Olive Branch Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Olive Branch Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Feb 24, 2026

  Based on observations, interview, and record review, the facility failed to ensure medications were stored securely for 10 of 15 residents observed. (Residents #2, #3, #4, #5, #6, #7, #8, #9, #10, #11)On 2/23/2026 at approximately 10:00 am, during a tour of the facility, medications were observed located on the bedside table in the rooms of Residents #2, #3, #4, #5, #6, #7, #8, #9, #10, and #11. No staff were present in the rooms at the times observed.On 2/23/2026 at approximately 10:00 am, upon entering the room of Resident #8, the resident was observed seated in the room. A medication cup containing oral medication was noted on the bedside table. During the observation, Resident #7 picked up the medication cup and began taking the medications independently. […]

• No harm, potential for more than minimal, patternF698Aug 25, 2022

  Based on observations, record review and interview the facility failed to establish/maintain ongoing communication and collaboration with the [CONDITION(S)] facility, for 2 of 2 residents reviewed for [CONDITION(S)] services. (Residents #35 and #131). The findings include: Resident #35 A review of Resident #35 medical record was conducted which revealed an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Admission Minimum Data Set, (MDS), dated [DATE] revealed Resident #35 received [CONDITION(S)] services. […]

• No harm, potential for more than minimal, isolatedF732Apr 9, 2025

  Based on observations and interviews, the facility failed to maintain posting of the daily staffing requirements at the beginning of the shift in a prominent place visible to residents and visitors for 2 of 4 days observed. The findings include: Upon tour of the facility on 4/6/25 and 4/7/25, there was no daily posting of the staff names in a prominent place for visitors and residents. On 4/7/25 at approximately 9:15 AM, an interview was conducted with the Staffing Coordinator, who indicated that she prints the staffing data to post daily on the counter behind the receptionist desk in the front lobby. The Staffing Coordinator further indicated that she lays it face up on the counter. […]

• No harm, potential for more than minimal, isolatedF880Apr 9, 2025

  Based on observation, interviews, and policy review, the facility failed to ensure safe injection practices of intravenous medications by swabbing the rubber septum of the vial prior to accessing the medication for 1 of 12 residents sampled for medication administration. (Resident #71) The findings include: During a medication administration observation on 04/06/2025 at 1:03 pm, Staff A, a Registered Nurse (RN), administered Ertapenem (an antibiotic), 1 gram in 100 milliliters of normal saline, to Resident #71. The Ertapenam was contained in a glass vial with a rubber septum covered by a plastic cap. Staff A performed hand hygiene and popped the plastic cap off the vial using her bare hand. […]

• No harm, potential for more than minimal, isolatedF920Apr 9, 2025

  Based on observation, resident interviews, and staff interview, the facility failed to provide a dining room to dine in for 1 out of 4 days observed. The findings include: A tour of the facility's dining area was conducted on Sunday, 4/06/25 at approximately 10:40AM. During this tour, the dining area was observed clean with dim lighting, and the tables were not set up to accommodate residents for lunch. An interview was conducted on 4/6/25 at approximately 12:15 PM, with the Certified Dietary Manager (CDM) concerning the fact that no one was eating in the dining room on Sunday during lunch. […]