Reginald P White Nursing Facility

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

terminated from employment. On 10/21/25 at 12:30 PM, during an interview with the Director of Nursing (DON), she confirmed that staff failed to provide the necessary care and supervision to ensure Resident #1's safety during a transfer. The DON stated that two Certified Nurse Assistants (CNAs) attempted to transfer Resident #1 using a mechanical lift without obtaining the additional assistance required to safely complete the procedure. She acknowledged that the resident's condition required more staff support due to physical limitations and risk for instability, and performing the transfer with only two CNAs did not meet the resident's needs and placed her at risk for injury. The DON stated that the incident may have been prevented if staff had followed established facility expectations for safe transfers. She emphasized that it is

the facility's responsibility to ensure that staff provide necessary care and services to prevent neglect and protect resident safety.On 10/21/25 at 1:00 PM, during an interview with the Administrator, he confirmed that the facility maintained written policies addressing resident safety during transfers, proper use of mechanical lifts and transport chairs, and adherence to physician orders and care plans. The Administrator stated that all staff had been trained, and competencies validated on these procedures. He acknowledged that, despite adequate staffing and clear instructions requiring a four-person assist (three CNAs and one nurse) for Resident #1's transfers, two CNAs failed to obtain the additional assistance required to safely complete the transfer. The Administrator stated that this failure to provide necessary care and services placed the resident at risk for injury and constituted neglect, as staff did not ensure the resident's safety

during the transfer. He verified that the facility immediately suspended and later terminated the two CNAs for failing to follow safety policies, initiated in-services for all nursing staff on proper mechanical lift use and resident supervision, and convened emergency Quality Assurance and Performance Improvement (QAPI) meetings on 9/2/25 and 9/5/25 to review the incident, reinforce policies, and prevent recurrence. The Administrator confirmed that the facility reported the incident to the State Agency and the Attorney General's Office within the required five (5)-day timeframe.On 10/21/25 at 1:30 PM, during a phone

interview with CNA #1, she confirmed that she was asked by CNA #2 to assist in transferring Resident #1 into her transfer chair. CNA #1 revealed that following the transfer with the mechanical lift, the resident was seated upright in the chair when the chair flipped backward. She further reported that Resident #1 was normally transferred with three (3) CNAs and a nurse present; however, the CNA #2 told her that the protocol had recently been changed to only two (2) CNAs.Based on the facility's implementation of corrective actions on 9/5/25, the State Agency (SA) determined the deficiency to be Past Non-Compliance (PNC) and corrected as of 9/5/25, prior to the SA's first entrance on 10/20/25. Validation:The SA validated

on 10/22/25 through interview and record review, that all corrective actions had been implemented as of 9/5/25 and the facility was in compliance, prior to the SA's entrance on 10/20/25.

Event ID:

Facility ID:

25A123

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

25A123

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/22/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Reginald P White Nursing Facility

1451 North Lakeland Drive Meridian, MS 39307

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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

emphasized that it is the facility's expectation that all staff adhere to each resident's individualized care plan to ensure safety of the residentsOn 10/21/25 at 1:30 PM, a phone interview with CNA #1 confirmed that

she was asked by CNA #2 to assist in transferring Resident #1 into her transfer chair. CNA #1 revealed that following the transfer with the Hoyer lift, the resident was seated upright in the chair when the chair flipped backward. She further reported that Resident #1 was normally transferred with three (3) CNAs and a nurse present; however, the CNA #2 told her that the protocol had recently been changed to two (2) CNAs.Based

on the facility's implementation of corrective actions on 9/5/25, the State Agency (SA) determined the deficiency to be Past Non-Compliance (PNC) and the deficiency was corrected as of 9/5/25, prior to the SA's first entrance on 10/20/25. Validation:The SA validated on 10/22/25 through interview and record review, that all corrective actions had been implemented as of 9/5/25, prior to the SA's entrance on 10/20/25.

Event ID:

Facility ID:

25A123

If continuation sheet