Pass Christian Health and Rehabiliation Center

In the surveyor’s words

From the most serious findings on record at Pass Christian Health and Rehabiliation Center, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 24, 2024

  Based on observation, interviews, record review and facility policy review the facility failed to identify and treat two (2) new pressure ulcers (PUs) before they had deteriorated to Stage 3 pressure ulcers for one (1) of (2) residents reviewed for PU's. Resident #36. Findings include: A review of the facility's policy Skin and Wound, with a revision date of 01/24/22 revealed, Policy: To provide a system for identifying risk, and implementing resident centered interventions to promote skin health, prevention, and healing of pressure injuries . Process .Skin Impairment Identification: 1. Document presence of skin impairment (s)/new skin impairment(s) when observed and weekly until resolved. 2. […]

• No harm, potential for more than minimal, patternF656Sep 4, 2025

  Based on interviews, record reviews, and facility policy review, the facility failed to ensure a comprehensive, resident-centered care plan was developed to address a diagnosis of Type 2 Diabetes Mellitus for one (1) of (15) sampled residents (Resident #9).Findings include:A review of the facility's policy, Plans of Care, revised 09/27/2017, revealed, .An individualized person-centered plan of care will be established by the interdisciplinary team (IDT) with the resident and/or representative(s) to the extent practicable and updated in accordance with state and federal regulatory requirement.Procedure: Develop a comprehensive plan of care for each resident that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychosocial needs that are… […]

• No harm, potential for more than minimal, patternF684May 1, 2025

  Based on interviews, record review, and facility policy review, the facility failed to administer intravenous (IV) antibiotics for Resident #1 as ordered for two (2) of three (3) scheduled doses. Findings Include: Review of the facility's policy, Physician Orders, revised 3/3/2021, revealed, .The center will ensure that Physician orders are appropriately and timely documented in the medical record . Review of the facility's policy, Administering Medications, revised April 2019, revealed, Medications are administered in a safe and timely manner, and as prescribed. Policy Interpretation and Implementation .4. Medications are administered in accordance with prescriber orders, including any required time frame .7. […]

• No harm, potential for more than minimal, patternF656Aug 10, 2022

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure that care plan interventions were implemented to prevent complications by not aspirating to check peg tube placement prior to flushing for one (1) of two (2) sampled residents with feeding tubes. Resident # 15 Findings include: Record review of the facility's Policies and Procedures with the Subject: Plans of Care, and revision date of 09/25/2017, revealed, .Procedure .Develop and implement an individualized Person-Centered comprehensive plan of care .The Individualized Person Centered plan of care may include but is not limited to .Services to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being as required by state and federal… […]

• No harm, potential for more than minimal, isolatedF657Jun 30, 2026

  Based on record review, staff interview, and facility policy review, the facility failed to revise Resident #1's comprehensive, person-centered care plan to include individualized interventions for falls for one (1) of three (3) residents reviewed for care planning, Resident #1. Findings include:A review of the facility's policy Care Plan Revisions Upon Status Change, revised 11/14/2025, revealed, Policy: The purpose of this procedure is to provide a consistent process for reviewing and revising the care plan for those residents experiencing a status change.Policy Explanation and Compliance Guidelines: 1. […]