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Health Inspection

George Regional Health & Rehab Center

May 1, 2025 · Lucedale, MS · 859 Winter St
Citations 1
CMS Rating 4/5
Beds 59
Provider ID 255333
Healthcare Facility
George Regional Health & Rehab Center
Lucedale, MS  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF759
Minimal harm or (Abilify)15 mg per peg, Lansoprazole DR (Prevacid)15 mg per peg and pro stat 30 milliliters per peg. LPN #4 Few affected

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

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 LUCEDALE, 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 GEORGE REGIONAL HEALTH & REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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