Grand Trace Health And Rehabilitation
GRAND TRACE HEALTH AND REHABILITATION in NATCHEZ, MS — inspection on March 27, 2025.
Found 3 citations. 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
F-F641 - Significant Change Assessment
During the recertification survey, the facility failed to complete a Significant Change in Status Assessment (SCSA) for a resident who returned from the hospital with two significant changes.
F-F677 - ADL Care
During the recertification survey conducted on 03/07/2024, the facility failed to provide Activities of Daily Living (ADL) care to a dependent resident.
Findings included:
Record review of the facility policy titled Administering Medication, dated April 2019, revealed Medications are administered in a safe and timely manner and as prescribed . 25.
Staff follow established facility infection control procedures (e.g., handwashing, antiseptic technique, gloves, isolation precautions, etc.) for the administration of medications as applicable .
On 03/26/25 at 8:45 AM, during the administration of morning medications to Resident #169, Licensed Practical Nurse (LPN) #2 was observed entering the resident's room.
The resident asked to see the medications prior to taking them. At this time, the nurse poured the medications into her bare, ungloved hand, and the resident proceeded to take the medications after inspecting them.
On 03/26/25 at 8:55 AM, during an interview, LPN #2 confirmed she had placed the medications into her ungloved hand and stated she should have worn gloves during the exchange to prevent contamination.
She acknowledged it posed a risk of spreading infection to the resident, particularly since she had not performed hand hygiene before entering the room.
On 03/27/25 at 10:40 AM, during an interview with the Infection Prevention (IP) Nurse, LPN #1, she explained that the nurse should have worn gloves prior to handling the resident's medications.
She stated gloves are necessary to prevent spreading infections, including respiratory illnesses, to residents.
On 03/27/25 at 10:56 AM, during an interview with the Corporate Nurse, she stated the nurse should have either discarded the contaminated medications and replaced them with new, uncontaminated ones or worn gloves prior to handling them.
She explained that staff could transmit infections and bacteria to residents when medications are contaminated due to improper handling or lack of hand hygiene.
She stated it was her expectation that staff follow basic infection control guidelines during medication administration.
A record review of Resident #169's Admission Record revealed the facility admitted the resident on 03/22/25 with diagnoses including Functional Quadriplegia, Generalized Anxiety Disorder, and Low Back Pain.
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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 NATCHEZ, 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 GRAND TRACE HEALTH AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.