Methodist Specialty Care Center
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
resident's assigned nurse for the shift would be responsible for provision of wound care. She confirmed that
the facility instructed all Certified Nurses' Aides (CNAs) to notify the resident's assigned nurse if there were new skin concerns identified, or any problem noted with soilage or dislocation of existing dressing.On 10/30/25 at 3:00 PM, observation of Resident #1, with the DON and Administrator in attendance, revealed
the resident had a flex heel boot on each foot with no dressing on her left or right foot. There was a sliver dollar sized (approximately 1.5 inches in diameter) ruptured blister on the inner aspect of her left heel with
an approximately 1/8 inch by 1/4 inch open area. Note: 1/8 inch is the approximate width of two stacked pennies, 1/4 inch is the approximate width of four stacked pennies.On 10/30/25 at 3:24 PM, during an
interview CNA #2 confirmed she had been on duty for the dayshift (7:00 AM through 3:00 PM) on 10/12/25 and that she made rounds for her assigned resident group twice between 7:00 AM and 10:30 AM, which included Resident #1. She stated that there had been a reconfiguration of resident assignments at approximately 10:30 AM and CNA #3 was assigned to Resident #1 at that time. She stated that she had checked Resident #1 during that time.On 10/30/25 at 3:35 PM, interview with Registered Nurse (RN) #2 revealed that she and RN #1 were contracted wound care certified nurses and worked Monday through Friday at the facility. RN #2 confirmed that she and RN #1 had provided wound care and dressing changes for Resident #1 on 10/29/25 and said she would expect to find dressings with their initials and dated 10/29/25 on both (left and right) feet of Resident #1 and could not explain why there were not any in place at 3:00 PM. She stated that the next scheduled dressing changes were due on 10/31/25. RN #2 explained that the importance of the dry dressing ordered for Resident #1's right foot was to prevent skin injury, and
she confirmed that the resident had open area on her left foot with an order for calcium alginate to provide
a moist wound environment that promoted epithelial cell growth and wound closure with antimicrobial agents. RN #2 explained that the wound care orders for Resident #1 included orders for the dressings to be changed as needed for soilage and dislodgement, if the dressing became soiled or displaced during hours or days when they were not on duty that any nurse on duty could change the dressings as needed. They confirmed that CNAs were instructed to report soilage or dislodgement of dressings to the residents assigned nurse. On 10/30/25 at 4:00 PM, an interview with RN #3 revealed she was the RN Supervisor for
the Dayshift on 10/30/25 and said she did not know why Resident #1's dressings were not in place or why no one reported that the dressings needed to be changed or reapplied. She stated she did know when the dressings were removed or why. She confirmed that she and the other nurses were responsible for supervision of resident care.On 10/30/25 at 4:45 PM, during an interview the Administrator and DON confirmed that they had observed that Resident #1 had no dressings in place on her feet at 3:00 PM and that it was the responsibility of the nurses to supervise the care of residents and the responsibility of the CNAs to report any issues with soilage or dislodgment of wound care dressings to the nurses. The DON and Administrator confirmed that Resident #1 should have had dressings in place on her right and left feet according to physician's orders. The Administrator and DON confirmed that failure to ensure that Resident #1's dressings were clean, intact and applied correctly was not acceptable according to professional standards of practice.
Event ID:
Facility ID:
25A414
If continuation sheet
Methodist Specialty Care Center in FLOWOOD, MS inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 FLOWOOD, 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 Methodist Specialty Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.