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Deficiency Records for The Pillars of Biloxi
A list of the most recent deficiencies for The Pillars of Biloxi. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for The Pillars of Biloxi. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-14 | 2024-08-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-14 | 2024-08-09 | Y |
Respond appropriately to all alleged violations. | Health | 2024-04-04 | 2024-05-01 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-04-04 | 2024-05-01 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-04-04 | 2024-05-01 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-04 | 2024-05-01 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-04-04 | 2024-05-01 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-04 | 2024-05-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-04 | 2024-05-01 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-04 | 2024-05-01 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-04-04 | 2024-05-01 | N |
Post nurse staffing information every day. | Health | 2024-04-04 | 2024-05-01 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-04-04 | 2024-05-01 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-04 | 2024-05-01 | N |
Provide and implement an infection prevention and control program. | Health | 2024-04-04 | 2024-05-01 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-04 | 2024-05-01 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-04 | 2024-05-01 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-04-04 | 2024-05-01 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-02-03 | 2023-03-03 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-09-13 | 2022-10-22 | Y |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-09-13 | 2022-10-22 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-09 | 2022-05-16 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2022-03-16 | 2022-04-27 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-16 | 2022-04-27 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-16 | 2022-04-27 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-16 | 2022-04-27 | N |
Provide activities to meet all resident's needs. | Health | 2022-03-16 | 2022-04-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-16 | 2022-04-27 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-16 | 2022-04-27 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-03-16 | 2022-04-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-16 | 2022-04-27 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-04-27 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-16 | 2022-04-27 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-16 | 2022-04-27 | Y |
Respond appropriately to all alleged violations. | Health | 2022-03-16 | 2022-04-27 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-16 | 2022-03-28 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-16 | 2022-03-28 | Y |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-12-07 | 2022-01-20 | Y |
Keep all essential equipment working safely. | Health | 2021-12-07 | 2022-01-20 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2021-10-01 | 2021-11-12 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-15 | 2019-07-02 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-15 | 2019-07-02 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-05-15 | 2019-07-02 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-15 | 2019-07-02 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-05-15 | 2019-07-02 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-15 | 2019-07-02 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-05-15 | 2019-07-02 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-15 | 2019-07-02 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-15 | 2019-07-02 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-15 | 2019-07-02 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-15 | 2019-07-02 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-15 | 2019-07-02 | N |
Put firmly secured handrails on each side of hallways. | Health | 2019-05-15 | 2019-07-02 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-05-13 | 2019-07-02 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-13 | 2019-07-02 | N |
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