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Complaint Investigation

Legacy Manor Nursing And Rehabilitation Center

January 14, 2025 · Greenville, MS · 1935 North Theobold Extension
Citations 1
CMS Rating 4/5
Beds 60
Provider ID 255292
Healthcare Facility
Legacy Manor Nursing And Rehabilitation Center
Greenville, MS  ·  View full profile →
Inspection Summary

LEGACY MANOR NURSING AND REHABILITATION CENTER in GREENVILLE, MS — inspection on January 14, 2025.

Found 1 citation. 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

FF600
Actual harm abuse including verbal, sexual, mental, physical abuse, neglect, misappropriation of resident property and Few with resulting physical harm, pain or mental anguish. affected

Based on the facility's implementation of corrective actions on 12/26/24, the SA determined the IJ and SQC to be Past Non-Compliance (PNC) and the IJ was removed on 12/27/24, prior to the SA's entrance on 1/14/25.

Based on observations, facility security camera video observations, policy reviews, interviews, and record reviews, the facility failed to ensure Resident #1's right to be free from abuse. Resident #1 was punched in the head, face, and chest with a closed fist at least 10 times and flipped over in his wheelchair on to the hallway floor by Certified Nursing Assistant (CNA) #1. Resident #1 received an injury of broken blood vessels to his right eye and swelling and had to be treated and evaluated by a physician. Resident #1 was one (1) of four (4) residents reviewed for abuse and neglect.

Findings Include:

Review of the facility policy titled: Resident Abuse last review date 01/24 stated, Conduct detrimental to resident care that results in neglect or abuse of any resident is strictly prohibited .B.

Any employee suspected of abuse will be suspended immediately and future employment will be based on the outcome of the investigation.

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

255292

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 255292 B.

Wing 01/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Legacy Manor Nursing and Rehabilitation 1935 North Theobold Extension Greenville, MS 38704

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 GREENVILLE, 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 LEGACY MANOR NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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