Windham House of Hattiesburg

In the surveyor’s words

From the most serious findings on record at Windham House of Hattiesburg, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 14, 2024

  Based on observations, interviews, record reviews, and policy reviews, the facility failed to store food and maintain sanitary practices in accordance with professional standards for food safety, including expired foods, exposed foods, overly ripe produce, unsanitary practices by staff, and incomplete temperature logs for resident refrigerators for three (3) of (3) days of survey. Findings included: A review of the facility's policy titled Food Storage Labeling, revised ,d+[DATE], revealed, Policy: The facility will ensure the safety and qualify of food by following good storage and labeling procedures .Procedure: 1. Labeling a. All temperature controlled foods .will be labeled. 3. Rotations b. […]

• No harm, potential for more than minimal, patternF641Nov 14, 2024

  Based on interviews, record review, and facility policy review, the facility failed to accurately code a Minimum Data Set (MDS) assessment for a resident receiving dialysis for one (1) of one (1) dialysis residents reviewed. (Resident #10) Findings included: A review of the facility's policy Resident Assessment, revised 09/19, revealed, An assessment will be completed on each resident utilizing the MDS . The completed assessment guide the staff in identifying key information about the resident and serves as a basis for identifying resident-specific issues . […]

• No harm, potential for more than minimal, isolatedF550Nov 14, 2024

  Based on observation, interviews, record review, and facility policy review, the facility failed to protect a resident's right to a dignified existence by posting clinical data on a resident board in open view for one (1) of 15 sampled residents. (Resident #36). Findings included: A review of the facility's Resident Rights Policy, reviewed 12/23, revealed Every resident in the facility has the right to .16. Have their personal and medical records treated as confidential . A review of the facility's policy titled Dignity and Respect, revised 07/22, revealed A facility must treat each resident with respect and dignity .The facility shall protect and promote the rights of the resident . […]

• No harm, potential for more than minimal, isolatedF584Nov 14, 2024

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure the resident's right to a clean, comfortable home-like environment as evidenced by a stained privacy curtain, undusted high-touch areas, scuffed and dirty walls, and an unclean shower in the room of one (1) of 15 sampled residents. (Resident #18) Findings included: A review of the facility's policy Resident Environment, dated 09/15, revealed, It is the policy of this facility to provide a safe, clean, comfortable, homelike environment . On 11/12/2024 at 1:16 PM, during an observation and interview, Resident #18's shower contained a hair wash basin and a dead house plant, with grime and dirt visible on the shower floor. […]

• No harm, potential for more than minimal, isolatedF656Nov 14, 2024

  Based on observation, staff interview, record review, and facility policy review, the facility failed to implement a resident's comprehensive care plan regarding Enhanced Barrier Precautions (EBP) while providing Percutaneous Endoscopic Gastrostomy (PEG) tube care for one (1) of 15 sampled residents. Resident #19. Findings included: A record review of the facility's policy Care Plan Process, revised 08/17, revealed, . CAA's (Care Area Assessments) assist in guiding to develop an individualized plan of care and should provide structure for the care and services that are needed . When implemented properly, the CAA process should help staff: . address the need and desire for other important considerations . The comprehensive care plan is an interdisciplinary tool . […]