Brandon Community Care Center
BRANDON COMMUNITY CARE CENTER in BRANDON, MS — inspection on May 12, 2025.
Found 5 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
F-F600), was lowered from a S/S of J to a S/S of D while the facility develops a plan of correction to monitor the effectiveness of systemic changes to ensure the facility sustains compliance with regulatory requirements.
Findings include:
Cross Reference
F-F609), was lowered from a S/S of J to a S/S of D while the facility develops a plan of correction to monitor the effectiveness of systemic changes to ensure the facility sustains compliance with regulatory requirements.
Cross Reference
F-F610) was lowered from a S/S of J to a S/S of D while the facility develops a plan of correction to monitor the effectiveness of systemic changes to ensure the facility sustains compliance with regulatory requirements.
Cross Reference
Observation revealed one ambulance and six other vehicles traveling through the parking lot.
The sidewalk which led from the facility's front porch/portico area, along the front of the parking spaces led to a busy four lane boulevard with a speed limit of thirty-five miles per hour and no cross walks; observation revealed one hundred twenty-five (125) vehicles traveling on the boulevard between 3:00 PM and 3:05 PM.
Record review of the local weather history according to WWW.Wunderground, Copyright The Weather Channel, for the facility for 3:00 PM on 5/01/25 revealed the temperature was eighty-one degrees Fahrenheit, with zero precipitation, eight mile per hour winds and partly cloudy.
Interview with the former DON on 5/12/25 at 4:26 PM by telephone revealed that she confirmed that she became aware that Resident #5 had exited the facility unnoticed and unsupervised on 5/01/25 at approximately 3:15 PM when C.N.A. #9 escorted the resident back into the facility.
She said there was no head count done to confirm the safety of other residents, and said she was not aware of any missing resident protocol.
She confirmed that the care plan for Resident #5 had not been updated for wandering or exit seeking behaviors prior to the elopement.
Removal Plan - IJ
255106
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 255106 B.
Wing 05/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Brandon Nursing and Rehabilitation Center 355 Crossgate Blvd Brandon, MS 39042
The facility failed
wandering and exit seeking and a history of altered mental status.
The facility also failed to report the allegation of neglect within the required time frame and complete a thorough investigation.
On May 1. 2025 at approximately 2:45-3 :00 PM, a CNA walked to his car on his break and noticed a resident sitting in his passenger seat.
The CNA immediately told the resident that she has to come back inside.
Calmly and without hesitation, the resident stated ''okay.
The CNA walked the resident back inside the building, notified the front desk, and walked the resident to the sitting area on the unit The CNA also let Resident (Proper Name Resident #5) nurse know what happened.
The front desk notified the Administrator and the DNS.
The Resident was assisted to her room by the evening shift Charge Nurse. A skin assessment was completed by the DNS with no negative findings.
Vital signs were obtained.
Nurse Practitioner and Sister of Resident# 1 was notified.
New orders received by the Nurse Practitioner to included to apply wanderguard signaling device and consult psych services.
Resident was also seen by the Physician on 05/01/25 and new orders were received for UA with C&S and Novolog sliding scale change.
Resident was also seen by the Psych NP on 05/02/25 and placed 1: 1.
An interview with Resident (Proper Name Resident #5) on 05/01/25 who stated that she was going outside to wait on her brother, noticed a car that looked like her brother's and got in on the passenger side to wait until he signed her out.
She stated that she exited the facility with other people and that her brother normally comes to take her out.
Corrective Actions:
The [NAME] President in-serviced the Social Services Department on 05/10/25 on ensuring that care plans and interventions are implemented for Residents with behavioral changes that verbalizing to leave the facility, exit seeking, wandering and packing belongs should be immediately assessed and elopement precautions implemented.
On 05/10/25 The Executive Director notified the Mississippi Department of Health of the incident regarding Resident # 1 exiting the facility unaccompanied and unnoticed by staff.
On 05/10/25 an audit was completed for all 18 Residents who were determined to be at risk for elopement risk to ensure accuracy of the care plan and appropriate interventions by the Director of Nurses.
On 05/10/25 a sign was placed on all exit doors reminding staff and visitors to be cautious when entering and exiting the facility in an effort to prevent Residents from leaving the facility without staff knowledge.
255106
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 255106 B.
Wing 05/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Brandon Nursing and Rehabilitation Center 355 Crossgate Blvd Brandon, MS 39042