The Pillars Of Biloxi
THE PILLARS OF BILOXI in BILOXI, MS — inspection on August 14, 2024.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Based on the facility's implementation of corrective actions on 8/8/24, the SA determined the IJ to be Past Non-Compliance (PNC) and the IJ was removed on 8/9/24, prior to the SA's entrance on 8/12/24.
Findings Include:
A review of the facility's policy, Care Plans, Comprehensive Person-Centered, reviewed on 10/2022, revealed, Policy Statement: A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident .
A record review of the Comprehensive Care Plan date initiated 6/28/24 revealed Focus: I am an elopement risk/wanderer r/t (related to) impaired safety awareness, I wander aimlessly .Interventions/Tasks: Distract resident from wandering by offering pleasant diversions such as structured activities, food, conversation, television, book.
Date initiated 06/28/2024 .
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
255093
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 255093 B.
Wing 08/14/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
The Pillars of Biloxi 2279 Atkinson Road Biloxi, MS 39531
Based on the facility's implementation of corrective actions on 8/8/24, the SA determined the IJ and SQC to be Past Non-Compliance (PNC) and the IJ was removed on 8/9/24, prior to the SA's entrance on 8/12/24.
Findings Include:
A review of the facility's policy, Accidents and Incidents, dated August 7, 2013, revealed, Policy: It is the policy of this facility that the resident environment remains as free of accidents and hazards as possible and that residents receive supervision and assistance devices to prevent accidents whenever possible .
A review of the facility's policy, Emergency Procedure-Missing Resident, reviewed 03/2023, revealed, Policy Statement: Resident elopement resulting in a missing resident is considered a facility emergency.
Policy Interpretation and Implementation 1.
Residents at risk for wandering and/or elopement will be monitored and staff will take necessary precautions to ensure their safety .
255093
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 255093 B.
Wing 08/14/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
The Pillars of Biloxi 2279 Atkinson Road Biloxi, MS 39531