I toured and later placed my sibling here and I'm very pleased. The staff are caring, attentive, and treat residents as individuals; admissions and administration were responsive, rehab services were excellent, the facility is kept clean, and activities keep residents engaged - several employees went above and beyond during the smooth transition.
Loved one of resident
Jul 2026
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
2.23·(71)
Overall rating
5
4
3
2
1
Care
2.2
Staff
2.3
Meals
2.3
Amenities
1.5
Value
1.3
Pros
Compassionate and attentive nursing and therapy staff
Strong rehabilitation and physical/occupational therapy program
Supportive memory-care unit with engaged staff
Individualized care planning and therapy goals
Active activities and social programming
Responsive admissions and some administrative staff
Housekeeping-maintained common-area cleanliness
Long-tenured employees and continuity in caregiving
Cons
Inconsistent staff responsiveness to call buttons and care requests
Medication-administration and medication-security gaps
Sanitation, laundry, and linen-processing failures
Pest-control concerns in resident areas
Inadequate dining quality and limited meal variety
Facility maintenance and infrastructure deterioration
Weak incident communication and telephone/voicemail management
Security and emergency-access vulnerabilities
Inconsistent wound and skin-care management
Property and valuables control gaps
Variable staff professionalism and conduct
Billing and resident-account management issues
Summary of reviews
The reviews reflect a facility with notable strengths in therapy and some areas of direct caregiving alongside recurring operational problems. Rehabilitation services, including physical and occupational therapy, and individualized care plans are consistently cited as positive elements; several families described effective short-term therapy stays and staff who encouraged mobility and progress. The memory-care unit and a subset of nursing staff are also frequently singled out for compassionate, attentive interactions and supportive programming.
At the same time, a persistent pattern of clinical and operational concerns appears across reviews. Many accounts describe inconsistent responsiveness to resident needs (including delayed call-button responses), gaps in personal-care routines (bathing, toileting assistance, and turning), and shortcomings in wound and skin-care follow-up. There are multiple references to medication administration and security problems as well as allegations of theft and financial misconduct; these raise significant clinical-safety and fiduciary concerns that prospective families should investigate further.
Sanitation and infrastructure issues recur in the feedback. Reviewers described laundry backlogs, linen-processing failures, sanitation and odor concerns in some areas, and pest-control problems. The building is frequently characterized as aging, with maintenance needs such as water intrusion, HVAC or air-quality issues, and deteriorating finishes. Dining experiences are uneven: some residents enjoy the meals, but many reviewers note limited menu variety, repetitive offerings, and inconsistent meal temperature/quality.
Management and communication are mixed. Several reviewers praised an attentive admissions team and particular administrators who resolved concerns, but many others reported poor phone and voicemail responsiveness, delayed or unsatisfactory complaint handling, billing or resident-account delays, and weak follow-through on maintenance and safety issues. Specific operational vulnerabilities were mentioned, including emergency-access and security shortcomings, suggesting the need for clearer emergency protocols and facility safeguards.
Notable patterns: strong rehabilitation and some compassionate caregiving coexist with systemic issues in staffing consistency, sanitation/laundry operations, medication controls, and building maintenance. The overall picture is heterogeneous — outcomes appear highly dependent on unit, shift, and individual staff members. For prospective residents and families, an in-person tour focusing on cleanliness, laundry turnaround, medication security, staff-to-resident ratios, call-response times, wound-care protocols, and emergency access is advisable. Request documentation of recent inspections, infection-control practices, pest-control measures, staffing levels, and how complaints and financial-account issues are handled before making a placement decision.
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Medicare Ratings
1·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
The Pillars of Biloxi is located at 2279 Atkinson Rd, Biloxi, MS, 39531.
About The Pillars of Biloxi
The Pillars Of Biloxi sits on Atkinson Road in Biloxi, Mississippi, and has 180 certified nursing home beds, though it usually has about 137 residents each day, and you'll find it's connected to Community Eldercare Services, a group that's managed the facility since April 2000, along with Angela Powell and Douglas Wright helping with management for many years too. The facility stands as a for-profit limited liability company, and it offers a range of caregiving, long-term care, and both inpatient and outpatient therapy services, which means people living here can get help with different needs, including clinical care, rehabilitation, and counseling services from a Licensed Master Social Worker. Each resident gets an individual care plan, and the staff have special training to help with the challenges older adults face, and if someone has memory impairment conditions or needs support for disabilities or diseases, there are resources and care options for that as well.
There's an average of 3.82 nurse hours per resident each day, but the nurse turnover rate is pretty high at 61.0%, and inspection reports have noted 48 total deficiencies, including three related to infection, plus some issues classified as immediate jeopardy to health or safety, such as not fully ensuring accident hazards are removed or that enough supervision is given, and there have been findings about not always having care plans that meet all needs, which led to some harm but was not immediate jeopardy. Despite those things, the facility works to provide a welcoming environment focused on well-being and comfort, with amenities like semi-private rooms, in-room televisions, WiFi, vending machines, an outdoor patio, and a resident smoking area, and they also have a transportation van for getting around when needed.
The Pillars describes its community as vibrant and meant to support seniors in reconnecting and enjoying life, and people living here can explore rooms freely, schedule a home tour, and ask for detailed pricing with a brochure, and they accept different payment sources like private pay, Medicare, Medicaid, and nursing home insurance. There's a Facebook presence, and you can arrange to visit and meet staff and residents, and they offer various services including assisted living, independent living, memory care, respite care, continuing care, and home care. The idea behind The Pillars Of Biloxi is to create a routine and atmosphere where people can truly feel at home, receive care shaped to their needs, and access support for their physical, mental, and emotional health as they age.
People often ask...
The Pillars of Biloxi offers assisted living, memory care, and skilled nursing.
There are 1 photos of The Pillars of Biloxi on Mirador.
The full address for this community is 2279 Atkinson Rd, Biloxi, MS 39531.
No, The Pillars of Biloxi does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Mississippi, the State Department of Health licenses care facilities and publishes the survey, complaint, and infection-control reports from its inspections.
License number
nh-255093
Facility type
Nursing Home
Special certification
Medicaid/Medicare – Dually certified
Inspection Reports
136
Reports
3
Type A Citations
0
Type B Citations
102
Complaints
7
Years
01 May 2026Complaint
01 May 2026Complaint
Verified no deficiencies were found regarding nursing services during the complaint investigation.
01 May 2026Complaint
01 May 2026Complaint
Investigated a complaint and found no deficiencies.
01 Mar 2026Revisit
01 Mar 2026Revisit
Found no deficiencies. The agency recommended returning to compliance.
01 Mar 2026Revisit
01 Mar 2026Revisit
Determined compliance was restored after a desk review of the complaint indicated measures were in place.
01 Feb 2026Complaint
01 Feb 2026Complaint
Investigated two complaints and identified deficiencies in care and nursing practices, including medication management lapses and a graduate nurse practicing as a licensed nurse after failing the licensing exam.
Investigated a nursing staffing issue and found a graduate practical nurse continued to function as a licensed nurse after failing the NCLEX and without license verification for about five and one-half days.
5.2.13 LicenseLicense
01 Oct 2025Revisit
01 Oct 2025Revisit
Verified compliance with Medicare/Medicaid participation after a follow-up visit.
01 Oct 2025Revisit
01 Oct 2025Revisit
Concluded compliance with the applicable minimum standards after a follow-up visit.
01 Sept 2025Complaint
01 Sept 2025Complaint
Investigated the complaint and found no deficiencies related to environment, verbal abuse, food/dining, medication, staffing, or grievances. Noted that deficiencies identified on the 8/21/2025 survey remained outstanding.
01 Sept 2025Complaint
01 Sept 2025Complaint
Investigated a complaint and found ongoing noncompliance due to deficiencies identified in the 8/21/2025 survey.
01 Aug 2025Inspection
01 Aug 2025Inspection
An annual survey identified multiple deficiencies across resident rights, ADL care, nutrition safety, infection control, and quality assurance processes.
483.10(a)-(b)Resident Rights/Exercise of Rights
483.10(j)(1)-(4)Grievances
483.10(e); 483.12(a)(2); 483.45(c)-(e)Right to be Free from Chemical Restraints
483.21(b)(3)(i)ADL Care Provided for Dependent Residents
483.24(a)(2)ADL Care Provided for Dependent Residents
483.60(i)(1)-(2)Food Safety/Storage
483.75(c)-(g)QAPI
483.80(a)-(f); 483.80(e)Infection Prevention & Control
01 Aug 2025Inspection
01 Aug 2025Inspection
Observed corridor doors failed to close to a latch, due to misalignment and missing hardware, compromising fire safety requirements.
42 CFR Parts 403, 418, 460, 482, 483, and 485Corridor - Doors
01 Aug 2025Complaint
01 Aug 2025Complaint
Investigated found multiple deficiencies in staffing, residents' rights, ADL care, food storage, and infection control.
M225Nursing Facility Staffing Requirements
M500Residents' Rights
M610Activities of Daily Living
M815Safe Food Handling Procedures
M1570Infection Control
01 Aug 2025Inspection
01 Aug 2025Inspection
Identified corridor doors not meeting fire safety standards due to hardware misalignment and missing striker pieces.
NFPA 101, 19.3.6.3Corridor Doors
01 Aug 2025Inspection
01 Aug 2025Inspection
Investigated found multiple deficiencies across staffing, residents' rights, activities of daily living, food handling, and infection control during the survey.
—Nursing Facility Staffing Requirements
—Residents' Rights
—Activities of Daily Living
—Safe Food Handling Procedures
—Infection Control
01 Aug 2025Complaint
01 Aug 2025Complaint
Investigated and found multiple deficiencies in resident rights, care, infection control, and QA processes.
CFR 483.10Resident Rights/Exercise of Rights
CFR 483.10(j)Grievances
CFR 483.12(a)(2); 483.45Right to be free from chemical restraints
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
Investigated two complaints related to weight loss, pressure sores, falls and transfers, and found no deficiencies.
01 Jun 2025Complaint
01 Jun 2025Complaint
Investigated two complaints alleging weight loss, pressure sores, falls, and transfers without assessment; found no deficiencies.
01 Apr 2025Complaint
01 Apr 2025Complaint
Investigated an elopement that occurred due to inadequate supervision and environmental safety, then implemented corrective actions and found compliance after measures were put in place.
45.21.8Accidents
01 Apr 2025Complaint
01 Apr 2025Complaint
Investigated a resident elopement and found supervision and environmental safety failures allowed a resident to exit the facility unnoticed.
42 CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
01 Mar 2025Complaint
01 Mar 2025Complaint
Investigated a fall involving a resident at risk; determined inadequate supervision and failure to follow the transfer care plan contributed to a fracture, with corrective actions implemented and compliance achieved.
45.21.8Accidents
01 Mar 2025Complaint
01 Mar 2025Complaint
Investigated two complaints about resident safety and neglect. Found deficiencies in comprehensive care planning and supervision for a fall-risk resident, resulting in a fall with a proximal right humerus fracture.
42 CFR 483.21(b)Develop/Implement Comprehensive Care Plan
42 CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
01 Nov 2024Complaint
01 Nov 2024Complaint
Determined that no deficiencies were cited after investigation of the complaints.
01 Nov 2024Complaint
01 Nov 2024Complaint
Investigated three complaints and found no deficiencies; concluded compliance with the minimum standards.
01 Aug 2024Complaint
01 Aug 2024Complaint
Investigated an elopement incident involving a resident at wandering risk; found failures in care planning and supervision that allowed the exit to occur. Deficiencies were cited for Comprehensive Care Plans and Free of Accident Hazards/Supervision/Devices.
42 CFR 483.21(b)(1)Comprehensive Care Plans
42 CFR 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
01 Aug 2024Complaint
01 Aug 2024Complaint
Investigated a missing-resident elopement and found inadequate supervision allowed a wandering resident to leave the building unsupervised and be located about a mile away.
45.21.8Accidents
01 Jul 2024Complaint
01 Jul 2024Complaint
Found no deficiencies.
01 Jul 2024Complaint
01 Jul 2024Complaint
Investigated complaints and found no deficiencies.
01 Jul 2024Complaint
01 Jul 2024Complaint
Concluded that there were no deficiencies cited after investigating a complaint alleging quality of care issues (pain medication, hospice, hydration, odors, and wound care).
01 Jul 2024Complaint
01 Jul 2024Complaint
Found no deficiencies after two complaint investigations. Determined compliance with Medicare and Medicaid participation.
01 Jun 2024Complaint
01 Jun 2024Complaint
Investigated a complaint alleging abuse and found no deficiencies.
01 Jun 2024Complaint
01 Jun 2024Complaint
Determined no deficiencies related to abuse during a complaint investigation. Found compliance with Medicare and Medicaid participation requirements.
01 May 2024Revisit
01 May 2024Revisit
Determined compliance with the applicable minimum standards after a follow-up visit and recommended returning to compliant status.
01 May 2024Revisit
01 May 2024Revisit
Concluded no deficiencies were found after a follow-up visit and placed back in compliance with Medicare and Medicaid participation.
01 May 2024Revisit
01 May 2024Revisit
Determined no deficiencies after a follow-up visit.
01 May 2024Complaint
01 May 2024Complaint
Investigated a feeding-tube related complaint; found no deficiencies cited, but noted noncompliance from an earlier 4/4/2024 survey.
01 May 2024Revisit
01 May 2024Revisit
Verified compliance after a follow-up visit and found no deficiencies.
01 May 2024Complaint
01 May 2024Complaint
Investigated a feeding tube–related complaint; found no deficiencies identified in this investigation, but noted noncompliance stemming from a prior 4/4/2024 survey.
01 Apr 2024Inspection
01 Apr 2024Inspection
Found extensive deficiencies across resident rights, environment, and safety. Multiple violations were identified across care planning, transfers, infection control, and related areas.
483.10(f)(5)(i)-(iv)(6)(7)Resident/Family Groups and Grievances
Investigated complaints and identified deficiencies across residents' rights, daily living activities, urinary catheter care, food handling, pest control, and infection prevention. Violations were found and cited for multiple regulatory standards.
45.17.2Residents' Rights
45.21.2Activities of daily living
45.21.4Urinary incontinence
45.29.1Safe Food Handling Procedures
45.33.4Control of insects, rodents, etc.
48.58.1Infection Control
01 Apr 2024Complaint
01 Apr 2024Complaint
Investigated a complaint and conducted an annual recertification survey. Found deficiencies in compliance with the minimum standards.
—
—
—
—
—
—
01 Apr 2024Complaint
01 Apr 2024Complaint
Investigated allegations of an injury of unknown origin and found deficiencies in the thoroughness of the investigation, in maintaining a clean environment regarding privacy curtains, and in sustaining the quality assurance program.
42 CFR 483.75Quality Assessment and Performance Improvement (QAPI) program
01 Apr 2024Inspection
01 Apr 2024Inspection
Found no deficiencies during the survey.
01 Apr 2024Inspection
01 Apr 2024Inspection
Found no deficiencies. Emergency preparedness requirements were met.
01 Mar 2024Complaint
01 Mar 2024Complaint
Investigated a complaint alleging misappropriation of property and medication administration; found no deficiencies.
01 Mar 2024Complaint
01 Mar 2024Complaint
Found no deficiencies; the state agency determined the provider was in compliance with Medicare and Medicaid participation.
01 Jan 2024Complaint
01 Jan 2024Complaint
Investigated two complaints and found no deficiencies.
01 Jan 2024Complaint
01 Jan 2024Complaint
Found no deficiencies after two complaint investigations determined compliance with Medicare/Medicaid requirements.
01 Sept 2023Complaint
01 Sept 2023Complaint
Investigated a complaint related to injury of unknown origin and a resident not assessed; found no deficiencies.
01 Sept 2023Complaint
01 Sept 2023Complaint
Investigated a complaint alleging injury of unknown origin and lack of resident assessment; found no deficiencies.
01 Aug 2023Complaint
01 Aug 2023Complaint
Investigated a complaint and concluded no deficiencies were found.
01 Aug 2023Complaint
01 Aug 2023Complaint
Found no deficiencies cited after investigating neglect, pressure sores, pain, and resident rights/not smoking allegations.
01 Jun 2023Complaint
01 Jun 2023Complaint
Found no deficiencies after focused infection control and complaint investigations.
01 Jun 2023Complaint
01 Jun 2023Complaint
Investigated complaints and focused infection control concerns; found no deficiencies.
01 Jun 2023Infection Control
01 Jun 2023Infection Control
Verified compliance with the emergency preparedness requirements after a focused survey conducted in mid-June 2023.
01 Jun 2023Complaint
01 Jun 2023Complaint
Investigated complaints and found no deficiencies.
01 Mar 2023Infection Control
01 Mar 2023Infection Control
Found that complete COVID-19 information was not reported to NHSN in the required standardized format during a seven-day period.
42 CFR 483.80(g)COVID-19 reporting to NHSN
01 Mar 2023Revisit
01 Mar 2023Revisit
Concluded that operations complied with the minimum standards and no deficiencies were found.
01 Mar 2023Revisit
01 Mar 2023Revisit
Concluded that the facility was placed back in compliance after addressing prior deficiencies. Measures were in place to sustain Medicare and Medicaid participation.
01 Feb 2023Complaint
01 Feb 2023Complaint
Identified deficiencies in housekeeping and maintenance that left several East Wing rooms and the lounge in disrepair, compromising safety and comfort.
45.35.3Resident Bedrooms
01 Feb 2023Complaint
01 Feb 2023Complaint
Investigated complaints about a hazardous and unclean environment; found multiple housekeeping and maintenance deficiencies in the East Wing, including damaged furniture, disrepair in bathrooms, and dirty common areas.
Found no deficiencies related to Medicare/Medicaid participation.
01 Nov 2022Complaint
01 Nov 2022Complaint
Concluded no deficiencies were cited after investigating a complaint alleging resident abuse.
01 Oct 2022Revisit
01 Oct 2022Revisit
Confirmed compliance after desk review and recommended placing back in compliance.
01 Oct 2022Revisit
01 Oct 2022Revisit
Determined that corrective measures achieved compliance and recommended placing back into compliance status.
01 Sept 2022Complaint
01 Sept 2022Complaint
Investigated a complaint about environmental conditions and quality oversight; found six rooms with unsafe, unsanitary conditions and the QAPI program not sustained.
42 CFR 483.75Quality assurance and performance improvement (QAPI) program
01 Sept 2022Complaint
01 Sept 2022Complaint
Identified deficiencies in wall and ceiling maintenance with water intrusion and damaged surfaces in six rehabilitation rooms.
45.40.7Walls and Ceilings
01 Sept 2022Complaint
01 Sept 2022Complaint
Found environmental deficiencies in the rehabilitation unit with damaged walls and ceilings and water intrusion in six rooms.
45.40.7 Walls and CeilingsWalls and Ceilings
01 Jul 2022Complaint
01 Jul 2022Complaint
Found no deficiencies.
01 Jul 2022Complaint
01 Jul 2022Complaint
Investigated complaints and a COVID-19 focused infection control review and concluded no deficiencies.
01 Jul 2022Complaint
01 Jul 2022Complaint
Investigated a complaint and found no deficiencies cited.
01 Jul 2022Infection Control
01 Jul 2022Infection Control
Found no deficiencies.
01 Jul 2022Complaint
01 Jul 2022Complaint
Determined no deficiencies were found during the complaint investigation.
01 Jul 2022Infection Control
01 Jul 2022Infection Control
Investigated a complaint and COVID-19 infection control concerns and concluded no violations or deficiencies were found.
01 Jul 2022Complaint
01 Jul 2022Complaint
Found no deficiencies. The focused emergency preparedness review conducted in July 2022 showed compliance with the applicable requirements.
01 May 2022Complaint
01 May 2022Complaint
Investigated the complaint and found no deficiencies related to the allegations. Noncompliance from a prior survey remained.
01 May 2022Complaint
01 May 2022Complaint
Investigated a complaint and found no deficiencies related to the allegations; however, ongoing noncompliance from a prior survey remained.
01 Mar 2022Complaint
01 Mar 2022Complaint
Investigated an allegation of medication diversion and a concern about meal palatability; identified deficiencies in reporting to authorities, in the thoroughness of investigations, and in palatability of food.
CFR 483.12(c)(1)-(4)Reporting of Alleged Violations
Identified deficiencies for failing to report an alleged medication diversion to the state agency, for not conducting a thorough investigation of misappropriation, and for serving non-palatable food to residents.
CFR 483.12(c)(1)-(4)Reporting of Alleged Violations
Observed one exit lacking an all-weather surface to the public way, rendering it unusable for emergency egress.
NFPA 101, Means of Egress - General (19.2.1, 7.1.10.1)Means of Egress - General
01 Mar 2022Complaint
01 Mar 2022Complaint
Identified inadequate palatability of meals based on resident reports and a test tray.
45.30.7Food Preparation
01 Mar 2022Inspection
01 Mar 2022Inspection
Investigated complaints and identified multiple deficiencies in residents' rights, fall prevention, restraints, food handling and palatability, and environmental conditions.
45.17.2Residents' Rights
45.21.8Accidents
45.29.1Safe Food Handling Procedures
45.30.7Food Preparation
45.40.7Walls and Ceilings
01 Mar 2022Inspection
01 Mar 2022Inspection
State investigators found multiple deficiencies across residents' funds access, safety, care planning, activities, medications, nutrition, wound care, and infection control.
CFR 483.10(f)(10)Protection/Management of Personal Funds
CFR 483.60(i)(1)-(2)Food Safety/Tray Line Temperatures
CFR 483.80(a)-(f)Infection Prevention & Control
01 Mar 2022Inspection
01 Mar 2022Inspection
Verified compliance with emergency preparedness requirements during a survey. No deficiencies were found.
01 Feb 2022Infection Control
01 Feb 2022Infection Control
Investigations found deficiencies in staffing and activities of daily living care, including inadequate bathing and nail care for multiple residents due to staffing shortages.
Mississippi Administrative Code 45.21.2Activities of daily living
01 Feb 2022Infection Control
01 Feb 2022Infection Control
Investigated complaints and found deficiencies in nail care and bathing for residents, and insufficient nursing staff on multiple days.
483.24(a)(2)ADL Care Provided for Dependent Residents
483.35(a)(1)-(2)Sufficient Nursing Staff
01 Feb 2022Complaint
01 Feb 2022Complaint
Investigated several complaints and identified deficiencies for not trimming residents' fingernails and not providing showers for residents needing daily living care; other investigations found no deficiencies.
F677
F725
01 Feb 2022Complaint
01 Feb 2022Complaint
The survey identified violations for insufficient staffing to meet residents' needs and for failing to provide consistent bathing and nail care for several residents.
45.4.1Nursing Facility Staffing Requirements
45.21.2Activities of daily living
01 Feb 2022Complaint
01 Feb 2022Complaint
Investigated a complaint and identified deficiencies related to fingernail trimming and showers for residents receiving activities of daily living care.
—Nails not trimmed
—Showers not provided
01 Feb 2022Complaint
01 Feb 2022Complaint
Investigated concerns about personal care and bathing; found residents’ nails not trimmed and baths not provided as scheduled, along with insufficient nursing staff on several days.
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
CFR 483.35(a)Sufficient Nursing Staff
01 Jan 2022Complaint
01 Jan 2022Complaint
Investigated a complaint and found no deficiencies cited; prior deficiencies remained out of compliance.
01 Jan 2022Revisit
01 Jan 2022Revisit
Confirmed compliance with applicable minimum standards after a desk review of the prior complaint; recommended returning to compliance.
01 Jan 2022Revisit
01 Jan 2022Revisit
Determined corrective actions were implemented and recommended to restore compliance.
01 Jan 2022Complaint
01 Jan 2022Complaint
Concluded no new deficiencies were cited, but prior deficiencies remained noncompliant.
01 Dec 2021Complaint
01 Dec 2021Complaint
Found unsafe storage of medications and uncharged mechanical lift batteries that could affect resident safety. The findings showed a medication room door propped open and lift batteries that were not consistently charged.
42 CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
Investigated a complaint and found no deficiencies.
01 Nov 2021Revisit
01 Nov 2021Revisit
Concluded that compliance was achieved after review.
01 Nov 2021Complaint
01 Nov 2021Complaint
Investigated two complaints and found no deficiencies.
01 Nov 2021Revisit
01 Nov 2021Revisit
Concluded that the identified deficiency was corrected and compliance restored after a desk review.
01 Nov 2021Revisit
01 Nov 2021Revisit
Found no deficiencies cited after the post-certification revisit; compliance with participation requirements was confirmed.
01 Nov 2021Complaint
01 Nov 2021Complaint
Investigated two complaints and found no deficiencies.
01 Oct 2021Complaint
01 Oct 2021Complaint
Investigated and found a violation of residents' rights due to lack of privacy during a clothing change for one resident.
45.17.2Residents' Rights
01 Oct 2021Complaint
01 Oct 2021Complaint
Identified a privacy deficiency when a resident's clothing was changed without adequate privacy.
CFR 483.10(h)Personal Privacy/Confidentiality
01 May 2021Revisit
01 May 2021Revisit
Verified substantial compliance with no deficiencies cited.
01 Apr 2021Complaint
01 Apr 2021Complaint
Investigated a complaint of abuse and found that the alleged abuse was not reported to the State Agency within the required two hours.
§483.12(c)(1)(4)Reporting of Alleged Violations
01 Apr 2021Complaint
01 Apr 2021Complaint
Investigated the complaint and concluded no substantiation of physical abuse; found no deficiencies.
01 Mar 2021Revisit
01 Mar 2021Revisit
Concluded substantial compliance after review.
01 Mar 2021Revisit
01 Mar 2021Revisit
Found no deficiencies. Substantial compliance was noted.
01 Feb 2021Complaint
01 Feb 2021Complaint
Identified failure to provide incontinent care before and during wound care, increasing infection risk.
45.21.3Pressure sores
01 Feb 2021Complaint
01 Feb 2021Complaint
Investigated a complaint about wound care and infection control; found failures in providing incontinent care during wound care and in cleaning scissors before and after wound care, creating infection risk.
§483.25(b)Treatment/Svcs to Prevent/Heal Pressure Ulcer
§483.80Infection Prevention & Control
01 Feb 2021Complaint
01 Feb 2021Complaint
Confirmed compliance with COVID-19 emergency preparedness requirements; no deficiencies were cited.
01 Feb 2021Infection Control
01 Feb 2021Infection Control
Investigated nine complaints and found no deficiencies. Determined compliance with licensure requirements.
01 Feb 2021Complaint
01 Feb 2021Complaint
Investigated complaints and found no deficiencies. The agency confirmed compliance with licensure requirements.
01 Feb 2021Infection Control
01 Feb 2021Infection Control
Found no deficiencies. The focused emergency preparedness review showed compliance with the relevant requirements.
01 Feb 2021Complaint
01 Feb 2021Complaint
Determined no deficiencies cited for infection control during the focused review and complaint investigations.
01 Feb 2021Complaint
01 Feb 2021Complaint
Found no deficiencies in emergency preparedness during the focused survey.
01 Dec 2020Infection Control
01 Dec 2020Infection Control
Found compliance with emergency preparedness requirements during a COVID-19 focused survey.
01 Dec 2020Infection Control
01 Dec 2020Infection Control
Verified compliance with infection control requirements during a COVID-19 focused inspection.
01 Nov 2020Infection Control
01 Nov 2020Infection Control
Confirmed compliance with the emergency preparedness requirement during a focused review. No deficiencies were cited.
01 Nov 2020Infection Control
01 Nov 2020Infection Control
Found no infection control deficiencies during a COVID-19 focused survey.
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Verified no deficiencies were found in infection control during the focused survey.
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Verified compliance with emergency preparedness requirements during a COVID-19 focused survey. No deficiencies were cited.
01 Jun 2020Infection Control
01 Jun 2020Infection Control
Found no deficiencies related to infection control and confirmed compliance with CMS and CDC infection control practices.
01 Jun 2020Infection Control
01 Jun 2020Infection Control
Found compliance with infection control requirements after a Covid-19 focused survey. No deficiencies were cited.
01 Feb 2020Complaint
01 Feb 2020Complaint
Investigated a wandering/elopement incident; found inadequate supervision allowed a resident at risk to leave the building unsupervised via a window, requiring hospital evaluation.
42 CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
01 Feb 2020Complaint
01 Feb 2020Complaint
Found insufficient supervision for a resident at risk for wandering, leading to an elopement through a window.
45.21.8Accidents
01 Jan 2020Complaint
01 Jan 2020Complaint
The facility investigated a report of verbal abuse toward a resident and found deficiencies related to abuse prevention, policy development, and investigation of alleged violations. Corrective actions and removal were tracked in subsequent entries.
Type A42 CFR 483.12(a)(1)Freedom from Abuse/Neglect
Type A42 CFR 483.12(b)(1)-(3)Abuse/Neglect Policies
Type A42 CFR 483.12(c)(1)-(4)Investigation of Alleged Violations
01 Jan 2020Complaint
01 Jan 2020Complaint
An investigation found serious deficiencies related to protecting residents from verbal abuse, improper handling of abuse allegations, and weaknesses in abuse-related policies and reporting.
42 CFR 483.12(c)(1)Freedom from Abuse, Neglect, and Exploitation
42 CFR 483.12(b)(1)-(3)Abuse/Neglect Policies
42 CFR 483.12(c)(2)-(4)Reporting of Alleged Violations
01 Jan 2020Complaint
01 Jan 2020Complaint
Investigated a witnessed verbal abuse incident and found multiple failures in resident protection, policy implementation, reporting, and investigation.
Found no deficiencies cited after a complaint investigation; concluded compliance with Medicare and Medicaid participation requirements.
01 Aug 2019Complaint
01 Aug 2019Complaint
Found no deficiencies.
01 Jun 2019Complaint
01 Jun 2019Complaint
Identified deficiencies in medication management, including failure to obtain medications ordered for a resident on admission and related record-keeping issues.
§483.45(b)(2)Pharmacy Services
§483.45(b)(3)Pharmacy Services
01 Jun 2019Complaint
01 Jun 2019Complaint
Identified deficiencies in medication management and record-keeping, including missing orders and incomplete drug records for a resident during a complaint survey.
Regulators identified multiple deficiencies across resident rights, assessments, care planning, communication, medical monitoring, and facility safety, noting failures to protect dignity, coordinate PASARR/ transfers, maintain accurate records, implement comprehensive care plans, address language barriers, and uphold kitchen, sanitation, and safety standards.
CFR 483.10(a)(1)(2); 483.10(b)(1); 483.10(b)(2)Resident Rights/Exercise of Rights
CFR 483.15(c)(3)-(6)(8)Notice before Transfer/Discharge
CFR 483.20(g)Accuracy of Assessments
CFR 483.20(e)Coordination of PASARR Level II
CFR 483.20(k)(1)-(3)Preadmission Screening (PAS) for mental illness/intellectual disability
CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
CFR 483.10; 483.24Communication/Language Barriers and ADL Support
CFR 483.25Quality of Care - Monitoring/Management of Medical Conditions
Investigated a complaint and conducted a standard recertification survey; found no deficiencies and no citations.
01 May 2019Complaint
01 May 2019Complaint
Investigated a complaint and conducted a standard recertification survey; the complaint was not substantiated for Quality of Care and Treatment and no citations were issued.
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