Oxford Health & Rehab Center
OXFORD HEALTH & REHAB CENTER in OXFORD, MS — inspection on October 2, 2025.
Found 1 citation. 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
that each staff member follows the process to obtain the needed medications for each resident.
She confirmed the nurse, therefore the facility, failed to follow the procedure for obtaining medication for a resident experiencing pain.
Record review of Resident #1's Health Status Note dated 7/25/25 at 9:30 PM, revealed, Resident is complaining of pain at this time, but no medications are on hand for her.
This was signed by LPN #1.
Record review of Resident #1's Order Summary Report revealed an order dated 7/25/25 for Hydrocodone-Acetaminophen Tablet 5-325 milligram (mg) give one tablet by mouth every 8 hours as needed for pain.
Record review of the Electronic Medication Administration Record (EMAR) revealed Resident #1 did not receive the ordered pain medication on 7/25/25.
Record review of facility's Inventory list for medications in the dispensing system revealed that Resident #1's ordered medication, Hydrocodone/Acetaminophen 5-325 mg was available in the facility's medication dispensing system.Record review of Resident #1's admission Record revealed an admission date of 7/25/25, with diagnoses that included cellulitis of perineum, pressure ulcer, pain, and chronic pain.
Record review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 8/1/25 revealed a Brief Interview for Mental Status (BIMS) score of 13 indicating Resident #1 was cognitively intact.
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