Starkville Manor Health Care and Rehabilitation Ce

Inspectors wroteBased on observation, resident, staff, and dialysis staff interview, record review, and facility policy review, the facility failed to provide an individualized therapeutic renal diet by failing to assess and incorporate the resident's food preferences into a therapeutic diet for one (1) of four (4) residents reviewed for the dining task. Resident #4. Findings Include: Review of the facility policy titled Dining and Food Preferences revised 9/25 revealed Policy Statement: Individual dining, food, and beverage preferences are identified for all residents/patients. Additionally revealed under, Procedures: .2. The Dining Services Director or designee will interview the resident or resident representative to complete a Food Preference Interview within 72 hours of admission. 4. [...]

Inspectors wroteBased on observations, resident and staff interviews, record review, and facility policy review, the facility failed to ensure resident grievances related to food preferences and concerns were promptly addressed and resolved for 14 of the 29 sampled residents. (Residents #12, #13, #42, #46, #52, #53, #57, #63, #70, #72, #74, #94, #104, and #106)Findings Include: Review of the facility policy titled, Resident and Family Grievances. with a revision date of 11/14/2025 revealed It is the policy of this facility to support each resident's and family member's right to voice grievances without discrimination, reprisal or fear of discrimination or reprisal. Prompt efforts to resolve include facility acknowledgment of a complaint/grievance and actively working toward resolution of that complaint/grievance.12. The facility will make prompt efforts to resolve grievances. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to ensure a copy of the written notice of transfer or discharge was sent to the representative of the Office of the State Long-Term Care Ombudsman for one (1) of twenty-nine (29) sampled residents. (Resident #11)

Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to ensure adequate supervision and assistance were provided to prevent an avoidable accident for one (1) of five (5) residents reviewed for falls. Resident #28. Findings Include:Review of the facility policy titled Incidents and Accidents revised 11/7/25 revealed under, Policy: It is the policy of this facility for staff to report, investigate, and review any accidents or incidents that occur or allegedly occur on facility property and may involve or allegedly involve a resident .An observation of Resident #28 on 3/4/26 at 8:37 AM revealed the resident lying in bed. The resident was talkative but nonsensical. She had a low air loss mattress on her bed with no side rails. A white blood-tinged bandage was intact to the right side of her forehead. [...]

Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to adhere to infection control measures for one (1) of 29 sampled residents when a dinner tray containing perishable food was left in the resident's room overnight. (Resident #32)Findings Include:Review of the facility policy titled Standard Precautions Infection Control, with a revision date of 11/14/2025 revealed, . all staff shall adhere to Standard Precautions to prevent the spread of infection to residents, staff and visitors .On 03/05/2026 at approximately 8:53 AM, an observation was made in Resident #32's room of a meal tray from the previous evening that had not been removed by staff. The tray contained a full plate of food including food-fortified mashed potatoes, turkey picadillo, shredded lettuce, cornbread, margarine, a peanut butter cookie, whole milk, and chocolate milk. [...]

Inspectors wroteBased on resident and staff interview, record review, and facility policy review, the facility failed to ensure a resident's right to be treated with dignity and respect was honored for one (1) of five (5) residents sampled. Resident #1Findings include:Record review of facility policy titled, Resident Rights dated 6/1/25, revealed, The resident has the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. The resident has a right to be treated with respect and dignity. During an interview on 1/5/26 at 11:15 AM, Resident #1 revealed there was an incident when Certified Nursing Assistant (CNA) #1 failed to treat her with dignity and respect. [...]

Inspectors wroteBased on record review, staff interview, and facility policy review, the facility failed to ensure complete and accurate staffing data was submitted to the Centers for Medicare & Medicaid Services (CMS) through Payroll-Based Journal (PBJ) reporting during Quarter 3 of Fiscal Year (FY) 2025 (April 1 - June 30).

Inspectors wroteBased on observation, family and staff interviews, record review, and facility policy review, the facility failed to implement a care plan for the application of a splinting device (Resident #4) and failed to implement a resident's ADL (activities of daily living) care plan related to personal hygiene and grooming (Resident #29) for two (2) of 21 resident care plans reviewed. Resident #4 and #29. F656 was cited on the last annual survey, therefore the scope and severity is increased to E. Findings Include: Review of the facility policy titled, Plans of Care dated 06/01/25 revealed, Develop and implement an Individualized Person-Centered comprehensive plan of care by the Interdisciplinary Team as determined by the resident's needs or as requested by the resident Resident #4 Record review of Resident #4's Care Plan Report revealed under, Focus: [...]

Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to provide assistance with meals (Resident #4) and failed to provide personal hygiene and grooming for a dependent resident (Resident #29) for two (2) of 106 residents residing in the facility. Resident #4 and Resident #29. F677 was cited on the last annual survey, therefore the scope and severity was increased to E. Findings Include: Review of the facility policy Activities of Daily Living (ADLs) dated 06/01/25 revealed, .Care and services will be provided for the following activities of daily living: 1. Bathing, dressing, grooming and oral care 4. Eating to include meals and snacks Resident #4 An observation on 9/8/25 at 11:52AM in the dining room revealed Resident #4 sitting in his wheelchair at the table, with no use of his right upper extremity. [...]

Inspectors wroteBased on observation, staff interview, and record review, the facility failed to ensure the dignity of a resident that needed supervision and/or assistance with meals for one (1) of five (5) residents reviewed during dining. Resident #4. Findings IncludeDuring an observation of the lunch tray pass in the dining room on 9/8/25 at 11:52AM, Resident #4 received his lunch tray from staff as he was sitting in his wheelchair at the table. This observation revealed the resident had no use of his right upper extremity. The meal that was provided included chicken stir-fried rice, a roll, watermelon in a small bowl, and a glass of tea. The resident was observed attempting to feed himself with a fork using his left hand. He repeatedly dropped his fork, had difficulty scooping food from the plate to his mouth, and began using his left fingers to eat. [...]

Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure a resident with a contracture received the necessary treatment and services to prevent a decline in range of motion (ROM), as evidenced by the failure to apply a physician-ordered hand splint for one (1) of four (4) residents reviewed for ROM. Resident #4Findings Include: The facility provided a statement on letterhead dated 9/10/25 and signed by the Administrator, We do not have a specific policy related to splints. Record review of Resident #4's September 2025 Treatment Administration Record (TAR) revealed an order dated 4/15/25: Resting right hand splint 4 (four) hours daily. CNA (Certified Nurse Aide) to apply and remove, nurse to check. [...]

Inspectors wroteBased on resident and staff interviews and facility policy review, the facility failed to ensure a resident's personal funds were available for use on the same day as requested for two (2) of five (5) residents reviewed for personal funds.

Inspectors wroteBased on staff and resident interviews, record review and facility policy review, the facility failed to employ proper bookkeeping techniques for individual resident funds for three (3) of 3 residents out of the 111 residents with Trust Funds. Resident #1, Resident #2, and Resident #3.

Inspectors wroteBased on staff and resident interviews, record review and facility policy review, the facility failed to protect resident's rights to be free from misappropriation from Resident Trust Funds for three (3) of 3 residents out of 111 residents with Trust Funds. Resident #1, Resident #2, and Resident #3.