Jefferson Davis Community Hospital Ecf

In the surveyor’s words

From the most serious findings on record at Jefferson Davis Community Hospital Ecf, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Apr 23, 2026

  Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure food was stored in a manner that maintained freshness and quality and was properly labeled and dated in accordance with professional standards for food safety for one (1) of two (2) kitchen observations. Findings include:A review of the facility's policy, Storing: Food and Equipment, revealed, Team members must store food in a manner that ensures quality, freshness and safeguards against foodborne illnesses.Scope of Responsibility.All team members must follow food and temperature guidelines, labeling, use-by-dates, food storage chart, freezing and leftover guidelines to ensure food and equipment criteria are met.A record review of the Safe Training, dated 2/1/25, revealed, All… […]

• No harm, potential for more than minimal, isolatedF550Apr 23, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure a resident's right to privacy during medication administration for one (1) of five (5) residents reviewed for medication administration. Resident #5.Findings include:A review of the facility's policy, Resident Rights Guidelines for all Nursing Procedures, revised 10/2010, revealed, .To provide general guidelines for resident rights while caring for the resident. Preparation 1. Prior to having direct-care responsibilities for residents, staff must have appropriate in-service training on resident rights, including.b. […]

• No harm, potential for more than minimal, isolatedF644Apr 23, 2026

  Based on staff interview, record review, and facility policy review, the facility failed to ensure the Level I Preadmission Screening and Resident Review (PASRR) was completed accurately to reflect a diagnosis of Schizophrenia and the use of an antipsychotic medication for one (1) of (16) sampled reviewed. Resident #41.Findings include:A review of the facility's policy, admission Criteria, revised December 2016, revealed, Our facility will admit only those residents whose medical and nursing care needs can be met. Policy Interpretation and Implementation.8. Nursing and medical needs of individuals with mental disorders or intellectual disabilities will be determined by coordination with Medicaid Pre-admission Screening and Resident Review program (PASARR) to the extent practicable. 9. […]

• No harm, potential for more than minimal, isolatedF656Apr 23, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to implement care plan interventions related to wound care for one (1) of 16 sampled residents. Resident #1.Findings include:A review of the facility's policy, Care Plans, Comprehensive Person-Centered, dated 12/2016, revealed, .A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is.implemented for each resident.A record review of the Care Plan Report revealed Resident #1 had a Focus of Resident has actual skin breakdown. with an Interventions including, Cleanse Stage 4 pressure ulcer to left ankle with Vashe and pat dry. Apply A&D ointment to peri wound. […]

• No harm, potential for more than minimal, isolatedF686Apr 23, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to follow physician orders for treatment of a pressure ulcer for one (1) of (1) resident reviewed for wound care. Resident #1.Findings include:A review of the facility's policy, Wound Care, revised June 2018, revealed, .The purpose of this procedure is to provide guidelines for the care of wounds to promote healing. Preparation 1. Verify that there is a physician's order for the procedure.Steps in the Procedure.8. Apply treatments as indicated.A record review of the Order Summary Report revealed Resident #1 had a Physician's Order, dated 4/21/26 to Cleanse Stage 4 pressure ulcer to the left ankle with Vashe and pat dry. Apply A&D Ointment to per wound. […]