Methodist Transitional Care Center-Desoto LLC

In the surveyor’s words

From the most serious findings on record at Methodist Transitional Care Center-Desoto LLC, in the surveyor’s own words.

• Immediate jeopardy, patternF697Feb 5, 2025

  Based on interview and record review the facility failed to ensure pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 3 residents (Resident #1) reviewed for pain management. The facility failed to adequately assess and treat Resident #1's severe breakthrough pain as he was screaming in unrelenting pain. The noncompliance was identified as past noncompliance. The Immediate Jeopardy was identified on 02/05/25 at 1:02 PM and was removed on 02/05/25 at 4:15 PM. The facility corrected the noncompliance before the investigation began on 02/04/25. […]

• Immediate jeopardy, patternF684Jan 29, 2022

  Based on observation, interview, and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 2 (Resident #1, and #2) of 3 residents reviewed for quality of care. The facility failed to initiate Resident #1's monitoring for side effects related to anticoagulation medication until 8 days after receiving the medication. The facility failed to initiate Resident #2 's monitoring for side effects related to anticoagulation medication until 8 days after receiving the medication. An Immediate Jeopardy (IJ) was identified on 01/27/22 at 3:30 p.m. […]

• Immediate jeopardy, isolatedF660May 8, 2025

  Based on observations, interview and record review, the facility failed to develop and implement an effective discharge planning process that focused on the resident's discharge goals, the preparation of residents to be active partners and effectively transition them to post-discharge care, and the reduction of factors leading to preventable readmissions for one (Resident #1) of three residents reviewed for discharge planning. The facility failed to implement an effective discharge plan for Resident #1, when FM S reported the resident's home was without electricity. An Immediate Jeopardy (IJ) situation was identified on 04/25/2025 at 5:57 PM. The ADM and DON was notified and provided an IJ template, and a POR (Plan of Removal) was requested. […]

• Immediate jeopardy, isolatedF661May 8, 2025

  Based on observation, interview and record review, the facility failed to ensure that when the facility anticipated discharge of one (Residents #1) of three residents reviewed, there was a discharge summary that included a recapitulation of the resident's stay. The closed records for Residents #1 that were reviewed did not contain facility discharge summaries that included a recapitulation of the residents' stay, signature of FM S/RP/POA confirmation of aftercare services for a resident that was impaired cognitively on 03/31/2025. An Immediate Jeopardy (IJ) situation was identified on 04/25/2025 at 5:57 PM. The ADM and DON was notified and provided an IJ template, and a POR (Plan of Removal) was requested. […]

• Immediate jeopardy, isolatedF835May 8, 2025

  Based on interview, and record review, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to maintain the highest practicable well-being of each resident reviewed for one (Resident #1) of four residents reviewed for Administration. The ADM and DON failed to ensure residents discharged home were provided the appropriate supervision and care before returning home. The ADM directed staff to discharge Resident #1 home without knowing she was diagnosed with dementia, confusion, altered mental status, and no POA. The IDT failed to notify the NP/MD of Resident #1's discharge home alone without services. […]