Bedford Care Center of Mendenhall

In the surveyor’s words

From the most serious findings on record at Bedford Care Center of Mendenhall, in the surveyor’s own words.

• Immediate jeopardy, patternF656Aug 5, 2024

  Based on observation, interviews, record review, and facility policy review, the facility failed to develop comprehensive care plan interventions to prevent burns and for the use of tobacco for one (1) of seven (7) sampled residents. (Resident #1) The facility's failure to develop comprehensive care plan interventions resulted in Resident #1, who had diagnoses including Diabetes Mellitus (DM, Hemiplegia - left side, Vascular Dementia, and moderately impaired cognition sustaining a third-degree burn to his left thigh and placed other residents who drink hot coffee at risk for sustaining serious injury, serious harm, serious impairment, or death. […]

• Immediate jeopardy, patternF689Aug 5, 2024

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure adequate supervision to prevent a burn from hot coffee for one (1) of seven (7) sampled residents, with the potential to affect all residents who drink coffee in the Dining Room. Resident #1 The facility's failure to ensure adequate supervision resulted in Resident #1, who had diagnoses including Diabetes Mellitus (DM, Hemiplegia (left side), Vascular Dementia, and moderately impaired cognition sustaining a third-degree burn to his left thigh and placed other residents who drink hot coffee at risk for sustaining serious injury, serious harm, serious impairment, or death. […]

• Immediate jeopardy, isolatedF689Feb 18, 2022

  Based on staff interviews, record review, facility investigation review and facility policy review, the facility failed to provide adequate supervision to prevent the elopement of Resident #1 on 2/07/22. The facility was not aware Resident #1 had exited the facility until the Director of Nurses at the hospital next door, approximately one hundred (100) yards away, notified the facility. This concern was identified for one (1) of four (4) sampled residents. The State Agency (SA) conducted a Complaint Survey for CI MS # on 2/15/22 through 2/18/22 and substantiated CI MS # related to an elopement, when the facility failed to provide adequate supervision to prevent Resident #1's elopement from the facility. […]

• Actual harm, isolatedF760Dec 17, 2025

  Based on record review, interview, and facility policy review, the facility failed to ensure residents were free from significant medication errors by failing to accurately reconcile hospital discharge medications and ensure timely and accurate medication administration, which resulted in missed doses of prescribed antibiotic therapy and subsequent rehospitalization for wound infection and dehiscence (surgical incision that opens or pulls apart) for Resident #1 and duplicate administration of antihypertensive medications for Resident #2, affecting two (2) of four (4) sampled residents.Findings Include:Review of the facility's policy, Administering Medications revised 8/02/22, revealed, .Medications shall be administered in a safe and timely manner, and as prescribed.Policy Interpretation… […]

• Actual harm, isolatedF561Aug 5, 2024

  Based on observation, interviews, and record review, the facility failed to ensure a resident's right for self-determination as evidenced by facility staff taking a resident's chewing tobacco without notice, which he was previously granted permission to have, and resulted in the resident crying and begging in distress and continued fear of staff taking away his tobacco for one (1) of three (3) residents sampled for tobacco usage. (Resident #1) Findings include: A record review of the facility's policy Smoking/Tobacco -Free Policy-Residents dated 2019 revealed .All residents, employees, and visitors are prohibited from using any type of tobacco, snuff, e-cigarettes, and similar products, in company buildings, parking areas, on company property, or in any company owned or leased vehicle. […]