failed to flush a residents PICC (peripherally inserted central catheter) line for (1) one of (7) seven residents reviewed during medication observations. Resident #62.

Inspectors wroteBased on observations, staff interview, resident interview, record review and facility policy review the facility failed to shave a resident that was dependent on staff for bathing and personal hygiene for one (1) of 74 residents reviewed during initial tour. Resident #26 Findings Include: Review of the facility policy titled Mississippi Care Center-ADL (Activities of Daily Living) Care Provided for Dependent Residents with a review date of 09/22 revealed, Residents who are unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene . An observation on 07/17/23 at 11:39 AM, revealed Resident #26 sitting up in her wheelchair in the day room with a patch of white hair on both sides of her chin that is approximately 1/4 inch wide and approximately 1/4 inch long. [...]

Inspectors wroteBased on observation, resident and staff interview, record review and facility policy review the facility failed to provide appropriate incontinent care treatment to prevent the potential for infection for one (1) of four (4) residents observed for care observations. Resident #21.

Inspectors wroteBased on observations, resident and staff interview, record review and facility policy review the facility failed to follow a physician prescribed fluid restriction for (1) one of (4) four residents on dialysis.

Inspectors wroteBased on observation, resident and staff interviews, record review, and facility policy review the facility failed to post an oxygen in use sign outside the door and to label oxygen tubing and a humidifier bottle for one (1) of four (4) residents reviewed that were receiving oxygen. Resident #21.

Inspectors wroteBased on observations, staff interviews, record review and facility policy review the facility failed to prevent the possibility of infection as evidenced by failing to perform hand hygiene, provide a clean workspace, change gloves and keep oxygen tubing off the floor and in a plastic bag for one (1) of four (4) resident care observations.

Inspectors wroteBased on observation, staff interview, facility policy review the facility failed to label and date left over food in the refrigerator for one (1) of two (2) tours. Findings Include: Review of the facility policy titled, Food Storage Labeling, revised 10/17, revealed that the facility will ensure the safety and quality of food by following good storage and labeling procedures. The procedure revealed suggested labeling include the common name and the date of preparation or the use by date. An observation of the standalone refrigerator on 3/2/21, at 11:30 AM, revealed metal containers of fortified sweet potatoes, vegetable soup, and chicken soup not labeled or dated. An interview, on 3/2/21 at 11:45 AM with the Dietary Manager (DM), confirmed the containers should be labeled and dated in order to know how long they had been in the refrigerator, so they could be discarded. [...]

Inspectors wroteBased on observation, staff interview, facility policy review and record review, the facility failed to ensure staff wore masks appropriately covering the nose and mouth to prevent the possible spread of the COVID-19 virus for three (3) of five (5) survey days. Findings Include: The facility policy titled, Personal Protective Equipment, dated 4/1/20, revealed this facility promotes appropriate use of personal protective equipment to prevent the transmission of pathogens to residents, visitors, and other staff. An observation of the dietary department on 3/2/21, at 11:00 AM, revealed the Dietary Manager (DM) wearing her mask below her nose. Dietary staff #1 and #3 had their masks below their nose while preparing food and setting up trays for the lunch meal. An observation, on 3/3/21, at 1:45 PM, revealed Dietary Staff #2 in the dietary department with his face mask below his nose. [...]

Inspectors wroteBased on observation, staff interview, facility policy review, the facility failed to prevent the potential of injury to a resident, as evidenced by the absence of a wheelchair arm rest exposing a protruding screw for one (1) of 18 residents reviewed. Resident #1 Findings Include: Record review of the facility policy titled Equipment undated, revealed wheelchairs, walkers, crutches, and canes will be provided to the residents and are maintained as the property of the facility. An observation on 03/01/21, at 02:53 PM, revealed the left arm rest missing on Resident #1's wheelchair. Further observation revealed a screw that was sticking upward approximately 1/2 inch out of the metal piece where armrest should be. An interview on 03/01/21, at 02:54 PM, with Resident #1, confirmed that he does get up in the wheelchair at times. [...]