Copiah Living Center

In the surveyor’s words

From the most serious findings on record at Copiah Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 2, 2023

  Based on observation, staff interviews and facility policy review, the facility failed to ensure items in the kitchen refrigerators, freezers, and dry storage room were dated, labeled, and discarded by the expiration date for one (1) of three (3) dietary observations. This has a potential to affect all residents receiving meals prepared by the facility's dietary department. Findings include: A review of the facility's policy titled Food Storage Labeling, with a revision date of ,d+[DATE], revealed, Policy: The facility will ensure the safety and quality of food by following good storage and labeling procedures. Procedure: 1. Labeling a. All temperature-controlled foods and ready-to-eat foods prepared in the facility and held for longer than twenty-four hours will be labeled. […]

• No harm, potential for more than minimal, patternF690May 8, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure incontinent residents received appropriate care and services to prevent the possibility of urinary tract infection for two (2) of two (2) residents reviewed for perineal care, Resident #20 and Resident #38. This deficiency was also cited on the last Recertification Survey, therefore the scope/severity was increased to E representing a pattern. Findings included: A review of the facility's policy, Perineal Care, revised 1/24, revealed, Purpose to cleanse the perineum, eliminate odor, prevent irritation and to enhance the resident's dignity and self-esteem . Female-without catheter .5. […]

• No harm, potential for more than minimal, patternF867May 8, 2025

  Based on record review, staff interview, and facility policy review, the facility's Quality Assurance and Performance Improvement (QAPI) Committee failed to sustain corrective actions to prevent recurrence of previously cited deficiencies, specifically, the facility was cited for failing to ensure an incontinent resident received appropriate care and services to prevent the possibility of a urinary tract infection and failed to ensure infection control measures were consistently implemented to prevent the development and/or transmission of infection during an annual recertification survey on 11/2/2023. […]

• No harm, potential for more than minimal, patternF880May 8, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to follow infection control practices during the provision of perineal care for two (2) of two (2) residents observed for perineal care, Resident #20 and Resident #38, as evidenced by not performing hand hygiene, using gloves inappropriately stored in pockets, continuing care with soiled gloves, and retrieving wipes from the packet with contaminated gloves, placing residents at risk for cross-contamination and infection. This deficiency was also cited on the last Recertification Survey, therefore the scope/severity was increased to E representing a pattern. […]

• No harm, potential for more than minimal, patternF865Nov 2, 2023

  Based on interview and facility policy review the facility's Quality Assurance and Performance Improvement (QAPI) Committee failed to ensure the program was sustained during transitions in leadership and failed to maintain implemented procedures and monitor the interventions the committee put into place in November 2021. This was for one (1) recited deficiency originally cited in November 2021, on an annual recertification survey. The deficiency was in the area of Infection Control for failure to perform hand hygiene during perineal care. […]