George Regional Health & Rehab Center
GEORGE REGIONAL HEALTH & REHAB CENTER in LUCEDALE, MS — inspection on May 1, 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.
Inspection Findings
During an interview on 4/30/25 at 1:00 PM, LPN #4 stated that the facility has a standing order from the Medical Director allowing all PEG medications to be crushed and mixed for all residents with PEG tubes.
She also stated she had never checked for compatibility or consulted a pharmacist to ensure it was safe to do so.
During an interview on 4/30/25 at 1:15 PM, the Director of Nursing (DON) confirmed that crushing and combining medications without checking for compatibility could cause problems and stated she was aware staff were combining medications per the physician's orders.
She also confirmed that the facility had not conducted individualized reviews for PEG tube residents regarding medications being administered together.
During an interview on 4/30/25 at 1:30 PM, the Medical Director (MD) stated that he expects the pharmacy to review medications and check for compatibility. He confirmed that the facility asks for standing orders to administer medications together, but he did not know staff were combining all medications for PEG administration.
During an interview on 4/30/25 at 1:45 PM, the Consultant Pharmacist stated that she has explained to the nurses that safe practice standards for administering medication via PEG require medications to be given individually.
She stated no blanket order should replace clinical judgment and individualized review and explained that combining crushed medications can lead to pharmacokinetic changes and tube blockage, especially in high-risk residents.
She was aware staff were combining medications due to standing physician orders.
During an interview on 4/30/25 at 2:00 PM, the Administrator confirmed that the facility has standing orders to mix and give PEG medications together. He also confirmed that combining crushed medications can lead to pharmacokinetic changes and tube blockage.
A record review of Resident #11's Admission Record revealed the resident was admitted on [DATE] with current diagnoses including Hypertension.
255333
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 255333 B.
Wing 05/01/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
George Regional Health & Rehab Center 859 Winter St Lucedale, MS 39452
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.