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Complaint Investigation

Sunplex Sub-acute Center

January 27, 2025 · Ocean Springs, MS · 6520 Sunscope Drive
Citations 3
CMS Rating 1/5
Beds 73
Provider ID 255244
Healthcare Facility
Sunplex Sub-acute Center
Ocean Springs, MS  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

SUNPLEX SUB-ACUTE CENTER in OCEAN SPRINGS, MS — inspection on January 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

FF0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to

fall that occurred on 12/21/24 with Resident #2.

She stated the facility investigated the allegation

she had diagnoses including Atrial Fibrillation.

A record review of the Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 9/25/2024 revealed Resident #2 had no impairment to her upper extremities, was not dependent for showering and bathing self, and was able to roll left and right with partial/moderate assistance.

255244 01/27/2025

Sunplex Sub-Acute Center 6520 Sunscope Drive Ocean Springs, MS 39564

During an interview with the Director of Nurses (DON) on 1/27/25 at 11:00 AM, she confirmed she reviewed the CMS-2567 from the survey on 10/3/24.

She stated the facility continued to conduct audits to monitor compliance of residents having a safe environment and to prevent accidents as per the plan of correction.

During an interview with the Administrator on 1/27/25 at 11:20 AM, the facility performed audits to monitor the residents for safety and accident prevention.

She commented that she was going to take the concerns regarding accident/hazards back to the (QAPI) committee to again develop action plans and audits.

During an interview with the Director of Nurses (DON) on 1/27/25 at 11:00 AM, she confirmed she reviewed the CMS-2567 from the survey on 10/3/24.

She stated the facility continued to conduct audits to monitor compliance of residents having a safe environment and to prevent accidents as per the plan of correction.

During an interview with the Administrator on 1/27/25 at 11:20 AM, the facility performed audits to monitor the residents for safety and accident prevention.

She commented that she was going to take the concerns regarding accident/hazards back to the (QAPI) committee to again develop action plans and audits.

255244

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 OCEAN SPRINGS, 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 SUNPLEX SUB-ACUTE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.