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Complaint Investigation

Lawrence Co Nursing Center

Inspection Date: September 4, 2025
Total Violations 3
Facility ID 255214
Location MONTICELLO, MS
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Inspection Findings

F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0656 Level of Harm - Minimal harm or potential for actual harm

staff of the resident's care needs.A record review of the admission Record revealed the facility admitted Resident #3 on 3/18/19 with diagnoses including a Pressure Ulcer.A record review of the Quarterly MDS with an ARD of 7/7/25 revealed Resident #3 had a BIMS score of 4, which indicated the resident was severely cognitively impaired.

Residents Affected - Few

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

09/04/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Lawrence CO Nursing Center

700 Jefferson Street South Monticello, MS 39654

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)

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0686 Level of Harm - Minimal harm or potential for actual harm

acknowledged that she had placed two briefs on the resident. CNA #2 stated she had previously received in-service training on the risks of double briefing.A record review of the admission Record revealed the facility admitted Resident #3 on 3/18/19 with current diagnoses including a Pressure Ulcer. A record review of the Quarterly MDS with an ARD of 7/7/25 revealed Resident #3 had a BIMS score of 4, which indicated

the resident was severely cognitively impaired.

Residents Affected - Some

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

09/04/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Lawrence CO Nursing Center

700 Jefferson Street South Monticello, MS 39654

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)

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880

Provide and implement an infection prevention and control program.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, interview, record review, and facility policy review, the facility failed to follow infection prevention and control practices by placing wound care supplies on an undisinfected bedside table during treatment, creating the potential for cross-contamination and infection, for one (1) of two (2) wound care

observations (Resident #3).Findings include:A review of the facility's policy, Infection Control, revised 4/21, revealed The facility will maintain an Infection Control Program designed to provide a safe, sanitary, and comfortable environment with minimal exposure to the transmission of disease and infection.On 9/4/25 at 10:35 AM, during an observation of wound care provided to Resident #3's sacral wound, Licensed Practical Nurse (LPN) #1 entered the resident's room with supplies carried on a white disposable barrier. She placed

the barrier on the foot of the resident's bed, then placed a bottle of hand sanitizer and clean gloves directly

on the resident's bedside table without disinfecting the surface. LPN #1 donned (put on) gloves, then removed the resident's soiled dressing and placed it in a biohazard bag. She then removed her gloves, sanitized her hands, and reapplied gloves obtained from the bedside table. LPN #1 repeated this process four times, each time retrieving gloves and sanitizer from the undisinfected bedside table before continuing wound care.On 9/4/25 at 11:04 AM, during an interview, LPN #1 confirmed she did not disinfect the bedside table before placing wound care supplies on it. She stated she should have cleaned the table

before and after wound care and acknowledged her actions placed the resident at risk for infection.On 9/4/25 at 12:24 PM, during an interview, the Director of Nursing (DON) stated LPN #1 should have disinfected the bedside table and used a barrier before placing supplies on it. She explained that failure to follow this practice could lead to infection.On 9/4/25 at 2:23 PM, during an interview, LPN #2, the facility's Infection Preventionist (IP) nurse, confirmed that no items should be placed on a bedside table without first disinfecting it. She stated that germs present on the surface could be transferred to the gloves and sanitizer bottle, then carried to the resident's wound during care, creating a risk of infection.A record review of the admission Record revealed the facility admitted Resident #3 on 3/18/19 with current diagnoses including a Pressure Ulcer of sacral region, stage 2.A record review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 7/7/25 revealed Resident #3 had a Brief Interview for Mental Status (BIMS) score of 4, which indicated the resident was severely cognitively impaired.A record review of the Order Summary Report revealed Resident #3 had a physician's order, dated 6/20/25, to Cleanse Stage 2 pressure wound to the sacrum with wound cleanser, pat dry, lightly pack calcium alginate to the wound and secure with adhesive foam until healed.

Residents Affected - Few

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

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

LAWRENCE CO NURSING CENTER in MONTICELLO, MS inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 MONTICELLO, 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 LAWRENCE CO NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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