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Complaint Investigation

Grenada Rehabilitation And Healthcare Center

Inspection Date: August 13, 2025
Total Violations 1
Facility ID 255156
Location GRENADA, MS
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Inspection Findings

F-Tag F0628

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Based on staff interview, record review and facility policy review, the facility failed to provide written transfer notice to a resident's representative for one (1) of nine (9) residents records reviewed. Resident #1 Findings Include

Review of the facility policy, titled “Transfer or Discharge Notice”, revealed, “Policy Interpretation and Implementation…5. The resident and representatives are notified in writing of the following information: a. The specific reason for the transfer or discharge. b. The effective date of the transfer or discharge. c. The location to which the resident is being transferred or discharged …”

Review of the online complaint received revealed that Resident #1’s resident representative was not notified by the facility of his transfer to the emergency room on 6/25/25.

Record review of a “Progress Note”, dated 6/25/25, revealed that Resident #1 was transferred to the emergency room on 6/25/25 at 3:05 PM.

In an interview with the Administrator (ADM) on 8/11/25 at 3:45 PM, she stated that no written Hospital Transfer Notification was sent to the Resident #1’s Resident Representative because he returned to

the facility before midnight and was only gone a few hours, so they didn’t think it had to be sent.

Record review of the “admission Record” revealed that the facility admitted Resident #1 on 11/11/24 with a diagnosis of Cerebral Infarction.

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 REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

GRENADA REHABILITATION AND HEALTHCARE CENTER in GRENADA, MS inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 GRENADA, 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 GRENADA REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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