Grenada Rehabilitation And Healthcare Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Actual harm Residents Affected - Few
CNA #4 to assist her with the resident because she was unfamiliar with him. She stated CNA #4 then entered the room and said in a rough voice, I can't do what I want to because B Wing is over here. CNA #1 stated that Resident #7 balled his fists but did not attempt to strike CNA #4 at all. She stated CNA #4 then pushed the resident very hard, causing him to fall backward onto the bed from a standing position. CNA #1 stated she immediately reported what she witnessed to the nurse and the administrator.
During a phone interview with CNA #4 on 10/29/25 at 8:30 AM, she denied pushing Resident #7 down onto
the bed. She stated she assisted the resident because he refused care from CNA #1. She stated she had cared for the resident frequently and that he was familiar with her. She confirmed she helped dress the resident and returned him to his chair but maintained that she did not abuse or push the resident.
An interview with the Director of Nursing (DON) on 10/29/25 at 10:00 AM, she stated that staff abuse towards a resident could lead to physical harm, make them afraid and affect them mentally.
Record review of an Abuse In-Service Attendance Sheet revealed CNA #4 last received abuse-prevention education on 6/10/25. The training included a review of abuse definitions, mandatory reporting, and staff responsibilities to treat all residents with dignity and respect.
Record review of CNA #4's time sheet revealed her last day worked was 10/9/25, with documentation confirming she was removed from duty at 10:05 AM pending investigation.
Record review of a Personnel Action Form revealed CNA #4 was terminated on 10/10/25.
Record review of the admission Record revealed the facility admitted Resident #7 on 8/20/18 with a diagnosis that included cerebral infarction.
Record review of Resident #7's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/24/25 revealed in Section C a Brief Interview for Mental Status (BIMS) score of 14, indicating the resident was cognitively intact.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/29/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Grenada Rehabilitation and Healthcare Center
1966 Hill Drive Grenada, MS 38901
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0725
F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
residents like those with tracheostomies and bed-bound residents requiring two staff. An interview with the Ombudsman on 10/28/25 at 2:10 PM revealed she had spoken to the Administrator multiple times about
the timeliness of care and answering call lights. She stated there had been multiple family and resident complaints, including from Resident #1 and Resident #2's families. She stated, I have advised the Administrator that I was receiving the same complaints repeatedly and that something had to be done. This has been going on for over three months. She stated she informed the Administrator she would have to report the concerns if they were not corrected.An interview with the Administrator on 10/28/25 at 3:00 PM confirmed the facility had received numerous complaints from families and residents regarding staffing, delayed response to call lights, and timeliness of care. She stated, Administration comes in to help, but call-ins are excessive and staff are leaving. She stated she had reached out to Corporate about halting admissions, but that had not occurred. She confirmed there was a definite staffing concern at the facility and that residents are left waiting for help.During an interview with the Assistant Director of Nursing (ADON) on 10/29/25 at 9:55 AM, she stated she has been handling the schedule because there is no staffing coordinator at this time. She confirmed staffing is a major problem and stated, Call-ins are excessive. Administration tries to cover the shift when someone calls in but there are often just more call-ins, and it is impossible to manage the residents care properly when there is just not enough help. We have lost staff due to changes being made to the schedule.An interview with the Director of Nursing (DON)
on 10/29/25 at 10:00 AM revealed there was a concern with staffing. She stated Administration staff help when they can, but there are numerous call-ins and that it can't all be covered to meet the residents needs who require help. She stated they have changed the schedule, and some staff were unhappy and resigned.
She confirmed there had been many complaints about staffing and lack of care. She stated her concern about not having enough staff is that it causes delays in care and answering call lights, which could lead to increased falls, accidents and residents left incontinent or needing help with meals.Record review of the staffing grid dated 10/29/25 revealed that on 10/26/25 the facility had four CNAs on the 3PM-11PM shift and the 11PM-7AM shift for 95 residents. On 09/14/25 the facility had four CNAs on the 3PM-11PM shift to care for 91 residents and on 09/20/25 on the 11PM-7AM shift the facility had three CNAs in the building to care for 89 residents.Record review of the facility roster matrix revealed that the facility had four wings in
the building: A wing with 30 residents, B wing with 31 residents, C wing with 20 residents and a Tracheostomy unit with 13 residents for a total of 94 residents in the building when the complaints related to staffing were submitted to the state agency.
Event ID:
Facility ID:
If continuation sheet
GRENADA REHABILITATION AND HEALTHCARE CENTER in GRENADA, 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 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.