Trend Health and Rehab of Natchez, LLC

In the surveyor’s words

From the most serious findings on record at Trend Health and Rehab of Natchez, LLC, in the surveyor’s own words.

• Actual harm, isolatedF656Sep 21, 2023

  Based on interviews, record reviews and facility policy reviews, the facility failed to ensure that the comprehensive care plan was implemented by leaving a dependent resident unsupervised while performing Activities of Daily Living (ADL) for one (1) of 20 sampled residents. Resident #52 Findings include: Review of the facility's, Care Plan Policy, revised 8/17, revealed . The care plan must include measurable objectives and time frames and must describe the services that are to be furnished to attain or maintain the resident's highest practical physical mental, and psychosocial well-being. The care plan must be reviewed and revised periodically, on an ongoing basis to reflect the services provided or arranged, and must be consistent with resident's written plan of care. […]

• Actual harm, isolatedF689Sep 21, 2023

  Based on observation, interviews, record review and facility policy review, the facility failed to supervise and protect a dependent resident to prevent injury for one (1) of five (5) residents reviewed for accidents. Resident #52 Finding include: Review of the facility policy, titled Accident Prevention revealed, Each resident shall receive adequate supervision and assistive devices to prevent accidents. The environment will be free from accidental hazards for all residents, staff, and visitors through: . Record review of the facility's policy, Resident Rights with latest revision date 11/17 revealed, All residents in a long term care facility have rights guaranteed to them under Federal and State Law. […]

• Actual harm, isolatedF725Sep 21, 2023

  Based on record review, interview, Payroll Based Journal review and facility policy review, the facility failed to ensure sufficient nursing staff were available to provide nursing services for the resident's highest practicable well-being for the third quarter of 2023 for eight (8) of 26 weekend days and for three (3) days in the past two (2) weeks. This has the potential to affect all 72 residents in the facility. Findings include: A record review of the facility's policy Nursing Services-Staffing with latest revision date 11/17 revealed 1. […]

• No harm, potential for more than minimal, patternF689Apr 24, 2025

  Based on observation, interviews, record review and facility policy review, the facility failed to investigate or determine root causes for Resident #38 for three (3) of seven (7) falls. (1/12/25, 2/13/25, and 2/25/25) Findings included: A review of the facility's Responsibility for Accident/Incident Reports Policy, dated 07/2016, revealed, It is the policy of this facility for all Incident and Accidents involving resident's to be investigated immediately upon knowledge of the incident. Procedure. Staff are to be trained how to investigate and document assessment of possible causes for the accident/incident. They are to obtain written statements from staff on duty and an possible witnesses to the incident. […]

• No harm, potential for more than minimal, patternF867Apr 24, 2025

  Based on record review, staff interview, and facility policy review, the facility's Quality Assurance and Performance Improvement (QAPI) Committee failed to sustain corrective actions to prevent recurrence of previously cited deficiencies, specifically the facility failed to ensure a resident's right to smoke within the facility's designated smoke times during an annual recertification survey on 9/21/2023 and was cited again for the same deficiency during the current survey, demonstrating that QAPI failed to sustain ongoing monitoring and oversight to prevent recurrence for one (1) of 11 deficiencies cited. […]