Picayune Rehabilitation and Healthcare Center

Inspectors wroteBased on observation, staff interviews, and record review the facility failed to maintain sanitary conditions in the dietary department by failing to ensure dishes washed in a low-temperature dishwasher were sanitized with the required chlorine concentration prior to reuse and by failing to wash and sanitize used beverage pitchers before returning them to refrigerated storage for two (2) of three (3) days of kitchen observations.

Inspectors wroteBased on observations, interviews, record reviews, and facility policy review, the facility failed to implement appropriate Contact Precautions in accordance with Centers for Disease Control and Prevention (CDC) guidelines by failing to provide designated disposal containers for contaminated personal protective equipment (PPE), contaminated linens, and other contaminated materials in resident rooms, resulting in contaminated PPE, linens, and other contaminated materials being discarded with routine waste and laundry for two (2) of five (5) residents reviewed for infection prevention and control (Residents #4 and #110).

Inspectors wroteBased on resident interviews, staff interviews, record review, and facility policy review, the facility failed to promote resident self-determination and honor resident rights by failing to allow residents to choose their dining location on weekends, requiring residents to receive meals in their rooms for three (3) of (20) residents reviewed for Resident Rights. (Residents #63, #75, and #77).

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure residents who had not executed an Advance Directive were informed of their right to formulate an Advance Directive and were offered assistance in establishing an Advance Directive for two (2) of (20) residents reviewed for Advance Directives. (Residents #11 and #75).

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to develop and implement an individualized comprehensive person-centered care plan for a resident requiring mechanical lift transfer assistance for one (1) of (20) sampled residents. (Resident #107). Findings Include:A review of the facility's policy titled, Care Plans, Comprehensive Person-Centered reviewed 6/2/2025, revealed .a comprehensive person-centered care plan.is developed and implemented for each resident. Policy Interpretation and Implementation.8. a. include measurable objectives and timeframes; b. describe the services that are to be furnished to attain.the resident's highest practicable physical, mental, and psychosocial well-being .A review of the facility's policy titled, Resident Rights with a revised date of 4/2017, revealed, .b. [...]

Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to provide an ongoing program of activities designed to meet the interests, preferences, and psychosocial well-being of residents by failing to implement scheduled weekend activities and provide activity opportunities for bedbound residents for two (2) of (2) residents reviewed for activities. (Residents #13 and #63).

Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to provide necessary care and services to protect residents from neglect when staff failed to ensure safe transfers for a resident who required a mechanical lift, failed to ensure a licensed nurse timely assessed the resident following a fall, failed to initiate timely neurological monitoring, and failed to timely notify the physician of the fall and subsequent head injury for one (1) of six (6) residents reviewed for falls. Resident #1. The facility's failure to ensure appropriate post-fall assessment, monitoring, communication, and timely medical evaluation resulted in serious harm to Resident #1 and placed other residents with falls at risk for serious harm, serious impairment, or death. [...]

Inspectors wroteBased on interviews, record review, job description review and facility policy review, the facility failed to protect the residents' right to be free from verbal abuse from a staff member for one (1) of 21 sampled residents. (Resident #17) Resident #17 was verbally abused and threatened on 2/8/25 when Certified Nursing Aide (CNA) #1 used profanity in an argument and aimed a spray bottle of chemical cleaner toward him. The facility's failure to protect Resident #17 resulted in his reporting he felt nervous and afraid. Additionally, the facility's failure to immediately remove CNA #1 from the facility placed this resident and other residents at risk for similar abuse. The situation was determined to be Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC). The State Agency (SA) notified the Administrator of the IJ and SQC on 3/12/25 at 2:15 PM and provided an IJ Template. [...]

Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to report an allegation of abuse within the required two (2) hour timeframe for one (1) of 21 sampled residents. Resident #17. Resident #17 was verbally abused and threatened on 2/8/25 when Certified Nurse Aide (CNA) #1 used profanity in an argument and aimed a spray bottle of chemical cleaner toward him. This was witnessed by Licensed Practical Nurse (LPN) #1. This occurred on 02/08/25, however, the facility did not report it to the State Agency (SA) until 02/12/25, delaying the facility's ability to protect the resident from further mistreatment. The facility's failure to ensure immediate reporting increased the risk of harm which left Resident #17 and other residents in a situation that was likely to cause serious injury, serious harm, serious impairment, or death. [...]

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure the resident's right to reasonable accommodation as evidenced by a call light that was not within reach for one (1) of twenty-one (21) sampled residents, Resident #39.

Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to ensure the residents' right to a comfortable, homelike environment related to the facility being an uncomfortably cold temperature for five (5) of 21 sampled residents, with the potential to affect all 99 residents in the facility. Residents #82, Resident #43, Resident #45, Resident #5, and Resident # 34.

Inspectors wroteBased on observation, staff interviews, record review, and facility policy review, the facility failed to revise the comprehensive care plan to include the use of zinc oxide, as per a physician's order for one (1) of 21 care plans reviewed. (Resident #22)

Inspectors wroteBased on observation, staff interview, record review, and the facility's Certified Nurse Assistant (CNA) job description review, the facility failed to ensure professional standards practices were maintained when a CNA applied a medicated cream to a resident during one (1) of two (2) incontinent resident care observations. (Resident #22) Findings Include: A record review of the facility's Certified Nursing Assistant (CNA) Job Description dated March 2017, revealed, .Function: Cares for Residents under the direction and supervision of a registered nurse or a licensed practical/vocational nurse . A record review of a letter from the State Board of Nursing, dated 7/15/2005, revealed, .medication administration may only be delegated to another registered nurse or licensed practical nurse and not an unlicensed person. [...]

Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to ensure food items in the cooler and freezer were wrapped, covered, and dated and ensure serving bowls were cleaned appropriately for one (1) of three (3) days of survey.

Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to maintain proper infection control practices by failing to prevent cross-contamination of perineal wipes during perineal care for one (1) of four (4) residents observed. Resident #58.

Inspectors wroteBased on record review, staff interview, and facility policy review, the facility failed to document in the medical record discussions regarding a resident's decision to accept or decline assistance with formulating an Advanced Directive (AD) for five (5) of 25 resident records reviewed. Resident #6, Resident #34, Resident #90, Resident #93, and Resident #96.

Inspectors wroteBased on observation, interviews, record review, and facility policy review the facility failed to ensure a call light was accessible to a resident in her room for one (1) of 25 sampled residents.

Inspectors wroteBased on observations, resident and staff interviews, record reviews, and the facility policy review the facility failed to implement a care plan to ensure the call light was within reach for (1) of 25 sampled residents.