Pleasant Hills Community Living Center
PLEASANT HILLS COMMUNITY LIVING CENTER in JACKSON, MS — inspection on February 23, 2026.
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.
Inspection Findings
revealed she and CNA #1 on 1/08/26 at approximately 8:00 AM assisted Resident #1 onto the facility
not observed or used any checklist to ensure correct or proper securement.
She said that as she
the van and observed Resident #1 on the floor of the van and her wheelchair turned over on its side.
She stated after parking the van she and CNA #1 asked the resident if she was ok and the resident responded by saying her head hurt and that she had hit her head. CNA #2 confirmed that she and CNA #1 had turned the wheelchair upright and assisted the resident into the wheelchair and then called the facility Administrator who instructed them to continue to the hospital but to take the resident to the emergency department instead of the physician's office.
She confirmed that she and CNA #1 had returned to the facility where the Maintenance Supervisor had inspected the resident securement system and determined that all components were intact and functioning correctly.On 2/23/26 at 12:00 PM, during an interview the Administrator revealed she had been notified shortly after 8:10 AM on 1/08/26 by CNA #1 that during transportation via facility van, Resident #1's wheelchair had fallen over, and the resident had hit her head.
The Administrator confirmed that CNA #1 informed her that she and CNA #2 had asked the resident if she was ok and the resident reported she had hit her head and her head hurt.
The Administrator stated that if the transportation staff had called her prior to moving the resident, she would have instructed them to stay put and call emergency services to come to them so qualified personnel could evaluate and assess Resident #1 prior to moving the resident.
The Administrator confirmed that the facility QAPI committee met on 1/08/26 and reviewed the incident and determined that the root cause of the fall was that the resident's wheelchair was not properly secured by facility staff with appropriate straps to maintain a stable and secure position during transportation.
She stated that all staff involved in transportation of residents in the facility van were in-serviced on the resident securement system and fall policy regarding appropriate assessment and evaluation of residents by appropriately licensed prior to moving the residents following a fall or accident.On 2/23/26 at 3:15 PM, during an interview the Maintenance Supervisor stated that upon returning the van to the facility following the transport of Resident #1 he had inspected the facility van resident securement system and found all the components of the system intact and functioning correctly. He stated that he was not involved with training staff regarding procedures for falls because nursing staff were responsible for that part of the training.
Record review of the admission Record revealed Resident #1 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease, heart failure and rheumatoid arthritis.
Record review of the Significant Change Minimum Data Set (MDS) for Resident #1 with an Assessment Reference Date (ARD) of 12/12/25 revealed a Brief Interview for Mental Status (BIMS) score of 9, which indicated moderate cognitive impairment.
Section GG indicated Resident #1 required a wheelchair for mobility.