Pearl River Co Nursing Home

In the surveyor’s words

From the most serious findings on record at Pearl River Co Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF656Aug 25, 2026

  Based on interviews, record review, and facility policy review, the facility failed to implement a comprehensive person-centered care plan by failing to provide the care-planned assistance of two staff members during a resident transfer for one (1) of five (5) residents reviewed for transfers. (Resident #1).Findings include: A review of the facility's policy titled, Using the Care Plan, revised August 2006, revealed, Policy Statement: The care plan shall be used in developing the resident's daily care routines and will be available to staff personnel who have responsibility for providing care or services to the resident .A record review of Resident #1's admission Record revealed the facility admitted the resident on 06/03/26, with an initial admission date of 10/15/24, with diagnoses… […]

• Actual harm, isolatedF689Aug 25, 2026

  Based on interviews, record review, and facility policy review, the facility failed to provide the required level of staff assistance during a resident transfer to reduce the risk of an avoidable accident when one staff member transferred a resident who required assistance of two staff members for one (1) of five (5) residents reviewed for accidents. (Resident #1).Findings include: A review of the facility's policy titled, Accidents/Incidents, revised April 2013, revealed, Policy Statement: Our facility shall provide a safe and secure environment for staff and residents. […]

• No harm, potential for more than minimal, patternF809Feb 27, 2025

  Based on observation, interviews, record review, and facility policy review, the facility failed to serve meals within the 14-hour timeframe without providing a substantial snack for one (1) of four (4) days of survey. Findings included: A review of the facility's policy titled Resident Nutrition Services, revised in July 2017, revealed, Each resident is provided with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs, taking into consideration the preferences of each resident .7. Nourishing snacks are available to the residents 24 hours a day. The resident may request snacks as desired, or snacks may be scheduled between meals to accommodate the resident's typical eating patterns . […]

• No harm, potential for more than minimal, isolatedF641Jun 17, 2026

  Based on observation, staff interview, record review and facility policy review, the facility failed to ensure a Minimum Data Set (MDS) assessment accurately reflected the resident's use of a physical restraint, despite the facility's restraint assessment identifying the device as a restraint, for one (1) of (18) residents reviewed for MDS accuracy. (Resident #5).Findings include: A review of facility's policy titled, Comprehensive Assessments and the Care Delivery Process, with a revised date of December 2016, revealed, .Policy Interpretation and Implementation.Comprehensive assessments.involve collecting and analyzing information.Assessment and information collection (assessment).objective of the information collection.to obtain, organize, and subsequently analyze… […]

• No harm, potential for more than minimal, isolatedF812Jun 17, 2026

  Based on observation, staff interview, and facility policy review, the facility failed to discard spoiled food items for one (1) of four (4) days of survey. Findings include:A review of the facility's policy, Storing; Food and Equipment, Food Storage and Equipment, undated, revealed, .Team members must store food in a manner that ensures quality, freshness and safeguards against foodborne illness.On 6/15/26 at 9:43 AM, during an observation and interview with Dietary Manager (DM) #1, there was one (1) box of cucumbers that contained several molded and deteriorating cucumbers at the bottom of the box in Walk-in Refrigerator #1. DM #1acknowledged the cucumbers were deteriorated and removed the entire box from the refrigerator. […]