Coastal Health and Rehabilitation Center -Gulf

    1530 Broad Ave, Gulfport, MS 39501
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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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

    2.96·(54)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      2.9
    • Meals

      1.0
    • Amenities

      1.0
    • Value

      1.0

    Pros

    • Compassionate and dedicated nursing and therapy staff
    • Strong post-acute rehabilitation and therapy services
    • Engaging social activities and positive resident community
    • Clean and well-maintained short-term rehab areas
    • Notable individual staff praised for responsiveness
    • Visible improvements after ownership or leadership changes
    • Supportive discharge and recovery outcomes for some residents

    Cons

    • Inconsistent staff professionalism and communication
    • Frequent staffing shortages leading to delayed responses
    • Gaps in medication-management and clinical coordination
    • Inconsistent hygiene and incontinence-care practices
    • Variable meal quality and temperature-control issues
    • Sanitation and maintenance inconsistencies in some units
    • Unreliable phone and family-communication systems
    • Weak property-security and financial-account controls
    • Inconsistent admissions and return-to-facility policies
    • Insufficient incident follow-up and transparency

    Summary of reviews

    Feedback for Coastal Health and Rehabilitation Center - Gulf is strongly polarized. Many families and former residents praise individual caregivers, therapy staff and short-term rehabilitation services, noting improvements in mobility and outlook after stays. At the same time, a substantial portion of comments raise operational and safety concerns that prospective families should investigate further.

    Care and staff: Reviewers describe two contrasting experiences. Positive accounts emphasize compassionate, hardworking nurses and aides, a responsive therapy department, and staff who facilitated recovery and social engagement. Negative accounts highlight inconsistent staff professionalism, slow or delayed responses to alarms and call lights, and instances of rough or inappropriate conduct tone. Multiple comments indicate staffing shortages that contribute to delayed care, long hold times on communication lines, and uneven follow-through on clinical tasks. There are also concerns about medication-management processes and coordination of post-acute or specialty appointments that have, in some cases, required external intervention.

    Dining and activities: Dining experiences are mixed. Some families report supportive mealtimes and staff who accommodate preferences, while others describe inconsistent food quality and problems with food temperature and portioning. Activities and social programming receive frequent praise; reviewers note an active resident community, friendly interactions, window visits during restrictive periods, and staff who help residents remain engaged.

    Facilities and maintenance: Comments about the physical environment vary by unit. Several reviewers describe clean, orderly short-term rehab areas and improved maintenance after leadership changes. Contrasting comments cite sanitation and maintenance inconsistencies in other units, odor concerns in certain common areas, and evidence of deferred upkeep that should be assessed during an in-person visit.

    Management and communication: A recurring theme is inconsistent communication from administration and case-management staff. Families describe long phone hold times, delayed callbacks, and difficulty obtaining timely updates or access to resident records. Some reviewers credit recent ownership or leadership change with measurable improvements in customer service, while others describe unresponsiveness from social work and leadership. There are serious individual allegations that merit investigation, including claims of theft and financial-account irregularities and allegations related to end-of-life care and access to records; these are specific, serious concerns and prospective families should request documentation of incident resolution and regulatory history.

    Notable patterns and considerations: The most actionable patterns are inconsistency — caregiving quality, cleanliness, meal service, and communication vary considerably between units and over time — and staffing pressures that appear to exacerbate those inconsistencies. For families considering this facility, recommended steps include: review recent state inspection and enforcement records; ask for current staffing ratios and turnover data; request written policies on valuables and financial-account protection; confirm protocols for incident reporting and family notification; and tour the specific unit where the resident would live during mealtime and activity times. Overall, the facility shows strengths in rehabilitation and some genuinely caring staff, but there are repeated operational gaps and serious individual allegations that should be clarified before placement.

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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

    Coastal Health and Rehabilitation Center -Gulf is located at 1530 Broad Ave, Gulfport, MS, 39501.

    About Coastal Health and Rehabilitation Center -Gulf

    Boyington Health And Rehabilitation is a senior living provider located in Gulfport, Mississippi, specializing in delivering a range of care services for older adults. It offers comprehensive nursing home care tailored to meet the diverse needs of residents requiring both short-term rehabilitation and long-term care. The facility is structured to provide a safe and supportive environment for its residents, focusing on the physical and emotional well-being of each individual. The premises are designed with security in mind, featuring locked doors to ensure resident safety and peace of mind for families.

    The staff at Boyington Health And Rehabilitation are dedicated to offering attentive assistance with the activities of daily living, as well as skilled nursing care for those with greater medical needs. Residents are supported by healthcare professionals including registered nurses, certified nurse assistants, and therapy specialists. The facility provides personalized rehabilitation programs for individuals recovering from illness, surgery, or injury, with therapy sessions crafted to help residents regain strength and independence.

    In addition to medical and rehabilitative services, Boyington Health And Rehabilitation is committed to fostering a comfortable and clean living environment. The community places emphasis on organization and quiet surroundings, helping to create a calming atmosphere that promotes healing and rest. Meals at the facility are planned with consideration for nutritional needs and residents’ preferences, ensuring that dietary requirements are accommodated.

    Social interaction and emotional support are also integral parts of life at Boyington Health And Rehabilitation. Residents have opportunities to participate in activities that encourage engagement and companionship, contributing to their overall quality of life. The facility is equipped to accommodate individuals for both short-term respite stays and extended care, making it a versatile option for families considering a range of care durations.

    Boyington Health And Rehabilitation’s overall approach centers on maintaining the health, comfort, and dignity of every resident. By providing individualized attention and a structured care environment, the facility aims to support residents through every stage of recovery and daily living.

    People often ask...

    Coastal Health and Rehabilitation Center -Gulf offers assisted living, memory care, and skilled nursing.

    There are 3 photos of Coastal Health and Rehabilitation Center -Gulf on Mirador.

    The full address for this community is 1530 Broad Ave, Gulfport, MS 39501.

    No, Coastal Health and Rehabilitation Center -Gulf 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 numbernh-255092
    Facility typeNursing Home
    Special certificationMedicaid/Medicare – Dually certified

    Inspection Reports

    119

    Reports

    90

    Citations

    84

    Complaints

    7

    Years

    01 Sept 2026Complaint
    Found no deficiencies. The investigation found compliance with participation requirements.
    01 Sept 2026Complaint
    Found no deficiencies. The investigation concluded compliance with applicable standards.
    01 Jul 2026Complaint
    Investigated a complaint about quality of care and hospital transfer; found no deficiencies.
    01 Jul 2026Complaint
    Found no deficiencies. The review determined compliance with state licensure requirements.
    01 Jun 2026Revisit
    Concluded the entity was placed back in compliance after the review.
    01 Jun 2026Revisit
    Verified compliance after reviewing related information; found no deficiencies.
    01 May 2026Complaint
    Investigated a fall-related issue and found failures to analyze falls or implement interventions to prevent recurrence for two residents.
    • 45.21.8Accidents
    01 May 2026Complaint
    Investigated a complaint about resident falls; found care plans were not updated after falls and new fall-prevention interventions were not added for two residents.
    • CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
    01 Apr 2026Complaint
    Investigated seven complaints and found no deficiencies.
    01 Apr 2026Complaint
    Found no deficiencies and determined compliance with Medicare and Medicaid participation.
    01 Feb 2026Complaint
    Investigated a complaint and found no deficiencies. Concluded compliance with the minimum standards.
    01 Feb 2026Complaint
    Investigated a complaint regarding nursing services, neglect, and quality of care and determined no deficiencies were found.
    01 Sept 2025Complaint
    Identified deficiencies from a prior survey that left the facility out of compliance with Medicare/Medicaid participation.
    • —
    01 Sept 2025Complaint
    Investigated a complaint; found no deficiencies on this visit, but noted ongoing noncompliance from the 8/7/25 survey.
    01 Sept 2025Revisit
    Determined the provider was in compliance with Medicare/Medicaid participation following a follow-up visit.
    01 Sept 2025Revisit
    Determined that compliance with the minimum standards was achieved after the follow-up visit.
    01 Aug 2025Inspection
    The investigation identified multiple deficiencies across residents' rights, daily care, special needs, activities, food handling, and pest control, with complaints not consistently resolved.
    • —Residents' Rights
    • —Activities of daily living
    • —Special needs
    01 Aug 2025Inspection
    Inspections identified multiple deficiencies across resident rights, care planning, discharge, infection control, dietary services, medications, and pest control, indicating several areas not meeting federal requirements.
    • CFR 483.10(f)Self-Determination
    • CFR 483.10(f)(5)-(7)Resident / Family Group and Response
    • CFR 483.10(i) and 483.60(i)Safe/Clean/Comfortable/Homelike Environment
    • CFR 483.10(e) and 483.12(a)Right to be Free from Physical Restraints
    • CFR 483.15(c)(2)-(6), 483.21(c)(2)Discharge Process
    • CFR 483.20(k)PASRR Screening MD & ID
    • CFR 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
    • CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • CFR 483.21(b)(3)Services to Meet Professional Standards
    • CFR 483.25(a)(1)-(2)Treatment / Devices to Maintain Hearing/Vision
    • CFR 483.45(f)(2)Residents are Free of Significant Med Errors
    • CFR 483.60(i)(1)-(2)Food Procurement, Store/Prepare/Serve Sanitary
    • CFR 483.75(c)-(g)QAPI / QAA Improvement Activities
    • CFR 483.90(i)(4)Maintains Effective Pest Control Program
    01 Aug 2025Inspection
    Found no deficiencies.
    01 May 2025Complaint
    Determined that no deficiencies were cited after reviewing complaints and investigations related to nursing services, pressure sores, staffing, and discharge rights.
    01 May 2025Complaint
    Found no deficiencies cited after two complaint investigations.
    01 Apr 2025Complaint
    Found no deficiencies. The state agency concluded the provider complied with Medicare and Medicaid participation requirements after complaint investigations.
    01 Apr 2025Complaint
    Investigated complaints and found no deficiencies.
    01 Jan 2025Complaint
    Verified no deficiencies were cited during the complaint investigations; prior deficiencies cited on 11/26/24 survey remained out of compliance.
    01 Jan 2025Complaint
    Found no deficiencies during this visit; noted ongoing noncompliance from the prior 11/26/24 survey.
    01 Dec 2024Complaint
    Investigated a complaint. Found no deficiencies during the current visit, but noted prior deficiencies from a previous investigation kept it out of compliance.
    01 Dec 2024Complaint
    Investigated a complaint and found no deficiencies in this visit, but remained out of compliance due to prior deficiencies cited on 11/26/2024.
    01 Nov 2024Complaint
    Investigated a complaint about neglect and poor care from constipation. Found failures to prevent fecal impaction, follow the care plan, and notify the physician, which led to hospitalization.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • CFR 483.21(b)(1)-(3)Comprehensive Care Plans
    • CFR 483.25Quality of care
    01 Nov 2024Complaint
    Investigated neglect related to failure to prevent a resident from becoming fecally impacted and to notify the physician, leading to hospitalization.
    • 45.17.2Residents' Rights
    01 Nov 2024Revisit
    Verified compliance with Medicare/Medicaid participation after a follow-up visit; no deficiencies were cited.
    01 Nov 2024Revisit
    Concluded that compliance with applicable standards was achieved after a follow-up visit addressing a complaint.
    01 Oct 2024Complaint
    Investigations identified deficiencies in MDS accuracy, wound-care planning, timely infection treatment, and weekly wound documentation affecting several residents.
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.21(b)(1)(3)Comprehensive Care Plans
    • CFR 483.25Quality of care
    • CFR 483.25(b)Skin Integrity - Pressure ulcers: Treatment/Services to Prevent/Heal
    01 Oct 2024Complaint
    Identified inconsistent pressure ulcer care and documentation for multiple residents, resulting in infection and hospitalization for one resident.
    • 45.21.3Pressure sores
    01 Aug 2024Complaint
    Investigated complaints alleging neglect and abuse. Concluded compliance with licensure standards; no deficiencies cited.
    01 Aug 2024Complaint
    Found no deficiencies and confirmed compliance with Medicare/Medicaid participation.
    01 Jun 2024Complaint
    Investigated multiple complaints across rights, staffing, safety, care, sanitation, and death, and found no deficiencies.
    01 Jun 2024Complaint
    Investigated six complaints and found no deficiencies.
    01 May 2024Complaint
    Found no deficiencies related to resident rights during the complaint investigation.
    01 May 2024Complaint
    Found no deficiencies.
    01 Mar 2024Complaint
    Found no deficiencies. Concluded compliance with minimum standards.
    01 Mar 2024Complaint
    Investigated complaints and concluded no deficiencies were cited. The agency found overall compliance with requirements.
    01 Dec 2023Revisit
    Verified compliance with Medicare/Medicaid participation following a follow-up visit.
    01 Dec 2023Complaint
    Investigated a misappropriation of property allegation; found no new deficiencies cited but remained out of compliance due to deficiencies cited on 11/15/23 survey.
    01 Dec 2023Complaint
    Investigated a complaint. Found no deficiencies in this review, but noted ongoing noncompliance due to prior deficiencies identified in a previous survey.
    01 Dec 2023Revisit
    Determined compliance with licensing requirements after a follow-up visit.
    01 Nov 2023Inspection
    Investigated deficiencies found in residents' rights, daily living support, and safe food handling, including delayed wound care, unaddressed grievances about food, inadequate ADL care, and unsafe dietary practices.
    • 45.17.2Residents' Rights
    • 45.21.2Activities of daily living
    • 45.29.1Safe Food Handling Procedures
    01 Nov 2023Inspection
    Investigated multiple deficiencies in resident rights, grievance handling, transfers, PASARR, care planning, ADLs, incontinence care, pain management, staffing, and food safety with numerous cited violations.
    • CFR 483.10(f)Self-Determination
    • CFR 483.10(f)(5)-(7)Resident/Family Group and Response
    • CFR 483.15(c)(3)-(8)Notice Before Transfer
    • CFR 483.15(d)Bed-Hold Notice
    • CFR 483.20(k)PASARR
    • CFR 483.21(b)Comprehensive Care Plans
    • CFR 483.24(a)(2)ADL Care
    • CFR 483.25(e)Incontinence
    • CFR 483.25(k)Pain Management
    • CFR 483.35(b)RN Coverage
    • CFR 483.60(i)Food Safety/Procurement
    01 Nov 2023Inspection
    Found no deficiencies related to Life Safety Code during this survey.
    01 Nov 2023Inspection
    Verified compliance with emergency preparedness requirements. No deficiencies were cited.
    01 Oct 2023Complaint
    Found no deficiencies after investigating three complaints and determined compliance with Medicare/Medicaid participation.
    01 Oct 2023Complaint
    Found no deficiencies. Investigated three complaints and determined compliance with the minimum standards.
    01 Aug 2023Complaint
    Investigated two complaints alleging neglect and staffing-related care issues and found no deficiencies.
    01 Aug 2023Complaint
    Investigated a complaint and found no deficiencies.
    01 Jul 2023Complaint
    Found no deficiencies cited after complaint investigations, indicating compliance with Medicare and Medicaid participation requirements.
    01 Jul 2023Complaint
    Investigated two complaints and found no deficiencies.
    01 Jun 2023Complaint
    Determined that no deficiencies were cited after investigating the verbal abuse complaint.
    01 Jun 2023Complaint
    Found no deficiencies after investigating the complaint alleging verbal abuse.
    01 Apr 2023Complaint
    Investigated a complaint alleging resident abuse and found no deficiencies related to that allegation; noted ongoing noncompliance due to deficiencies cited in a prior survey.
    01 Apr 2023Complaint
    Investigated a complaint and found no deficiencies related to resident abuse; however, out-of-compliance status remained due to deficiencies cited on a prior 3/6/2023 survey.
    01 Apr 2023Revisit
    Confirmed in compliance with Medicare/Medicaid participation after a follow-up visit.
    01 Apr 2023Revisit
    Verified continued compliance with Medicare and Medicaid participation after a follow-up visit. No deficiencies were cited.
    01 Mar 2023Complaint
    Investigated complaints identified deficiencies in pressure sore management and accident prevention, including inconsistent wound care and unsafe equipment use.
    • Rule 45.21.3Pressure sores
    • Rule 45.21.8Accidents
    01 Mar 2023Complaint
    Investigated complaints about resident safety and wound care; identified deficiencies in pressure ulcer management and unsafe use of lifting equipment and beds.
    • Rule 45.21.3Pressure sores
    • Rule 45.21.8Accidents
    01 Dec 2022Complaint
    Investigated a complaint and found no deficiencies.
    01 Dec 2022Complaint
    Found no deficiencies cited after two complaint investigations.
    01 Oct 2022Revisit
    Determined that compliance was achieved after a desk review and placed back in compliance.
    01 Oct 2022Revisit
    Determined no deficiencies after reviewing the information and placed back in compliance.
    01 Aug 2022Complaint
    Investigated a complaint and found deficiencies in medication records, including incomplete narcotics documentation. Found that narcotics administration was not consistently documented on the eMAR and the narcotics log did not always match.
    • §483.20(f)(5), §483.70(i)(1)-(5)Resident Records - Identifiable Information
    01 Aug 2022Infection Control
    Identified deficiencies in medical records management, including missing documentation for a resident's pain medication and discrepancies between narcotics logs and electronic records.
    • 45.25.1 Medical Records ManagementMedical Records Management
    01 Aug 2022Infection Control
    Found deficiencies in resident records due to missing documentation linking narcotic administration to the electronic record. Narcotic sheet removals did not match the electronic record for a prescribed opioid, with numerous undocumented doses.
    • 483.20(f)(5), 483.70(i)(1)-(5)Resident Records - Identifiable Information
    01 Aug 2022Infection Control
    Found deficiencies in medical records management, including incomplete/unclear records for one resident and discrepancies in narcotics documentation between the medication administration record and the controlled substances log.
    • 45.25.1Medical Records Management
    01 Aug 2022Complaint
    Identified deficiencies in medical records management and controlled substances documentation, including incomplete records for a resident and discrepancies between narcotic sheets and electronic records.
    • 45.25.1 Medical Records ManagementMedical Records Management
    01 Aug 2022Complaint
    Found no deficiencies. The focused emergency preparedness survey determined compliance with the applicable requirements.
    01 Jun 2022Complaint
    Investigated a complaint; staffing and physician services issues were not verified. However, prior deficiencies remained out of compliance.
    01 Jun 2022Revisit
    Verified compliance after a follow-up review of the complaint, with no deficiencies identified.
    01 Jun 2022Complaint
    Investigated the complaint and found no deficiencies in this investigation. However, outstanding deficiencies from the 4/19/22 survey remained.
    01 Jun 2022Revisit
    Determined compliance after a follow-up visit conducted on 2022-06-16. No deficiencies were identified.
    01 Apr 2022Complaint
    Investigated a complaint and found deficiencies in maintaining a clean, homelike environment, timely reporting of abuse, and grooming/ADL care for residents.
    • 42 CFR 483.10(i)Safe/Clean/Comfortable/Homelike Environment
    • 42 CFR 483.12(c)(1)(4)Reporting of Alleged Violations
    • 42 CFR 483.24(a)(1)-(5)(i)-(iii); 42 CFR 483.24(b)(1)-(5)Activities Daily Living (ADLs)/Mntn Abilities
    01 Apr 2022Complaint
    Investigated a complaint and identified failures to provide ADL care, including nail care and hair care for dependent residents. Noted deficiencies affecting two residents' grooming needs.
    • 45.21.2Activities of daily living
    01 Mar 2022Complaint
    Investigated three complaints and concluded that no deficiencies were cited.
    01 Mar 2022Complaint
    Investigated complaints and found no deficiencies.
    01 Nov 2021Complaint
    Investigated complaints of neglect/pressure sores, grooming quality, environmental conditions, and abuse between residents. Found no deficiencies.
    01 Nov 2021Complaint
    Investigated two complaints and found no deficiencies; compliance with standards was demonstrated.
    01 Aug 2021Infection Control
    Found compliance with COVID-19 emergency preparedness requirements. No deficiencies were cited.
    01 Aug 2021Infection Control
    Found no deficiencies. Infection control measures and practices were confirmed to be in compliance.
    01 Jun 2021Revisit
    Concluded substantial compliance after an on-site revisit; no deficiencies were cited.
    01 Jun 2021Revisit
    Determined substantial compliance after an on-site revisit.
    01 Jun 2021Revisit
    Confirmed substantial compliance as of 6/13/21. A follow-up visit was conducted on 6/30/21.
    01 Jun 2021Revisit
    Verified substantial compliance after an on-site revisit; no deficiencies cited.
    01 Apr 2021Inspection
    Investigations found violations related to resident hygiene neglect, inadequate foot/nail care, unsafe food handling, social work qualifications, and infection control practices.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • CFR 483.25(b)(2)Foot Care
    • CFR 483.60(i)(1)-(2)Food Procurement, Store/Prepare/Serve-Sanitary
    • CFR 483.70(p)(1)-(2)Qualifications of Social Worker
    • CFR 483.80(a)(1)-(4), (e), (f)Infection Prevention & Control
    01 Apr 2021Complaint
    Investigated complaints and observed residents left in soiled and inadequately cleaned conditions due to delayed ADL care and bathing, resulting in a deficiency for abuse/neglect.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    01 Apr 2021Complaint
    Investigated complaints found deficiencies in residents' rights protections and in social services staffing, including inadequate ADL care for several residents and lack of a licensed social worker during part of the survey.
    • 45.17.2Residents' Rights
    • 45.26Social Services and Resident Activities
    01 Apr 2021Inspection
    Investigated several deficiencies including inadequate nail/podiatry care for residents, lacking licensed social work staffing, and unsafe food handling practices.
    • 45.21.11Special needs
    • 45.26Social services and resident activities
    • 45.29.1Safe Food Handling Procedures
    01 Apr 2021Inspection
    Verified compliance with emergency preparedness requirements; no deficiencies were found.
    01 Apr 2021Inspection
    Found no deficiencies.
    01 Dec 2020Infection Control
    Investigated a verbal abuse allegation and cited a deficiency.
    • —Verbal abuse of a resident
    01 Dec 2020Complaint
    Investigated a complaint of verbal abuse where a staff member directed insults at a resident and made a threat, affecting one resident.
    • 45.17.2Residents' Rights
    01 Dec 2020Complaint
    Investigated a verbal abuse incident and identified deficiencies in preventing abuse. The care plan for a resident did not fully address behavioral needs or guide staff to respond calmly.
    • 42 CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • 42 CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
    01 Dec 2020Infection Control
    Investigated a staff verbal abuse incident and evaluated care plan compliance; found violations related to abuse prevention and comprehensive care planning.
    • CFR(s): 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • CFR(s): 483.21(b)(1)Care Plans - Comprehensive
    01 Dec 2020Infection Control
    Determined no deficiencies related to emergency preparedness during a COVID-19 focused survey.
    01 Dec 2020Complaint
    Found compliance with emergency preparedness requirements during a focused survey; no deficiencies were cited.
    01 Dec 2020Infection Control
    Found no deficiencies related to COVID-19 emergency preparedness.
    01 Dec 2020Infection Control
    Identified ongoing deficiencies from a prior infection control survey; no new infection control issues were observed during the focused review.
    01 Sept 2020Complaint
    Investigated a complaint alleging resident abuse and found deficiencies related to rights notification, protection from abuse, and reporting of alleged violations.
    • CFR 483.10Resident Rights
    • CFR 483.12Free from Abuse and Neglect
    • CFR 483.12(c)Reporting of Alleged Violations
    01 Aug 2020Infection Control
    Determined deficiencies from a prior complaint investigation left it out of compliance.
    01 Aug 2020Infection Control
    Found no deficiencies; a COVID-19 focused emergency preparedness survey determined compliance with emergency preparedness requirements.
    01 Jul 2020Complaint
    Investigated a complaint regarding discharge of home medications and found that a resident was discharged with medications belonging to others, and the home-medication process was not properly followed.
    • 45.21.8 AccidentsAccidents
    01 Jul 2020Infection Control
    Investigated a COVID-19 focused infection control complaint; found deficiencies that left the operation out of compliance.
    01 Jul 2020Complaint
    Found in compliance with emergency preparedness requirements during a COVID-19 focused survey.
    01 Jul 2020Infection Control
    Confirmed compliance with emergency preparedness requirements during a COVID-19 focused survey conducted on 2020-07-13.
    01 Jun 2020Infection Control
    Found no deficiencies after a Covid-19 focused infection control review; CMS and CDC practices were in place.
    01 Jun 2020Infection Control
    Found no deficiencies. Compliance with infection control regulations was confirmed during the COVID-19 focused review.
    01 Feb 2020Complaint
    Investigated two complaints and found no deficiencies.
    01 Jan 2020Complaint
    Investigated a complaint and found no deficiencies.
    01 Nov 2019Complaint
    Determined no deficiencies were cited after reviewing a complaint investigation.
    01 Aug 2019Complaint
    Identified failure to perform weekly body audits and skin checks, contributing to the development and progression of a pressure ulcer in a resident and subsequent hospitalization.
    • 45.21.3Pressure sores
    01 Aug 2019Complaint
    Investigated a complaint about pressure ulcers and skin care; found failures to implement a high-risk skin-care plan and to conduct weekly body/skin observations, leading to harm.
    • 42 CFR §483.21(b)Comprehensive Care Plans
    • 42 CFR §483.25(b)Skin Integrity; Pressure ulcers
    01 Mar 2019Inspection
    Investigated multiple deficiencies in care and infection control. Found failing MDS submission, care plan implementation, wound and catheter care, and storage of medications, plus gaps in infection prevention.
    • CFR 483.20(f)(1)-(4)Encoding/Transmitting Resident Assessments
    • CFR 483.21(b)(1)Comprehensive Care Plans
    • CFR 483.21(b)(3)(i)Services Provided Meet Professional Standards
    • CFR 483.25(b)Skin Integrity - Pressure Ulcers
    • CFR 483.25(e)Incontinence, Catheter, UTIs
    • CFR 483.45(g)-(h)(1)-(2)Labeling/Storage of Drugs and Biologicals
    • CFR 483.80(a)-(f)Infection Prevention & Control
    01 Mar 2019Inspection
    Identified deficiencies in pressure ulcer treatment and urinary catheter care that could affect healing and infection prevention.
    • 45.21.3Pressure sores
    • 45.21.4Urinary incontinence

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