Gulfport Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jun 13, 2025

  Based on interviews and record review, the facility failed to protect the resident's right to be free from neglect related to proper use of mechanical lifts during transfers for two residents (#14 and #4) out of 21 residents dependent on mechanical lifts for transfers. The facility neglected to properly assess Resident #14 for the use of a mechanical lift and failed to educate staff to implement proper transfer methods, resulting in a major injury that occurred on 05/12/2025 resulting in Resident #14 being transferred to a higher level of care and required surgical repair of a spiral comminuted fracture of the right femur. […]

• Immediate jeopardy, isolatedF726Jun 13, 2025

  Based on observations, interviews, and record review, the facility failed to ensure licensed nursing staff were knowledgeable and competent to provide care and services to include safe mechanical lift transfers for two residents (#4 and #14) out of twenty-one dependent residents sampled. This failure created a situation that resulted in a worsened condition and the likelihood for serious injury and or death to Resident #14, with potential to affect all residents who are dependent on mechanical lifts for transfers. This failure resulted in the determination of Immediate Jeopardy on 06/13/2025. The findings of Immediate Jeopardy were determined to be removed on 6/13/2025 and the severity and scope was reduced to a D after verification of removal of immediacy of harm. Findings Included: 1. […]

• Immediate jeopardy, isolatedF726Aug 11, 2023

  Based on record review, policy and procedure review, and interviews with facility staff, agency nursing staff, and the key management staff the facility failed to ensure the nursing staff received adequate orientation and training to ensure competency in completing the admission/readmission process in a timely manner for one resident (#1) out of three residents reviewed for re-admission. The facility failed to ensure nursing staff received adequate orientation and training to ensure competency in completing the medication reconciliation. […]

• Immediate jeopardy, isolatedF600Apr 27, 2023

  Based on record review, interviews, facility documentation, and policy review, the facility failed to prevent one (Resident #1) of three residents reviewed for gastric tube medications administration was free from neglect as evidenced by neglecting to give medications per physician orders, neglecting to notify the provider of an abnormal chest X-ray result, and neglecting to monitor the resident after a medication error. Resident #1 had a gastric tube placed on [DATE] and had a physician order to receive nothing by mouth. All of Resident #1's medication orders indicated the route of administration was through her gastric tube. On [DATE] at approximately 8:45 a.m. […]

• Immediate jeopardy, isolatedF609Apr 27, 2023

  Based on interviews with the Nursing Home Administrator, the Director of Nursing, Assistant Director of Nursing, nursing staff, certified nursing staff, the resident's family member, attending Physician, Nurse Practitioner and Medical Director, review of the of the facilities policies and the resident's medical record, the facility failed to prevent and report neglect for one (Resident #1) of three residents reviewed for gastric tube medications administration. The facility failed to prevent and report neglect for Resident #1 who had a known cognitive deficit, a gastric tube in place, who had an order to receive nothing by mouth and orders to receive her medications through her gastric tube. […]