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Complaint Investigation

Vineyard Court Nursing Center

August 27, 2025 · Columbus, MS · 2002 5th Street North
Citations 2
CMS Rating 1/5
Beds 55
Provider ID 255299
Healthcare Facility
Vineyard Court Nursing Center
Columbus, MS  ·  View full profile →
Inspection Summary

VINEYARD COURT NURSING CENTER in COLUMBUS, MS — inspection on August 27, 2025.

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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of Resident #1's Safe Smoking Evaluation dated 3/21/25, 4/10/25, and 6/6/25 revealed the box by Resident is safe to smoke unsupervised at this time was not checked.

Record review of Resident #1's admission Record revealed he was admitted to the facility on [DATE] with diagnoses that included hemiplegia and hemiparesis following cerebral infarction and pain.

Record review of Resident #1's Minimum Data Set (MDS) Section C with Assessment Reference Date (ARD) of 6/16/25 revealed a Brief Interview for Mental Status (BIMS) score of 15 which indicated the resident was cognitively intact.Review of Resident #2's Safe Smoking Evaluation dated 4/10/25, 8/14/25, and 8/27/25 revealed the box by Resident is safe to smoke unsupervised at this time was not checked.

Record review of Resident #2's admission Record revealed resident was admitted to facility on 3/3/25 with diagnoses that included cerebral infarction.

Record review of Resident #2's MDS Section C with ARD of 6/4/25 revealed a BIMS score of 14 which indicated the resident was cognitively intact.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/27/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Vineyard Court Nursing Center

2002 5th Street North Columbus, MS 39705

SUMMARY STATEMENT OF DEFICIENCIES

During an interview and observation on 8/26/25 at 3:35 PM, Resident #1 appeared comfortable in his room lying in his bed. He stated he had pain in his back and his feet, but was comfortable at that time. He stated he recently requested pain medication for the pain in his back and feet and he was told by the nurse that he did not have pain medication and he would have to wait until it arrived at the facility.

During a phone interview on 8/27/25 at 11:15 AM, Licensed Practical Nurse (LPN) #1 revealed she was working the medication cart on the evening that Resident #1 requested pain medication, and it was unavailable.

She informed him that the medication was unavailable, and he could not receive it at that time, but he did receive his other medications as scheduled.

She stated she had another resident with a medical concern and got distracted by that issue and failed to follow through with obtaining the medication as needed and ordered.

She acknowledged she dropped the ball and that it was my mistake and took full responsibility for not obtaining the medication as needed.

Interviews with the Administrator on 8/27/25 at 9:45 AM and at 1:30 PM revealed the facility had a procedure in place to ensure each resident received the medications needed and ordered, but this procedure was not followed by LPN #1.

She stated the resident had an active prescription and the nurse should have contacted the pharmacy for a code to the medication dispensing system to obtain the medication to administer to the resident.

She confirmed the facility failed to provide an ordered pain medication for a resident who had pain.

She confirmed the medication system was in place, but the staff member did not follow the procedure, therefore, the medication was not administered.

Record review of Resident #1's Order Summary Report revealed an order for Hydrocodone-Acetaminophen tablet 7.5-325 milligrams - give one tablet by mouth every four hours as needed for severe pain.

Record review of Resident #1's Controlled Substances Proof of Use with received date of 6/19/25 revealed resident completed a card of Hydrocodone 7.5-325 on 8/9/25 at 8:48 PM.

Record review of Resident #1's Controlled Substances Proof of Use with received date of 8/12/25 revealed the facility received Hydrocodone 10-325 on that date.

Record review of Resident #1's Electronic Medication Administration Record (EMAR) for August 2025 revealed resident received his as needed Hydrocodone on 8/9/25 at 8:48 PM then did not receive again until 8/11/25 at 12:50 PM.

Record review of Resident #1's admission Record revealed he was admitted to the facility on [DATE] with diagnoses that included hemiplegia and hemiparesis following cerebral infarction and pain.

Record review of Resident #1's Minimum Data Set (MDS) Section C with Assessment Reference Date (ARD) of 6/16/25 revealed a Brief Interview for Mental Status (BIMS) score of 15 which indicated the resident was cognitively intact.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in COLUMBUS, MS, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from VINEYARD COURT NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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