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.
255173