I placed my dad here and have been very pleased - the nurses, CNAs, therapists and front-office team (Deshuan and Ms. D. Brown stood out) are professional, friendly and genuinely caring. The facility is clean and homelike with excellent rehab and activities (music, crafts, holiday celebrations); residents are engaged and happy, so I confidently recommend them for short- or long-term stays while they continue making small improvements.
Loved one of resident
Jul 2026
Schedule a Tour
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
3.12·(75)
Overall rating
5
4
3
2
1
Care
2.7
Staff
2.9
Meals
1.0
Amenities
2.5
Value
1.4
Pros
Compassionate nursing and CNA teams
Skilled physical and occupational therapy services
Robust, resident-focused activities program
Supportive social work and admissions staff
Clean and well-maintained public areas
Consistent housekeeping and maintenance services
Family-like atmosphere and friendly residents
Positive short-term rehabilitation outcomes
24/7 clinical operations with hospital-style beds
Welcoming admissions and front-office interactions
Cons
Inconsistent staffing and workforce shortages
Delayed response to call lights and care requests
Inconsistent bathing and hygiene protocols
Incontinence-care delays and management gaps
Medication-administration and monitoring concerns
Communication gaps with families and poor follow-up
Management and leadership inconsistency
Financial/pricing practices that prioritize placement revenue
Overcrowded semi-private rooms and limited private-room access
Sanitation and cleanliness inconsistencies in resident areas
Staff conduct and professionalism concerns, including allegations of theft
Summary of reviews
The reviews for Tupelo Nursing & Rehab Center present a strongly polarized picture: many families and residents describe attentive nursing staff, effective therapy and rehabilitation services, and an active, resident-centered activities program; conversely, other accounts raise significant operational concerns that affect perceived safety and quality of care. The overall pattern suggests the facility delivers demonstrably good outcomes for some residents—particularly in short-term rehab and through engaged CNAs, therapists, and social work staff—but also exhibits recurring weaknesses that merit careful inquiry by prospective residents and families.
Care quality is described inconsistently. Positive reports highlight competent nursing, helpful CNAs, and successful therapy outcomes, with staff who provide individualized attention and support for rehabilitation goals. At the same time, multiple accounts describe delayed or missed care interactions, inconsistent bathing schedules, and gaps in incontinence management. There are also serious clinical concerns noted by reviewers—including medication-administration issues and mealtime-safety problems—that indicate potential vulnerabilities in clinical monitoring and incident response processes. These contrasting descriptions point to variability in care delivery that may be related to staffing and supervision.
Staff behavior and professionalism are similarly mixed. Many reviewers praise compassionate, respectful caregivers, supportive social workers, and personable admissions personnel who facilitate transitions. However, repeated critiques cite rude or unprofessional conduct by some staff, poor responsiveness to family communications, and allegations of dishonest behavior. These issues are reported alongside workforce shortages and low morale, suggesting that staffing levels and staff training/oversight are important drivers of the divergent experiences.
Dining and medication processes attract specific concern. Reports include delayed meal service and inconsistencies in timely administration of requested medications or symptom relief. Such patterns align with broader themes of response-time variability and clinical-process weaknesses rather than isolated occurrences. Prospective families should clarify meal schedules, medication administration protocols, and how the facility escalates and documents clinical issues.
Activities and communal life are recurring strengths. The facility is frequently described as having an extensive activities calendar, including resident-led events, music, arts and crafts, holiday programming, and religious services. These offerings contribute to a positive social environment for many residents and are among the most consistently praised aspects of the center.
Facilities and logistics present mixed impressions. Positive comments note clean public areas, functioning housekeeping and maintenance, secure entrances, and availability of hospital-style beds. Conversely, reviewers raise concerns about crowded semi-private rooms, curtains used as dividers, limited access to private rooms at an additional cost, and construction-related disruption. There are also accounts suggesting differences between marketing materials and the current condition of rooms, indicating value in inspecting actual rooms during a visit.
Management and administrative practices show variability over time. Some families report improved leadership, responsive administrators, and helpful front-office staff; others describe billing disputes, placement-prioritization driven by revenue considerations, restricted communication, and uneven follow-through on complaints. This divergence suggests recent leadership changes may be impacting culture and operations, but that consistency in management oversight remains a concern.
Notable patterns across reviews: (1) staffing variability appears to correlate with many quality concerns, including responsiveness and hygiene practices; (2) communication and follow-up with families are inconsistent; (3) clinical-process issues—particularly medication monitoring and mealtime safety—have been raised and should be clarified; and (4) the activity program and certain clinical/therapy teams are clear strengths. For prospective residents and families, recommended due diligence includes in-person observation of care routines (meal times, medication rounds, bathing schedules), discussion of staffing ratios and clinical escalation protocols, review of room layouts and pricing for private rooms, and direct conversations with the social work team and current residents to assess both daily life and management responsiveness.
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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
Tupelo Nursing & Rehab Center is located at 1901 Briar Ridge Rd, Tupelo, MS, 38804.
About Tupelo Nursing & Rehab Center
Tupelo Nursing & Rehab Center sits on Briar Ridge Road in Tupelo, Mississippi, with a single-story building that holds up to 120 residents, which is more than most nursing homes in the state. The rooms come both private and semi-private, each with a private restroom, cable and phone lines, and space for personal items, which helps residents feel settled and a bit more at home, and people can see that housekeeping and regular restroom cleaning are part of the routine. The facility serves folks who need long-term care and those just needing a shorter stay to recover from illness or surgery, with a Transitional Care Unit set up with its own private entrance for folks who come for rehabilitation. Nurses, Nurse Practitioners, and rehab doctors are around 24 hours a day, handling skilled nursing, complex medical needs, and support for things like dialysis, wound care with Wound Vac, and dementia care, and there's help for residents with bariatric care, dental services, x-ray, pharmacy, and even mental health support. For people working on strength and recovery, therapy services like physical, occupational, speech and enhancement therapy are available, with both inpatient and outpatient options, and the rehab gym has modern equipment like the Colorado Cycle and Omnicycle, which helps residents and outpatients work on endurance and strength.
The dining program's focus is on quality, with five-star meals and snacks meant to be both nutritious and enjoyable, served in a dedicated dining room so residents can eat together. For those who want to stay connected, each room has cable and telephone lines, with computer access in the shared center, plus transportation in a wheelchair van for medical appointments or outings. Residents can visit the beauty shop, exercise in the fitness room, join activities in the game room, or read in the small library, and there's garden space and an outdoor courtyard for fresh air. The facility holds scheduled activities every day of the week and offers organized community events, which helps people stay involved and engaged. There's support for short-term respite care, which gives caregivers a break, along with long-term residence and memory care services. Tupelo Nursing & Rehab Center accepts both Medicare and Medicaid, and works with long-term care insurance, while providing continuity of care by keeping familiar staff around. The building has undergone recent renovations to improve comfort and accessibility, and the care team prepares personalized plans shaped by each resident's health needs. Though reviews are mixed, averaging 2.3 out of 20 ratings, the facility remains Medicare and Medicaid certified, accredited, and recognized for quality care. This for-profit center provides both nursing and rehabilitation services aimed at supporting the overall wellness and independence of its residents.
People often ask...
Tupelo Nursing & Rehab Center offers assisted living, memory care, and skilled nursing.
There are 7 photos of Tupelo Nursing & Rehab Center on Mirador.
The full address for this community is 1901 Briar Ridge Rd, Tupelo, MS 38804.
No, Tupelo Nursing & Rehab 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.
License number
nh-255136
Facility type
Nursing Home
Special certification
Medicaid/Medicare – Dually certified
Inspection Reports
95
Reports
120
Citations
52
Complaints
6
Years
01 Jan 2026Revisit
01 Jan 2026Revisit
Concluded that compliance with the Life Safety Code was achieved and recommended placing back in compliance.
01 Jan 2026Revisit
01 Jan 2026Revisit
Determined that corrective actions were implemented and compliance was restored as of 01/05/26.
01 Jan 2026Revisit
01 Jan 2026Revisit
Verified corrections were implemented and compliance was restored after a follow-up visit. The agency recommended placing the operation back in compliance effective 01/05/26.
01 Jan 2026Revisit
01 Jan 2026Revisit
Concluded compliance was restored as of 01/05/26 after corrective actions.
01 Dec 2025Inspection
01 Dec 2025Inspection
The report identified multiple deficiencies across resident rights, end-of-life documentation, assessments, care planning, safety, nutrition, and infection control, indicating noncompliance with federal participation requirements.
§483.10(a)-(b)Resident Rights
§483.10(c)(6); §483.10(g)(12)Advance Directives/End-of-Life Care
§483.20(g)-(j)Accuracy of Assessments
§483.21(b)(1),(3)Comprehensive Care Plans
§483.25(d)(1)-(2)Accidents
§483.25(g)(1)-(3)Nutrition/Hydration Status
§483.60(e)(1)-(2)Therapeutic Diets
§483.80(a)-(e); §483.80(f)Infection Prevention & Control
01 Dec 2025Inspection
01 Dec 2025Inspection
Identified multiple deficiencies, including privacy lapses during care and inaccurate end-of-life documentation, safety lapses causing a resident fall, inadequate hydration monitoring for a dialysis patient, and improper glucometer cleaning.
45.17.2Residents' Rights
45.21.8Accidents
45.21.10Hydration
48.58.1Infection Control
01 Dec 2025Inspection
01 Dec 2025Inspection
Found that a corridor door protecting the Employee Breakroom was removed, compromising smoke resistance in the corridor. The Employee Breakroom could not resist the passage of smoke.
NFPA 101 section 19.3.6.3.5Corridor - Doors
01 Nov 2025Complaint
01 Nov 2025Complaint
Determined no violations cited after the complaint investigation and found compliance with the standards.
01 Nov 2025Complaint
01 Nov 2025Complaint
Concluded compliance with Medicare/Medicaid participation after a complaint investigation. No deficiencies were identified.
01 Jun 2025Complaint
01 Jun 2025Complaint
Concluded that the site met the minimum standards and no deficiencies were found.
01 Jun 2025Complaint
01 Jun 2025Complaint
Determined no deficiencies were found during the complaint investigation; the review concluded compliance with participation requirements.
01 Mar 2025Revisit
01 Mar 2025Revisit
Confirmed compliance after a follow-up visit; no deficiencies were cited.
01 Mar 2025Complaint
01 Mar 2025Complaint
Determined no deficiencies cited in the complaint investigation, and noted prior deficiencies from the 2/18/25 survey left participation out of compliance.
01 Mar 2025Revisit
01 Mar 2025Revisit
Verified the entity was in compliance with Medicare/Medicaid participation; no deficiencies were found.
01 Mar 2025Complaint
01 Mar 2025Complaint
Found no deficiencies. The agency determined compliance with applicable standards.
01 Feb 2025Complaint
01 Feb 2025Complaint
Investigated a verbal abuse incident involving staff toward a resident and found a violation of residents' rights.
45.17.2Residents' Rights
01 Feb 2025Complaint
01 Feb 2025Complaint
Investigated a complaint of verbal abuse toward a resident and concluded a violation of the right to be free from abuse.
CFR 483.12(a)(1)Free from Abuse and Neglect
01 Oct 2024Revisit
01 Oct 2024Revisit
Placed back in compliance after a follow-up visit confirmed current compliance with standards.
01 Oct 2024Complaint
01 Oct 2024Complaint
Investigated a complaint and determined continued noncompliance due to previously cited deficiencies.
01 Oct 2024Revisit
01 Oct 2024Revisit
Verified compliance with emergency preparedness requirements; no deficiencies were cited.
01 Oct 2024Revisit
01 Oct 2024Revisit
Confirmed corrective actions were in place to address prior deficiencies and recommended placing the provider back in compliance.
01 Oct 2024Revisit
01 Oct 2024Revisit
Verified compliance was restored after the follow-up visit.
01 Oct 2024Revisit
01 Oct 2024Revisit
Verified that corrective actions addressed the prior deficient practice and compliance was restored after a follow-up visit.
01 Oct 2024Complaint
01 Oct 2024Complaint
Investigated a complaint regarding neglect and quality of care; found no deficiencies in this inquiry, but noted ongoing noncompliance due to earlier survey findings.
01 Oct 2024Revisit
01 Oct 2024Revisit
Concluded that corrective measures were put in place to restore compliance and recommended reinstatement.
01 Sept 2024Inspection
01 Sept 2024Inspection
Investigated and found multiple deficiencies related to resident care, safety, staffing, infection control, and governance across several areas.
CFR 483.10(f)Self-Determination
CFR 483.10(i)Safe Environment
CFR 483.15(c)(3)-(6)(8)Notice Before Transfer/Discharge
CFR 483.15(d)Bed-Hold Policy Notice
CFR 483.20(g)Accuracy of Assessments
CFR 483.21(b)(1)-(3)Care Plans
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
Found that quarterly sprinkler system testing records were not properly documented in accordance with NFPA standards, potentially affecting operations at the center.
NFPA 101 sections 9.7.5, 9.7.7, 9.7.8; NFPA 25; 42 CFR 483.90(a)Sprinkler System - Maintenance and Testing
01 Sept 2024Complaint
01 Sept 2024Complaint
Investigated for failures to assist residents with activities of daily living, including grooming, bathing, nail care, and continence care, resulting in several residents not receiving timely personal care.
M610Activities of daily living
01 Sept 2024Inspection
01 Sept 2024Inspection
Found missing records for quarterly fire sprinkler inspections for three quarters in the prior year.
Investigated a complaint and found multiple deficiencies related to resident care plans, ADL assistance, staffing, administration, and safety practices.
483.10(i)Safe Environment
483.21(b)Comprehensive Care Plans
483.24(a)(2)ADL Care Provided for Dependent Residents
483.35(a)(1)-(2)Sufficient Nursing Staff
483.70Administration
483.75Quality Improvement and Performance Improvement
—Administration
—Environment/Safety
—Environment/Safety
01 Sept 2024Inspection
01 Sept 2024Inspection
Investigated and identified deficiencies in residents' rights, daily living assistance, room cleanliness, and infection control.
45.17.2Residents' Rights
45.21.2Activities of daily living
45.35.3Resident Bedrooms
48.58.1Infection Control
01 Sept 2024Inspection
01 Sept 2024Inspection
Verified compliance with emergency preparedness requirements. No deficiencies were cited.
01 Jan 2024Complaint
01 Jan 2024Complaint
Found no deficiencies after the complaint survey. Compliance with applicable Mississippi standards was confirmed.
01 Jan 2024Complaint
01 Jan 2024Complaint
Found no deficiencies. The investigations determined the facility was in compliance with Medicare and Medicaid participation requirements.
01 Sept 2023Complaint
01 Sept 2023Complaint
Found no deficiencies.
01 Sept 2023Complaint
01 Sept 2023Complaint
Investigated the complaint and found no deficiencies.
01 Aug 2023Complaint
01 Aug 2023Complaint
Investigated a complaint and found that a resident elopement risk was not adequately managed and the baseline care plan was not implemented, resulting in unsafe supervision.
42 CFR 483.21(a)(1)-(3)Baseline Care Plan
42 CFR 483.25(d)(1)-(2)Accidents
01 Aug 2023Complaint
01 Aug 2023Complaint
Investigated an elopement involving a resident at elopement risk; found supervision insufficient, allowing the resident to leave unnoticed and wander 4.2 miles in hot weather before being found.
45.21.8Accidents
01 Jun 2023Revisit
01 Jun 2023Revisit
Found no deficiencies after review and confirmed ongoing compliance.
01 Jun 2023Revisit
01 Jun 2023Revisit
Concluded the facility was in compliance with the minimum standards after a desk review of the annual survey information. Recommended the facility be placed back in compliance effective 2023-06-23.
01 Jun 2023Revisit
01 Jun 2023Revisit
Verified corrective actions were in place and compliance was restored after the follow-up visit.
01 Jun 2023Revisit
01 Jun 2023Revisit
Concluded compliance with Medicare/Medicaid participation requirements after measures were implemented.
01 Jun 2023Revisit
01 Jun 2023Revisit
Determined that compliance was restored after corrective measures were implemented.
01 Jun 2023Complaint
01 Jun 2023Complaint
Concluded that no deficiencies were cited in the complaint investigation; however, noncompliance remained due to deficiencies cited in a prior survey.
01 Jun 2023Revisit
01 Jun 2023Revisit
Found no deficiencies related to emergency preparedness.
01 Jun 2023Complaint
01 Jun 2023Complaint
Concluded that recent reviews found no deficiencies, but prior deficiencies cited on 5/18/2023 kept the license out of compliance.
01 May 2023Complaint
01 May 2023Complaint
Found violations related to activities of daily living, including shaving and nail care, for two residents. Additional compliance concerns were noted.
45.21.2Activities of daily living
M500
M1570
01 May 2023Complaint
01 May 2023Complaint
Investigated deficiencies found that two residents did not receive necessary ADL care, including shaving and nail care.
483.24(a)(2)ADL Care Provided for Dependent Residents
01 May 2023Inspection
01 May 2023Inspection
Investigated findings showed deficiencies in residents' rights, daily living care, and infection control, including weekend mail delivery lapses, inadequate nail/shaving care for residents, and improper storage of respiratory equipment.
45.17.2Residents' Rights
45.21.2Activities of daily living
48.58.1Infection Control
01 May 2023Inspection
01 May 2023Inspection
Identified unsealed penetrations and damaged ceilings in hazardous areas, compromising smoke barrier protections.
NFPA 101 19.3.2.1; NFPA 101 19.3.5.9Hazardous Areas - Enclosure
01 May 2023Inspection
01 May 2023Inspection
Identified deficient practices across resident rights, care planning, ADL care, pain management, psychotropic meds, medication storage, and infection control.
§483.10(g)(6)-(9)Right to Forms of Communication w/ Privacy
§483.21(b)Develop/Implement Comprehensive Care Plan
§483.24(a)(2)ADL Care Provided for Dependent Residents
§483.25(k)Pain Management
§483.45(g)(h)Free from Unnecessary Psychotropic Meds/PRN Use
§483.45(g)-(h)Label/Store Drugs and Biologicals
§483.80(a)-(f) and §483.80(e)Infection Prevention & Control
01 May 2023Inspection
01 May 2023Inspection
Found no deficiencies. Emergency preparedness requirements were met.
01 Nov 2022Complaint
01 Nov 2022Complaint
Concluded substantial compliance; no deficiencies were cited.
01 Nov 2022Complaint
01 Nov 2022Complaint
Investigated a complaint of neglect and found no deficiencies, concluding substantial compliance.
01 Aug 2022Revisit
01 Aug 2022Revisit
Concluded compliance with Medicare/Medicaid participation requirements was restored after a revisit identified previously cited deficiencies.
—
—
—
—
—
01 Aug 2022Revisit
01 Aug 2022Revisit
Determined in compliance with participation requirements after a post-certification revisit and placed back into compliance for previously cited deficiencies.
—
—
—
01 Jul 2022Complaint
01 Jul 2022Complaint
Investigated a complaint alleging neglect and found no deficiencies related to the allegation; however, out-of-compliance status remained due to deficiencies cited on a prior survey.
01 Jul 2022Complaint
01 Jul 2022Complaint
Investigated the complaint; found no deficiencies. Previously cited deficiencies from the 6/24/2022 survey left the operation out of compliance.
01 Jun 2022Complaint
01 Jun 2022Complaint
Investigated a wandering incident in which a resident left the premises without supervision. Found deficiencies in supervision, elopement prevention, care planning, and documentation.
42 CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
42 CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
42 CFR 483.70(i)(1)-(5) and 42 CFR 483.20(f)(5)Resident Records - Identifiable Information
01 Jun 2022Complaint
01 Jun 2022Complaint
Investigated a resident elopement; found deficiencies in resident rights, accident prevention, and medical record documentation.
45.17.2Residents' Rights
45.21.8Accidents Hazards
45.25.1Medical Records Management
01 May 2022Revisit
01 May 2022Revisit
Determined that compliance was restored after a post-certification revisit and recommended placing the provider back in compliance.
01 May 2022Revisit
01 May 2022Revisit
Conducted a post-certification revisit and recommended restoring compliance by 04/15/2022.
01 Mar 2022Infection Control
01 Mar 2022Infection Control
Investigated a complaint and found widespread water damage to ceilings and walls from roof leaks, with mold signs and unsafe conditions across multiple hallways.
45.40.7Walls and Ceilings
01 Mar 2022Complaint
01 Mar 2022Complaint
Investigated and found extensive water intrusion from an unrepaired roof, causing widespread ceiling, wall, and floor damage and mold-like conditions across multiple hallways.
Identified deficiencies in fire safety due to smoke barrier breaches and openings that compromise compartmentation. The 30-minute fire resistance was not provided for barrier walls.
NFPA 101, 19.3.7.3; 8.5; 8.5.6Date of Construction & Life Safety Code Compliance
01 Feb 2022Complaint
01 Feb 2022Complaint
Found that smoke barrier walls did not meet the required 30-minute fire resistance rating in two compartments, with multiple openings/penetrations observed.
NFPA 101, 2012 edition, 19.3.7.3, 8.5, 8.5.6Subdivision of Building Spaces - Smoke Barrier Construction
01 Feb 2022Complaint
01 Feb 2022Complaint
Identified that smoke barrier walls did not meet the required 30-minute fire resistance rating, with openings and penetrations observed in the smoke barrier ceiling, affecting two compartments and all residents.
NFPA 101, Life Safety Code; sections 19.3.7.3, 8.5, 8.5.6Smoke barrier walls not meeting 30-minute fire resistance rating
01 Feb 2022Infection Control
01 Feb 2022Infection Control
Identified inadequate smoke barrier construction with openings and penetrations that compromised a 30-minute fire barrier across two compartments.
NFPA 101, 19.3.7.3; 8.5; 8.5.6; 8.6.7.1(1)Subdivision of Building Spaces - Smoke Barrier Construction
01 Feb 2022Revisit
01 Feb 2022Revisit
Verified compliance with the minimum standards during a recertification revisit and recommended placing back in compliance.
01 Feb 2022Revisit
01 Feb 2022Revisit
Verified compliance with Medicare/Medicaid requirements after a recertification revisit; no deficiencies were found.
01 Feb 2022Revisit
01 Feb 2022Revisit
Determined the entity was in compliance.
01 Dec 2021Inspection
01 Dec 2021Inspection
Investigated findings identified several deficiencies in TB testing documentation, resident rights/privacy, ADLs, housekeeping/maintenance, and handrails.
45.16.6Employee tuberculosis testing
45.17.2Residents' Rights
45.21.2Activities of daily living
45.35.1Housekeeping Facilities and Services
45.40.9Handrails
01 Dec 2021Complaint
01 Dec 2021Complaint
Identified deficiencies in providing daily living care, specifically nail care, shaving, and hair washing for residents, with gaps in documentation and care processes.
—Resident Rights
—Safe/Clean/Homelike Environment
—Notice Requirements Before Transfer
—Notice of Bed Hold
—Preadmission Screening and Resident Review (PASARR)
—Develop/Implement Comprehensive Care Plans
—Activities of Daily Living (ADL) Care
—Infection Prevention and Control
—Handrails
01 Dec 2021Inspection
01 Dec 2021Inspection
The agency identified multiple deficiencies, including missing TB testing documentation for new staff, inadequate resident rights/privacy, incomplete ADL care (nail care, shaving, hair washing), poor maintenance of the physical environment, and unsafe handrails.
45.16.6 Employee Testing for TuberculosisEmployee TB testing
45.17.2 Residents' RightsResidents' rights and privacy
45.21.2 Activities of Daily LivingADL care (nail care, shaving, hair washing)
45.35.1 Housekeeping Facilities and ServicesMaintenance of physical environment
45.40.9 HandrailsHandrails
01 Dec 2021Inspection
01 Dec 2021Inspection
Investigations found multiple deficiencies including lack of privacy, unsafe environment, improper notices for transfers and bed holds, incomplete PASARR screening, missing care plans, inadequate ADL care, infection control lapses, and defective handrails.
483.15(c)(3)-(6)Notice Requirements Before Transfer/Discharge
483.15(d)Notice of Bed Hold Policy Before/Upon Transfer
483.20(k)Preadmission Screening for MD & ID
483.21(b)Develop/Implement Comprehensive Care Plan
483.24(a)(2)ADL Care Provided for Dependent Residents
483.80Infection Prevention & Control
483.90Corridors have Firmly Secured Handrails
01 Dec 2021Complaint
01 Dec 2021Complaint
Identified failure to provide nail care, shaving, and hair washing for two residents, with gaps in documenting ADL care.
45.21.2Activities of daily living
01 Dec 2021Inspection
01 Dec 2021Inspection
Found no deficiencies. Emergency preparedness requirements were met.
01 Dec 2021Inspection
01 Dec 2021Inspection
Found no deficiencies cited during the survey.
01 Aug 2021Infection Control
01 Aug 2021Infection Control
Investigated a COVID-19 infection-control issue and a related complaint; found no deficiencies.
01 Aug 2021Infection Control
01 Aug 2021Infection Control
Verified substantial compliance with infection control requirements during a COVID-19 focused survey. No deficiencies were cited.
01 Aug 2021Complaint
01 Aug 2021Complaint
Investigated a Covid-19 infection control survey and related complaints; found no deficiencies.
01 Aug 2021Complaint
01 Aug 2021Complaint
Investigated a COVID-19 focused infection control review and complaint; found no deficiencies.
01 May 2021Complaint
01 May 2021Complaint
Determined the provider was in compliance with Medicare/Medicaid participation requirements following complaint investigations. No deficiencies were cited.
01 May 2021Complaint
01 May 2021Complaint
Investigated multiple complaints and determined compliance with the requirements. Found no deficiencies.
01 Nov 2020Complaint
01 Nov 2020Complaint
Investigated found misappropriation of a resident's money and medications by a staff member. Evidence included items removed from a resident's room and video support of the act.
CFR(s): 483.12Free from Misappropriation/Exploitation
01 Nov 2020Complaint
01 Nov 2020Complaint
Investigated a complaint of misappropriation of a resident's money and medications by a staff member and found a violation of residents' rights.
45.17 – Residents RightsRESIDENTS RIGHTS
01 Nov 2020Infection Control
01 Nov 2020Infection Control
Investigated misappropriation of a resident's property involving money and medications by a CNA; $12 and three prescribed medications were removed from a resident's room without permission.
45.17Residents Rights
01 Nov 2020Infection Control
01 Nov 2020Infection Control
Found no deficiencies during a COVID-19 focused emergency preparedness survey.
01 Nov 2020Infection Control
01 Nov 2020Infection Control
Concluded continued noncompliance based on prior deficiencies; no new infection control observations noted.
01 Nov 2020Infection Control
01 Nov 2020Infection Control
Found no deficiencies during a COVID-19 focused infection control review. Compliance with infection control regulations was confirmed.
01 Nov 2020Complaint
01 Nov 2020Complaint
Found no deficiencies related to infection control during a focused COVID-19 review.
01 Jul 2020Complaint
01 Jul 2020Complaint
Investigated complaints and found no deficiencies.
01 Jun 2020Infection Control
01 Jun 2020Infection Control
Found no deficiencies related to emergency preparedness during a COVID-19 focused assessment.
01 Jun 2020Infection Control
01 Jun 2020Infection Control
Found no infection control deficiencies identified during a Covid-19 focused infection control survey.
01 Feb 2020Inspection
01 Feb 2020Inspection
Found that 24-hour RN or RT coverage for a resident with a tracheostomy was not provided, creating risk and triggering immediate jeopardy and substandard care findings.
45.4.1Nursing Facility Staffing
45.21.11Special Needs - Tracheostomy Care
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