Sunplex Sub-acute Center
Inspection Findings
F-Tag F0584
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.
F-Tag F0600
F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
and procedures. The Director of Nursing began an in-service for flu outbreak and isolation precautions to educate all staff. All staff are to continue to monitor residents and staff for flu-like symptoms and report any findings to the immediate supervisor. No employee was permitted to return to work until they completed the in-service. 6. On 10/21/2025 at B: 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 Performance Improvement plan and policy was reviewed with the facility's Interdisciplinary Team 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.
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
10/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sunplex Sub-Acute Center
6520 Sunscope Drive Ocean Springs, MS 39564
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)
F-Tag F0656
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.
F-Tag F0658
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.
F-Tag F0677
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.
F-Tag F0725
F 0725
The SA validated the removal plan on 10/28/25 and the immediacy was removed on 10/23/25 prior to exit.
Level of Harm - Immediate jeopardy to resident health or safety 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
10/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sunplex Sub-Acute Center
6520 Sunscope Drive Ocean Springs, MS 39564
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)
F-Tag F0761
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.
F-Tag F0812
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.
F-Tag F0838
F 0838 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
in-service included procedures for when medication cannot be located anywhere in the facility. If medication is not available, staff should contact pharmacy and pull medication from emergency kit. Any missed medications are to be reported to the Director of Nursing and Medical Director immediately, an incident report is to be completed, the resident observed for any adverse reactions, and the family/resident representative is to be notified. Any tasks left undone are to be reported to relief during report for oncoming shift. No employee was permitted to return to work until they completed the in-service.5. On 10/21/2025 at 8:00 PM, Administrator and Director of Nursing reviewed Flu outbreak and Isolation precautions policy and procedures. The Director of Nursing began an in-service for flu outbreak and isolation precautions to educate all staff. All staff a re to continue to monitor residents and staff for flu-like symptoms and report any findings to the immediate supervisor. No employee was permitted to return to work until they completed the in-service. 6. On 10/21/2025 at B: 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 Performance Improvement plan and policy was reviewed with the facility's Interdisciplinary Team 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.
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
10/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sunplex Sub-Acute Center
6520 Sunscope Drive Ocean Springs, MS 39564
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)
F-Tag F0842
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.
F-Tag F0865
F 0865 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
educate all nursing staff. This in-service included procedures for when medication cannot be located anywhere in the facility. If medication is not available, staff should contact pharmacy and pull medication from emergency kit. Any missed medications are to be reported to the Director of Nursing and Medical Director immediately, an incident report is to be completed, the resident observed for any adverse reactions, and the family/resident representative is to be notified. Any tasks left undone are to be reported to relief during report for oncoming shift. No employee was permitted to return to work until they completed
the in-service.5. On 10/21/2025 at 8:00 PM, Administrator and Director of Nursing reviewed Flu outbreak and Isolation precautions policy and procedures. The Director of Nursing began an in-service for flu outbreak and isolation precautions to educate all staff. All staff are to continue to monitor residents and staff for flu-like symptoms and report any findings to the immediate supervisor. No employee was permitted to return to work until they completed the in-service. 6. On 10/21/2025 at B: 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 Performance Improvement plan and policy was reviewed with the facility's Interdisciplinary Team 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.
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
10/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sunplex Sub-Acute Center
6520 Sunscope Drive Ocean Springs, MS 39564
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)
F-Tag F0867
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.
F-Tag F0880
F 0880 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
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
Event ID:
Facility ID:
If continuation sheet
SUNPLEX SUB-ACUTE CENTER in OCEAN SPRINGS, MS inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.