Yalobusha County Nursing Home

In the surveyor’s words

From the most serious findings on record at Yalobusha County Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF656Feb 24, 2025

  Based on staff interview, record review, and facility policy review, the facility failed to develop a care plan for the behavior of wandering for one (1) of four (4) resident care plans reviewed. Resident #1, who had documented wandering behaviors, wandered into a resident room and hit a resident, resulting in that resident sustain a nasal bone fracture. Findings include: Review of the facility policy titled, Care Plan Policy,with no revision date revealed, the facility shall develop a comprehensive care plan. […]

• Actual harm, isolatedF689Feb 24, 2025

  Based on staff and resident interview and record review the facility failed to provide adequate supervision to reduce the risk of an accident/hazards when a resident with behaviors of wandering did not have any increased supervision/monitoring put in place resulting in the physical assault of a resident for one (1) of four (4) residents reviewed for accidents. (Resident #1) Findings include: Review of a document on facility letterhead provided by the Administrator revealed, The facility does not have a policy that addresses resident supervision. […]

• No harm, potential for more than minimal, widespreadF812Oct 9, 2025

  Based on observations, interviews and facility policy review, the facility failed to ensure the residents' food was stored, thawed and monitored under sanitary conditions for two (2) of four (4) kitchen tours. Findings Include Review of the facility policy titled, Refrigerator/Freezer Temperature Checks with no revision date, revealed, The kitchen supervisor and/or the Dietary Manager shall check all refrigerator temperatures and freezer temperatures at least twice daily . Review of the facility policy titled, Food Preparation and Service' with no revision date, revealed, .Thawing Frozen Food 1. Foods will not be thawed at room temperature. Thawing procedures include. a. thawing in the refrigerator.b. completely submerging in cold running water.c. […]

• No harm, potential for more than minimal, isolatedF641Oct 9, 2025

  Based on observation, interview, record review and facility policy review, the facility failed to accurately complete the Minimum Data Set (MDS) assessment for four (4) of 26 MDS assessments reviewed. Resident #10, #15, #16, and #92 Findings Include: Review of the facility policy titled MDS Assessment Accuracy and Correction undated, revealed, The facility shall submit a correct MDS assessment as required by scheduling requirements. The MDS shall be completed and verified by the Registered Nurse and to be accurate to the best of that nurse's knowledge . Resident #10 Record review of the Bowel and Bladder Program Screening dated 8/11/25, revealed Resident #10 always voids without incontinence, she never was incontinent of stool and that she was independent with toileting. […]

• No harm, potential for more than minimal, isolatedF657Oct 9, 2025

  Based on interview, record review, and facility policy review, the facility failed to ensure residents were invited and given the opportunity to participate in their Care Plan meetings for three (3) of five (5) residents reviewed for care planning. Resident #3, Resident #9, and Resident #38. Findings Include: Review of the undated facility policy titled Care Plan Meeting revealed, The MDS (Minimum Data Set) Coordinator shall notify the resident/resident representative in writing or telephone of the upcoming care plan conference and The MDS coordinator shall make arrangements for each resident/representative to actively attend a care plan conference with IDT (Interdisciplinary Team) members if the resident/representative desires during a time that accommodates the resident/representative… […]