I had a very positive experience here. The nurses, doctors, therapists and caregivers were consistently professional, compassionate and communicative-managing meds, appointments and even comforting us in the final days-while rehab and wound care were outstanding. The colonial-style building and grounds (peacocks!) are beautiful and well kept, the food and room service were excellent, activities plentiful, and overall the facility felt clean, respectful and attentive.
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
3.18·(49)
Overall rating
5
4
3
2
1
Care
2.4
Staff
2.7
Meals
3.8
Amenities
3.1
Value
1.3
Pros
Strong inpatient rehabilitation and therapy program
Skilled, encouraging physical and occupational therapists
Capable wound-care and specialty nursing expertise
On-site physician coverage and coordinated appointments
Extensive, well-organized activities program and active director
Regular social programming and access to outdoor courtyards
Accommodations for specialized diets and room-service options
Well-maintained exterior grounds and scenic lake setting
Successful short-term recovery and discharge outcomes
Supportive maintenance and facilities personnel
Proactive health monitoring and medication communication
Cons
Inconsistent staffing levels and slow responsiveness to call lights
Cleanliness and sanitation lapses in resident rooms and common areas
Safety and maintenance gaps including accessibility barriers
Weak transfer- and mobility-assistance practices
Inconsistent clinical supervision and variable nursing quality
Staff conduct and tone in resident interactions
Inadequate controls over resident personal items and food (allegations of theft)
Frequent leadership turnover and management instability
Poor complaint-resolution and family-communication processes
Variable dining quality and mealtime satisfaction for some residents
Inconsistent adherence to consent-oriented and restraint policies
Perception of management emphasis on financial priorities over operations
Summary of reviews
The reviews present a polarized but recognizable profile of Lakeview Nursing Center. On the positive side, the facility demonstrates clear strengths in short-term rehabilitation and therapy: reviewers frequently cite skilled, patient, and effective therapists, capable wound-care nursing, and successful rehabilitation outcomes leading to discharge. On-site physician coverage, coordinated appointments and transportation, and proactive medication communication were highlighted as elements that support clinical continuity. The activities program is robust, with an active director, frequent social events, outdoor courtyard access, and programming that many residents find engaging. Several reviewers praised the grounds, lake setting, and maintenance staff, and many families reported compassionate, attentive direct-care nursing and technician staff who provided individualized support.
Counterbalancing those strengths are recurring operational concerns that suggest variability in day-to-day care and facility management. Multiple reviews describe inconsistent staffing levels and slow response times to call lights, which reviewers linked to delays in attending to residents and incontinence-care issues. Cleanliness and sanitation lapses in both resident rooms and shared spaces were described frequently enough to indicate uneven housekeeping standards. Reviewers also raised safety and maintenance issues — including accessibility barriers, hazardous equipment or fixtures, and weaknesses in transfer and mobility-assistance practices — that correlate with reports of falls and falls-related injuries. Clinical supervision and nursing quality were described as variable: while some families praised nurses as caring and communicative, others described insufficient oversight, missed care instructions, and slow escalation when problems arose.
Management and organizational culture emerge as a notable pattern. Several reviews describe frequent leadership turnover, concerns about administrative focus on finances, difficulties resolving family complaints, and inconsistent transparency. There are also allegations regarding missing personal items, food, or cash; these allegations point to weaknesses in controls over resident belongings and raise the need to investigate accountability procedures. Communication tone and professionalism were variable: some families reported responsive, comforting communication from clinicians, while others encountered dismissive or unprofessional phone interactions. Dining impressions were mixed as well — numerous families praised the food and dietary accommodations, whereas others reported poor meal palatability or inconsistent service.
For prospective residents and family members, the pattern suggests that Lakeview may be particularly strong as a rehabilitation/short-stay option and in providing lively activities and outdoor amenities, but that quality of daily nursing care, housekeeping, safety maintenance, and management responsiveness can vary. When evaluating the facility, families should directly assess current staffing levels and turnover, request recent inspection/complaint histories, observe housekeeping and dining operations, review transfer- and restraint-related policies, and ask about measures to secure resident belongings and medication management. Observing a therapy session and speaking with therapists and the on-site physician can help validate the strong clinical strengths that many reviewers cited, while a thorough tour of resident rooms, bathrooms, and outdoor paths can help reveal any accessibility or maintenance issues that may affect quality of life.
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Medicare Ratings
3·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Lakeview Nursing Center is located at 16411 Robinson Rd, Gulfport, MS, 39503.
About Lakeview Nursing Center
Lakeview Nursing Center Personal Care sits in Gulfport, Mississippi, right near the coast, and looks out over a quiet lake where you might spot peacocks and swans strolling on a wide, peaceful lawn, and the place gives off a calm feeling inside and out with clean, homelike rooms, both private and semi-private, all tastefully decorated so residents feel comfortable whether they stay short-term or long-term, and from the veranda there's a clear view of the water and birds, which makes the place seem even more settled and cozy. The building's single-story, so there aren't stairs to worry about, and the staff stays on duty around the clock, with nurses ready to help at any hour, and they keep a close eye on everyone's well-being with personal care plans made for each person's needs. The skilled nursing unit offers care for folks who need non-ambulatory help, incontinence support, dialysis, or have specific diet needs, and the rehabilitation center's set up with 105 dually certified beds for those who need physical, occupational, or speech therapy, either for a short stay or a longer time. Meals come with the stay, and there're always staff and extra services to help out, including transportation if someone has an appointment elsewhere. People can enjoy activities inside and out, from arts and crafts and live music, to devotional sessions, and there's a steady calendar of social events so residents can make friends and keep busy. Pets are allowed, which makes the community feel more like home for many, and the whole place keeps a warm and clean environment where staff, many of whom have years of experience since the place opened in 1994, make sure everyone feels safe. Lakeview Nursing Center Personal Care provides both long-term and personal care assistance for folks who want to stay somewhere peaceful, enjoy a view, and have their health needs met by an attentive team that follows all the rules and regulations the law requires.
People often ask...
Lakeview Nursing Center offers independent living, assisted living, memory care, and skilled nursing.
Yes, Lakeview Nursing Center allows residents to age in place and adjust their level of care as needed.
The full address for this community is 16411 Robinson Rd, Gulfport, MS 39503.
No, Lakeview Nursing Center 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.
Found no deficiencies. Investigated a resident's complaint about abdominal pain and distension and determined compliance with state licensure requirements.
01 Aug 2025Complaint
01 Aug 2025Complaint
Investigated a complaint about timely assessment and addressing a resident’s abdominal pain and distension; found no deficiencies.
01 Jul 2025Complaint
01 Jul 2025Complaint
Confirmed no deficiencies were identified during the complaint investigation.
01 Jul 2025Complaint
01 Jul 2025Complaint
Found no deficiencies after investigating a complaint about accidents/falls.
01 Jul 2025Complaint
01 Jul 2025Complaint
Investigated a complaint about accidents/falls and found no deficiencies.
01 Jul 2025Complaint
01 Jul 2025Complaint
Found no deficiencies. Concluded compliance with the applicable standards.
01 May 2025Revisit
01 May 2025Revisit
Verified continued compliance with licensure standards and placed back in compliance.
01 May 2025Revisit
01 May 2025Revisit
Determined that corrective actions addressed a deficiency and placed the provider back in compliance.
01 May 2025Complaint
01 May 2025Complaint
Investigated multiple complaints and found ongoing noncompliance due to deficiencies cited in a prior survey.
01 May 2025Complaint
01 May 2025Complaint
Investigated multiple complaints and found no deficiencies related to these complaints, but noted prior deficiencies from an earlier survey left the provider out of compliance with participation requirements.
01 May 2025Revisit
01 May 2025Revisit
Concluded that the provider/supplier was in compliance after a follow-up visit related to annual recertification.
01 Apr 2025Inspection
01 Apr 2025Inspection
Found that the current-year fire alarm documentation was not provided, indicating the system was not properly maintained.
NFPA 72 Table 14.3.1; NFPA 72 14.4.5.3.2Fire Alarm System - Testing and Maintenance
01 Apr 2025Inspection
01 Apr 2025Inspection
Identified a failure to maintain the fire alarm system; current year's annual and sensitivity inspection documentation was unavailable. This deficiency affected all residents.
Investigated a licensing survey found multiple deficiencies across safety, care planning, infection control, staffing reporting, and immunization timing.
Investigated a recertification survey identified multiple deficiencies across environment and quality of care areas. Findings included unsafe environment conditions, PASRR gaps, incomplete care plans, accident hazards, food safety issues, delayed vaccinations, payroll reporting errors, and weak QA oversight.
§483.80(d)Influenza and Pneumococcal Immunizations
01 Jan 2025Complaint
01 Jan 2025Complaint
Found no deficiencies. The investigation found compliance with requirements for participation in Medicare and Medicaid.
01 Jan 2025Complaint
01 Jan 2025Complaint
Investigated a complaint about resident safety and the physical environment. Found no deficiencies.
01 Aug 2024Revisit
01 Aug 2024Revisit
Concluded compliance after addressing the complaint and implementing corrective measures; the state agency recommended restoration of compliance.
01 Aug 2024Revisit
01 Aug 2024Revisit
Concluded that compliance was achieved and recommended placing back in compliance.
01 Jul 2024Complaint
01 Jul 2024Complaint
Investigated infection control concerns and found practices were not consistently followed, including a staff member exiting a resident's room with a soiled brief in gloves and no hand hygiene.
§483.80 Infection ControlInfection Prevention & Control
01 Jul 2024Complaint
01 Jul 2024Complaint
Investigated a complaint about infection control and found a staff member carried a soiled brief in gloves and did not perform hand hygiene.
48.58.1Infection Control
01 May 2024Complaint
01 May 2024Complaint
Investigated a complaint alleging call bells were not accessible, cleanliness and environmental issues were present, and residents were not groomed; found no deficiencies cited.
01 May 2024Complaint
01 May 2024Complaint
Found no deficiencies. The investigation determined compliance with applicable standards.
01 Mar 2024Revisit
01 Mar 2024Revisit
Determined compliance with licensure standards after a follow-up visit addressing a prior complaint, and placed back in compliance.
01 Mar 2024Revisit
01 Mar 2024Revisit
Verified no deficiencies were found during the follow-up visit.
01 Mar 2024Complaint
01 Mar 2024Complaint
Found no deficiencies from the complaint investigation conducted on 2024-03-19. However, remains out of compliance due to deficiencies cited on the 2024-02-28 survey.
01 Feb 2024Complaint
01 Feb 2024Complaint
Investigated a smoking-related incident and found unsafe practices around oxygen use and lighting materials, which caused facial burns.
45.21.8Accidents
01 Feb 2024Complaint
01 Feb 2024Complaint
Investigated complaints identified deficiencies in care planning and safety during smoking activities, leading to unsafe oxygen use and patient burns.
§483.21(b)(3)Develop/Implement Comprehensive Care Plan
§483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
01 Dec 2023Complaint
01 Dec 2023Complaint
Found no deficiencies during the complaint investigation related to environment and quality of care.
01 Dec 2023Complaint
01 Dec 2023Complaint
Investigated a complaint alleging misappropriation of property and found no deficiencies.
01 Dec 2023Complaint
01 Dec 2023Complaint
Determined that no deficiencies were cited after a complaint investigation related to misappropriation of property.
01 Dec 2023Complaint
01 Dec 2023Complaint
Found no deficiencies after a complaint investigation into environment and incontinent care.
01 Oct 2023Complaint
01 Oct 2023Complaint
Investigated a complaint of physical abuse and found no deficiencies.
01 Oct 2023Complaint
01 Oct 2023Complaint
Investigated a complaint alleging physical abuse and found no deficiencies.
01 Aug 2023Revisit
01 Aug 2023Revisit
Determined that the operation met the standards and recommended reinstatement of compliance.
01 Aug 2023Revisit
01 Aug 2023Revisit
Determined back in compliance after a desk review of information related to the annual survey. Placed back in compliance effective 08/15/23.
01 Aug 2023Revisit
01 Aug 2023Revisit
Placed back in compliance after reviewing prior issues.
01 Aug 2023Revisit
01 Aug 2023Revisit
Determined that compliance was restored after a desk review and recommended placing back in compliance.
01 Aug 2023Revisit
01 Aug 2023Revisit
Determined back in compliance after reviewing corrective actions implemented following the prior survey.
01 Aug 2023Revisit
01 Aug 2023Revisit
Determined that the situation had been corrected and recommended reinstatement of compliance.
01 Aug 2023Revisit
01 Aug 2023Revisit
Concluded that compliance was restored after corrective actions were implemented. The review noted measures addressed the previously identified deficiency and supported ongoing compliance.
01 Jul 2023Inspection
01 Jul 2023Inspection
Identified multiple deficiencies across rights, environment, transfers, care planning, ADL support, medications, oxygen safety, drug storage, and the facility's quality improvement program.
Found that the fire alarm system was not properly maintained and current year annual inspection documentation was unavailable.
NFPA 72 Table 14.3.1Fire alarm system maintenance/annual inspection documentation
01 Jul 2023Inspection
01 Jul 2023Inspection
Found that two resident assessments were not transmitted on time, delaying MDS data submission for February 2023 ARDs. As of 7/17/2023, these assessments had not been submitted.
Investigated an annual recertification that found several deficiencies including privacy for catheter bags, nail care, medication storage, and wall/curtain cleanliness.
45.17.2Residents' Rights
45.21.2Activities of daily living
45.24.4Labeling of drugs
45.40.7Walls and Ceilings
01 Jul 2023Inspection
01 Jul 2023Inspection
Found fire safety documentation deficiencies, including missing current-year fire alarm inspection and incomplete fire drill records.
NFPA 101 Fire Alarm System - Testing and Maintenance; NFPA 70; NFPA 72; 9.6.1.3; 9.6.1.5; 42 CFR 483.70(a)Fire Alarm System - Testing and Maintenance
NFPA 101 Fire Drills; 19.7.1.2; 19.7.1.4–19.7.1.7Fire Drills
01 Jul 2023Inspection
01 Jul 2023Inspection
Found no deficiencies and confirmed compliance with all applicable emergency preparedness requirements.
01 Jun 2023Revisit
01 Jun 2023Revisit
Determined corrective actions were in place to restore compliance.
01 Jun 2023Complaint
01 Jun 2023Complaint
Investigated complaints about linens, staffing, water provision, infection control, roaches, equipment maintenance, cold food, incontinence care, and resident treatment; found no deficiencies cited but noted ongoing noncompliance with licensure standards.
01 Jun 2023Revisit
01 Jun 2023Revisit
Concluded that the facility was in compliance with the minimum standards after a desk review of information related to a complaint.
01 Jun 2023Complaint
01 Jun 2023Complaint
Identified ongoing noncompliance from a prior survey; the complaint investigation found no deficiencies.
01 May 2023Complaint
01 May 2023Complaint
Investigated complaints found a staff member verbally abused a resident and supervision failed to prevent a resident with elopement risk from leaving the building. Violations cited.
45.17.2 Residents' RightsResidents' Rights
45.21.8 AccidentsAccidents
01 May 2023Complaint
01 May 2023Complaint
Investigated a complaint found staff verbally abused a resident and supervision failures allowed a resident to elope, with further elopement risk identified and addressed.
42 CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
42 CFR 483.25(d)(1)-(2)Accidents
01 May 2023Revisit
01 May 2023Revisit
Determined compliance with applicable standards after a follow-up visit.
01 May 2023Revisit
01 May 2023Revisit
Concluded continued compliance with Medicare/Medicaid participation after a follow-up visit. No deficiencies were cited.
01 Mar 2023Complaint
01 Mar 2023Complaint
Investigated neglect and care failures related to bowel movement monitoring; found widespread documentation and administration deficiencies that contributed to a resident's hospitalization and death, with risk to all residents.
42 CFR 483.12(a)(1)Freedom from Abuse and Neglect
42 CFR 483.12(b)(5)(i)(A)(B)(c)(1)(4); 42 CFR 483.12(c)Reporting of Alleged Violations
42 CFR 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
42 CFR 483.25Quality of Care
42 CFR 483.70Administration
01 Mar 2023Complaint
01 Mar 2023Complaint
Investigated complaints found neglect in monitoring residents' bowel movements and documenting care, leading to severe constipation and a resident's death; corrective actions were implemented.
45.17.2Residents' Rights
01 Mar 2023Complaint
01 Mar 2023Complaint
Investigated a complaint and found no deficiencies cited. However, ongoing noncompliance due to a prior survey was noted.
01 Jan 2023Complaint
01 Jan 2023Complaint
Investigated a complaint alleging abuse; found no deficiencies.
01 Jan 2023Complaint
01 Jan 2023Complaint
Investigated a complaint alleging resident abuse and found no deficiencies.
01 Dec 2022Complaint
01 Dec 2022Complaint
Found no deficiencies.
01 Dec 2022Complaint
01 Dec 2022Complaint
Investigated complaints and found no deficiencies.
01 Nov 2022Revisit
01 Nov 2022Revisit
Found no deficiencies related to emergency preparedness during the focused survey.
01 Nov 2022Revisit
01 Nov 2022Revisit
Found no deficiencies. Compliance with minimum standards confirmed.
01 Nov 2022Revisit
01 Nov 2022Revisit
Found no deficiencies. Concluded compliance with emergency preparedness requirements.
01 Nov 2022Revisit
01 Nov 2022Revisit
Verified compliance with minimum standards after reviewing the complaint information.
01 Nov 2022Revisit
01 Nov 2022Revisit
Concluded that compliance was achieved after review.
01 Nov 2022Revisit
01 Nov 2022Revisit
Concluded that the provider was back in compliance after addressing concerns and recommended maintaining that status.
01 Oct 2022Infection Control
01 Oct 2022Infection Control
Cited a quality-of-care deficiency for transcription errors in physician orders that led to incorrect administration of a medication to two residents.
CFR 483.25Quality of Care
01 Oct 2022Complaint
01 Oct 2022Complaint
Investigated a complaint and identified a physician order transcription error that led to two residents receiving the wrong medication.
CFR 483.25Quality of care
01 Oct 2022Complaint
01 Oct 2022Complaint
Found substantial compliance with emergency preparedness requirements. No deficiencies were cited.
01 Oct 2022Infection Control
01 Oct 2022Infection Control
Investigated a complaint and found no deficiencies.
01 Oct 2022Infection Control
01 Oct 2022Infection Control
Verified no deficiencies were cited after the complaint investigation. The agency determined compliance with applicable minimum standards.
01 Oct 2022Complaint
01 Oct 2022Complaint
Investigated a complaint and found no deficiencies.
01 Oct 2022Infection Control
01 Oct 2022Infection Control
Found no deficiencies. A focused emergency preparedness survey found compliance with the applicable rule.
01 Jul 2022Revisit
01 Jul 2022Revisit
Verified compliance with state regulations after a follow-up visit; no deficiencies were identified.
01 Jul 2022Complaint
01 Jul 2022Complaint
Investigated a complaint alleging neglect and failure to notify a responsible representative about a resident's change in condition. Found no deficiencies.
01 Jul 2022Complaint
01 Jul 2022Complaint
Investigated a complaint and found no deficiencies in this investigation, but noted that earlier deficiencies from May 11, 2022 left Medicare/Medicaid participation in noncompliance.
01 Jul 2022Revisit
01 Jul 2022Revisit
Verified compliance with Medicare/Medicaid participation after a follow-up revisit. Compliance was restored effective 2022-06-28.
01 May 2022Complaint
01 May 2022Complaint
Investigated a complaint and found failures to implement the resident's care plan and to follow physician orders, including incorrect transcription and administration of Lexapro.
CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
CFR 483.25Quality of care
01 May 2022Complaint
01 May 2022Complaint
Found no deficiencies. The agency determined compliance with Medicare/Medicaid participation requirements.
01 May 2022Complaint
01 May 2022Complaint
Found no deficiencies after a complaint investigation conducted May 9–11, 2022.
01 May 2022Complaint
01 May 2022Complaint
Determined no deficiencies were found during the complaint investigation.
01 Mar 2022Complaint
01 Mar 2022Complaint
Determined no deficiencies after investigating a complaint alleging call lights not answered, abuse, injury, and wounds.
01 Mar 2022Complaint
01 Mar 2022Complaint
Investigated the complaint alleging call bells not answered, abuse, injury, and wound care and found no deficiencies.
01 Nov 2021Complaint
01 Nov 2021Complaint
Found no deficiencies after a complaint investigation into infection control. Confirmed compliance with Medicare and Medicaid participation.
01 Nov 2021Revisit
01 Nov 2021Revisit
Concluded compliance after follow-up review of a complaint.
01 Nov 2021Complaint
01 Nov 2021Complaint
Concluded compliance with Mississippi regulations for minimum standards for institutions for aged or infirm after a complaint investigation. No deficiencies were cited.
01 Nov 2021Revisit
01 Nov 2021Revisit
Verified compliance with participation requirements and found no deficiencies.
01 Oct 2021Complaint
01 Oct 2021Complaint
Investigated a complaint; concluded the allegation was not substantiated, and noted ongoing noncompliance from deficiencies cited on a prior survey.
01 Oct 2021Complaint
01 Oct 2021Complaint
Investigated a complaint; noted ongoing deficiencies from a prior survey left the facility out of compliance.
01 Sept 2021Complaint
01 Sept 2021Complaint
Investigations found multiple deficiencies involving grievances handling, protections against abuse/neglect, medication misappropriation, and care planning, with residents experiencing inadequate ADL care, incontinence management, and preventable wounds.
483.10(j)Grievances
483.12(a)(1)Free from Abuse and Neglect
483.12Free from Misappropriation/Exploitation
483.21(b)Develop/Implement Comprehensive Care Plan
483.24(a)(2)ADL Care Provided for Dependent Residents
483.25(b)(1)Treatment/ Svcs to Prevent/Heal Pressure Ulcer
483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
01 Sept 2021Complaint
01 Sept 2021Complaint
Investigated complaints identified violations of residents' rights and safety, including untimely incontinent care, preventable pressure injuries, medication diversion, inadequate ADL support, and pest control issues.
45.17.2Residents' Rights
45.21.2Activities of daily living
45.21.3Pressure sores
45.33.4Control of insects, rodents, etc.
01 May 2021Complaint
01 May 2021Complaint
Investigated a complaint alleging abuse, unqualified staff, lack of pressure sore prevention, no rehabilitation services, and dead termites; concluded no deficiencies and compliance with standards.
01 May 2021Complaint
01 May 2021Complaint
Found no deficiencies. Investigated a complaint alleging abuse, unqualified staff, lack of pressure sore prevention, lack of rehabilitation services, and dead termites in the window sill; could not substantiate and determined compliance.
01 Apr 2021Infection Control
01 Apr 2021Infection Control
Found failure to report complete COVID-19 information to NHSN in the weekly period as required.
42 CFR 483.80(g)COVID-19 reporting to NHSN
01 Apr 2021Infection Control
01 Apr 2021Infection Control
Identified incomplete reporting of COVID-19 data to NHSN during a one-week period.
42 CFR 483.80(g)COVID-19 reporting to NHSN
01 Jan 2021Infection Control
01 Jan 2021Infection Control
Found serious infection control lapses during a COVID-19 outbreak, including missing trained infection preventionist, PPE and isolation failures, and gaps in quality assurance oversight.
42 CFR 483.80Infection Control
42 CFR 483.80(b)(4)(c)Infection Preventionist
42 CFR §483.75(a)(1)(b)(1)(2)(3)(f)(1)(2)(3)(4)(5)(6)(i)Quality Assurance and Performance Improvement (QAPI) program
01 Jan 2021Infection Control
01 Jan 2021Infection Control
Investigated concluded deficiencies in infection prevention practices, lack of a trained infection preventionist, and an inadequate quality improvement process during a COVID-19 outbreak.
42 CFR 483.80(a)(1)-(2)(e)(f)Infection prevention and control
42 CFR 483.80(b)(4)(c)Infection preventionist
42 CFR 483.75(a)Quality assurance and performance improvement (QAPI) program
01 Jan 2021Complaint
01 Jan 2021Complaint
Investigated and found deficiencies in infection control and program oversight during COVID-19 outbreaks, including improper PPE use, hand hygiene lapses, and gaps in infection prevention staffing and QA/QAPI oversight.
42 CFR 483.80(a)(1)(2)(e)(f)Infection Prevention and Control
42 CFR 483.80(b)(4)(c)Infection Preventionist
42 CFR 483.75(a)(1)(b)(1)(2)(3)(f)(1)(2)(3)(4)(5)(6)(i)Quality Assurance and Performance Improvement (QAPI) program
01 Jan 2021Complaint
01 Jan 2021Complaint
Concluded compliance with state licensure requirements; complaints were unsubstantiated.
01 Jan 2021Infection Control
01 Jan 2021Infection Control
Found no deficiencies. Confirmed compliance with licensing standards after a COVID-19 focused survey and complaint investigations.
01 Jan 2021Complaint
01 Jan 2021Complaint
Found no deficiencies after a focused review of emergency preparedness.
01 Oct 2020Complaint
01 Oct 2020Complaint
Confirmed no deficiencies were found during a focused COVID-19 preparedness review.
01 Oct 2020Infection Control
01 Oct 2020Infection Control
Confirmed compliance with infection control requirements after a focused COVID-19 investigation; no deficiencies cited.
01 Oct 2020Complaint
01 Oct 2020Complaint
Found no deficiencies cited after a focused infection control review and complaint investigation. The investigation was unsubstantiated.
01 Oct 2020Infection Control
01 Oct 2020Infection Control
Found no deficiencies during a COVID-19 focused emergency preparedness survey.
01 Sept 2020Complaint
01 Sept 2020Complaint
Found no deficiencies during a COVID-19 focused emergency preparedness review conducted on 2020-09-17. Compliance with applicable emergency preparedness requirements was confirmed.
01 Sept 2020Infection Control
01 Sept 2020Infection Control
Found no deficiencies in infection control related to COVID-19, and concluded compliance with infection control regulations and CMS/CDC recommended practices.
01 Sept 2020Complaint
01 Sept 2020Complaint
Investigated a COVID-19 focused infection control review and related complaints. Found no deficiencies cited and compliance with infection control requirements.
01 Sept 2020Infection Control
01 Sept 2020Infection Control
Confirmed compliance with emergency preparedness requirements during a COVID-19 focused survey. No deficiencies were cited.
01 Aug 2020Infection Control
01 Aug 2020Infection Control
Found no deficiencies in infection control practices during a focused COVID-19 review.
01 Aug 2020Infection Control
01 Aug 2020Infection Control
Found no deficiencies. A Covid-19 focused infection control review found compliance with infection control regulations and CMS/CDC practices.
01 Aug 2020Infection Control
01 Aug 2020Infection Control
Found compliance with COVID-19 focused emergency preparedness requirements; no deficiencies were cited.
01 Aug 2020Infection Control
01 Aug 2020Infection Control
Found no deficiencies. Confirmed compliance with infection control regulations and Covid-19 preparedness practices.
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Found no deficiencies during a Covid-19 focused infection control review.
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Found compliance with COVID-19 infection control requirements and CDC practices. No deficiencies were cited.
01 Dec 2019Complaint
01 Dec 2019Complaint
Investigated complaints identified multiple deficiencies in care planning, pain management during wound care, supervision related to safety belts, wound care treatment, and infection control.
483.21(b)(1)Develop/Implement Comprehensive Care Plan
483.25(b)(1)(ii)Skin Integrity; Pressure Ulcers
483.25(d)(1)(2)Accidents; Supervision
483.80(a)(1)(2)(4)(e)(f); 483.80(a)(2)Infection Control
01 Dec 2019Complaint
01 Dec 2019Complaint
Investigated complaints about care quality and found failures in wound care pain assessment and supervision of a self-release belt, risking resident safety.
Type A45.21.3Pressure sores
Type A45.21.8Accidents
01 Sept 2019Complaint
01 Sept 2019Complaint
Investigation identified deficiencies in grievance resolution and posting survey results. Delays in MDS submissions and unnecessary use of psychotropic drugs were also found.
483.10(f)(5)-(7)Resident rights - group meetings and grievance responsiveness
483.10(g)(10)-(11)Right to access survey results and advocate agencies
483.20(f)(1)-(4)Automated data processing and MDS transmission
483.45(d)(1)-(6)Drug regimen is free from unnecessary drugs
01 Sept 2019Inspection
01 Sept 2019Inspection
Found missing generator testing records and disposal of most 2018-2019 documentation, with records not producible during review.
Investigated multiple deficiencies across resident rights, data reporting, medication management, infection control, and life-safety systems, including missing survey postings and delays in reporting, with several noncompliances identified.
CFR 483.10(f)(5)-(7)Resident Rights - Grievances
CFR 483.10(g)(10)-(11)Resident Rights - Access to Survey Results and Advocate Information
CFR 483.20(f)(1)-(4)MDS/RAI Data Encoding and Transmission
CFR 483.45(d)Drug Regimen is Free from Unnecessary Drugs
CFR 483.80(a)-(f)Infection Prevention and Control
NFPA 101; 18.3.2.5.1-18.3.2.5.4Cooking Facilities
NFPA 101 19.7.1.4-19.7.1.7Fire Drills
NFPA 99; NFPA 110; NFPA 111; NFPA 70Electrical Systems - Essential Electric System
01 Apr 2019Complaint
01 Apr 2019Complaint
Investigated a complaint and found no deficiencies.
01 Jan 2019Complaint
01 Jan 2019Complaint
Identified serious safety and supervision deficiencies after a resident eloped from the building, with an initial Immediate Jeopardy finding that was resolved by 01/23/2019. The investigation documented lapses in reporting and resident protection, followed by corrective actions.
42 CFR 483.12(c)(1)-(4)Abuse, Neglect, and Exploitation; Investigations/Reporting
42 CFR 483.10(g)Notification of Changes; Policy/Procedure
01 Jan 2019Complaint
01 Jan 2019Complaint
Investigated a complaint and found no deficiencies cited.
01 Aug 2018Complaint
01 Aug 2018Complaint
Found no deficiencies cited after a complaint investigation conducted on August 14, 2018.
01 Feb 2018Complaint
01 Feb 2018Complaint
Found no deficiencies.
01 Oct 2017Inspection
01 Oct 2017Inspection
Identified deficiencies in screening a new hire, including missing prior-employer reference checks and reliance on a background letter not addressing long-term care clearance, resulting in inadequate criminal history verification.
Section 43-11-13, Mississippi Code of 1972Criminal History Record Checks
01 Oct 2017Inspection
01 Oct 2017Inspection
Cited deficiencies in staff screening, infection control, and hospice coordination.
483.12(a)(3)-(4), 483.12(c)(1)-(4)Investigate/report alleged abuse, neglect, exploitation, and mistreatment; ensure reporting and investigation
483.80(a)(1)-(2)(4)(e)(f)Infection control and prevention program
483.70(o)(1)-(4)Hospice care services coordination
01 Feb 2017Revisit
01 Feb 2017Revisit
Confirmed substantial compliance after desk review.
01 Feb 2017Revisit
01 Feb 2017Revisit
Concluded substantial compliance after a desk review. No deficiencies were identified.
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