Sunplex Sub-acute Center
SUNPLEX SUB-ACUTE CENTER in OCEAN SPRINGS, MS — inspection on October 28, 2025.
Found 13 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
Federal health inspectors cited SUNPLEX SUB-ACUTE CENTER in OCEAN SPRINGS, MS for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-10-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of SUNPLEX SUB-ACUTE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-14.
Wound Care nurse completed a 100 percent audit to compare the current medication orders to the
jeopardy to resident health or available in the facility. No negative findings during audit.10.On 10/22/2025 at 3:50 PM, the safety Administrator notified the Mississippi Department of Health of the flu outbreak beginning 10/8/2025.
- On 10/22/2025 at 4:00 PM, the Administrator held a follow-up QAPI meeting to discuss all
continue to monitor any residents or staff for flu-like symptoms, staffing would be reviewed daily to ensure all areas were covered according to the facility assessment, and daily reviews of missed medications would be reviewed each morning in clinical meeting.
The facility alleges all corrective actions to remove the IJ was completed on 10/22/25 and IJ would be removed on 10/23/2025.Validation:The SA validated the removal plan on 10/28/25 and the immediacy was removed on 10/23/25 prior to exit.
255244 10/28/2025
Sunplex Sub-Acute Center 6520 Sunscope Drive Ocean Springs, MS 39564
Federal health inspectors cited SUNPLEX SUB-ACUTE CENTER in OCEAN SPRINGS, MS for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-10-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of SUNPLEX SUB-ACUTE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-14.
Federal health inspectors cited SUNPLEX SUB-ACUTE CENTER in OCEAN SPRINGS, MS for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-10-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of SUNPLEX SUB-ACUTE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-14.
Federal health inspectors cited SUNPLEX SUB-ACUTE CENTER in OCEAN SPRINGS, MS for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-10-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of SUNPLEX SUB-ACUTE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-14.
jeopardy to resident health or be removed on 10/23/2025. safety Validation:
The SA validated the removal plan on 10/28/25 and the immediacy was removed on 10/23/25 prior to exit.
255244 10/28/2025
Sunplex Sub-Acute Center 6520 Sunscope Drive Ocean Springs, MS 39564
Federal health inspectors cited SUNPLEX SUB-ACUTE CENTER in OCEAN SPRINGS, MS for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-10-28.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of SUNPLEX SUB-ACUTE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-14.
Federal health inspectors cited SUNPLEX SUB-ACUTE CENTER in OCEAN SPRINGS, MS for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-10-28.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of SUNPLEX SUB-ACUTE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-14.
for flu outbreak and isolation precautions to educate all staff.
All staff a re to continue to monitor
jeopardy to resident health or employee was permitted to return to work until they completed the in-service. 6. On 10/21/2025 at B: safety 15 PM, the Administrator reviewed policy on Quality Assurance and Performance Improvement plan and policy for re-education purposes and to review new policy.
The Quality Assurance and
including the Administrator, Medical Director, Director of Nursing, Infection Preventionist, Medical Records nurse, Life Connections Coordinator, Wound Care nurse and others in a follow up Quality Assurance and Performance Improvement meeting held on 10/22/2025 at 4:00 PM. 7. On 10/21/2025 at 8:30 PM, the facility Administrator began reviewing and updating the facility assessment to reflect correct staffing and supervision by shift and by unit related to the facility's acuity level.
The Facility Administrator began updating the contingency plan for staffing emergencies within the facility assessment.
The facility assessment was updated on 10/22/2025 at 12:00 PM.
The contingency plan will be initiated effective 10/22/2025 at 12:00 PM and is as follows: Facility will utilize On-call for staffing needs and call ins. On-call will notify Director of Nursing if not able to cover.
Facility will utilize Consultants and/or transfer staff from other nursing facilities within partnership to assist and cover staffing needs.
The new facility assessment was reviewed with the interdisciplinary team during follow up QAPI held on 10/22/2025 at 4:00 PM. 8. On 10/22/2025 at 7:00 AM, the Infection Preventionist (IP) was included in an in-service held by the Director of Nursing for policy and procedures of outbreak surveillance and staff-illness tracking during an outbreak to be completed before beginning of their next shift.
Due to this outbreak being finished, IP nurse was instructed to continue to monitor residents and staff for flu-like symptoms and to report to Director of Nursing any findings.9.On 10/22/2025 at 3:00 PM, the Director of Nursing, Medical Records nurse, and Wound Care nurse completed a 100 percent audit to compare the current medication orders to the medication on the carts and in medication rooms to verify all medications ordered were readily available in the facility. No negative findings during audit.10.On 10/22/2025 at 3:50 PM, the Administrator notified the Mississippi Department of Health of the flu outbreak beginning 10/8/2025. 11. On 10/22/2025 at 4:00 PM, the Administrator held a follow-up QAPI meeting to discuss all immediate actions that were in place.
All in-services and audits were completed.
All staff would continue to monitor any residents or staff for flu-like symptoms, staffing would be reviewed daily to ensure all areas were covered according to the facility assessment, and daily reviews of missed medications would be reviewed each morning in clinical meeting.
The facility alleges all corrective actions to remove the IJ was completed on 10/22/25 and IJ would be removed on 10/23/2025.Validation:The SA validated the removal plan on 10/28/25 and the immediacy was removed on 10/23/25 prior to exit.
255244 10/28/2025
Sunplex Sub-Acute Center 6520 Sunscope Drive Ocean Springs, MS 39564
Federal health inspectors cited SUNPLEX SUB-ACUTE CENTER in OCEAN SPRINGS, MS for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-10-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of SUNPLEX SUB-ACUTE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-14.
Quality Assurance and Performance Improvement plan and policy was reviewed with the facility's
jeopardy to resident health or Preventionist, Medical Records nurse, Life Connections Coordinator, Wound Care nurse and others in safety a follow up Quality Assurance and Performance Improvement meeting held on 10/22/2025 at 4:00 PM.
- On 10/21/2025 at 8:30 PM, the facility Administrator began reviewing and updating the facility
acuity level.
The Facility Administrator began updating the contingency plan for staffing emergencies within the facility assessment.
The facility assessment was updated on 10/22/2025 at 12:00 PM.
The contingency plan will be initiated effective 10/22/2025 at 12:00 PM and is as follows: Facility will utilize On-call for staffing needs and call ins. On-call will notify Director of Nursing if not able to cover.
Facility will utilize Consultants and/or transfer staff from other nursing facilities within partnership to assist and cover staffing needs.
The new facility assessment was reviewed with the interdisciplinary team during follow up QAPI held on 10/22/2025 at 4:00 PM. 8. On 10/22/2025 at 7:00 AM, the Infection Preventionist (IP) was included in an in-service held by the Director of Nursing for policy and procedures of outbreak surveillance and staff-illness tracking during an outbreak to be completed before beginning of their next shift.
Due to this outbreak being finished, IP nurse was instructed to continue to monitor residents and staff for flu-like symptoms and to report to Director of Nursing any findings.9.On 10/22/2025 at 3:00 PM, the Director of Nursing, Medical Records nurse, and Wound Care nurse completed a 100 percent audit to compare the current medication orders to the medication on the carts and in medication rooms to verify all medications ordered were readily available in the facility. No negative findings during audit.10. On 10/22/2025 at 3:50 PM, the Administrator notified the Mississippi Department of Health of the flu outbreak beginning 10/8/2025.
- On 10/22/2025 at 4:00 PM, the Administrator held a follow-up QAPI meeting to discuss all
immediate actions that were in place.
All in-services and audits were completed.
All staff would continue to monitor any residents or staff for flu-like symptoms, staffing would be reviewed daily to ensure all areas were covered according to the facility assessment, and daily reviews of missed medications would be reviewed each morning in clinical meeting.
The facility alleges all corrective actions to remove the IJ was completed on 10/22/25 and IJ would be removed on 10/23/2025.Validation: The SA validated the removal plan on 10/28/25 and the immediacy was removed on 10/23/25 prior to exit.
255244 10/28/2025
Sunplex Sub-Acute Center 6520 Sunscope Drive Ocean Springs, MS 39564
Federal health inspectors cited SUNPLEX SUB-ACUTE CENTER in OCEAN SPRINGS, MS for a deficiency under regulatory tag F-F0867 during a standard health inspection conducted on 2025-10-28.
Category: Administration Deficiencies
The facility was found deficient in the following area: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of SUNPLEX SUB-ACUTE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-14.
were implemented immediately but believed the two residents who were hospitalized were placed in
jeopardy to resident health or and Residents #53 and #63 were cohorted in the same room.
The IP stated that contact isolation was safety implemented rather than droplet precautions and that she was not on-site when the residents returned.
She stated that she did not verify that orders were entered or that appropriate signage was
desired and that staff were educated on the proper use of personal protective equipment (PPE).
She confirmed that no group activities or communal dining were restricted during the outbreak.
The IP explained that there were no flu test kits available in the facility initially, and only one resident was tested in-house before being sent to the hospital.
She stated that nurses were responsible for documenting resident symptoms and test results in progress notes and that she only recorded positive results on the infection control map.
She reported that no line list or illness log was maintained and that she did not track or trend new cases or staff illness.
She stated that some residents received Tamiflu if they had symptoms, but she was unsure which residents were treated.
She further explained that prophylactic antivirals were not offered to exposed asymptomatic residents and that she was unaware of any delays in obtaining or administering antivirals.
The IP stated that the local or state health department was not notified of the outbreak and that the Administrator reported the outbreak to the CDC through the website.
She reported that only families of residents who tested positive were notified and that no outbreak notice was posted at the facility entrance.
She stated that communication with staff was conducted verbally during shift meetings.
The IP confirmed that the outbreak had not been discussed in a Quality Assurance Performance Improvement (QAPI) or in an Infection Control Committee meeting.
The IP stated that she was not aware of staffing levels being affected by illness or call-outs and that she did not maintain any log or tracking system for staff illness.
She explained that staff who became ill were instructed to see their physician and report back to the facility.
She stated that no agency staff were brought in during the outbreak and that she relied on existing staff to clean and disinfect as needed.
She reported that she verbally reminded staff to perform hand hygiene and proper cleaning.
When asked about staff education, the IP stated that no in-service training specific to influenza precautions had been provided, and staff had only been spoken to verbally.
She reported that competency checks for PPE donning and doffing were completed on hire and annually, but not during the outbreak.
She stated that cleaning frequencies had been increased and that she believed Environmental Protective Agency (EPA) approved disinfectants were used, but she was not certain.
The IP stated that she was unsure if the facility's infection control policy included droplet precautions for influenza and could not recall when the policy was last reviewed or updated.
She explained that droplet precautions should be used for influenza
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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.