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Complaint Investigation

Plaza Community Living Center

March 26, 2026 · Pascagoula, MS · 4403 Hospital Road
Citations 1
CMS Rating 1/5
Beds 100
Provider ID 255207
Healthcare Facility
Plaza Community Living Center
Pascagoula, MS  ·  View full profile →
Inspection Summary

PLAZA COMMUNITY LIVING CENTER in PASCAGOULA, MS — inspection on March 26, 2026.

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.

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Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies

Review of Section M revealed two (2) unstageable pressure injuries presenting as deep tissue injury (DTI).A record review of Resident's #1 Order Summary Report revealed physician orders dated 12/10/25 for treatment to right and left DTI pressure ulcers.A record review of resident's #1, Comprehensive Care Plan revealed there was no care plan developed to reflect the DTIs on the Left and Right heels, which was inconsistent with the physician orders.On 3/26/26 at 1:30 PM, during an interview with Licensed Practical Nurse (LPN) #1 and LPN #2 Care Plan Nurse, they explained they are responsible for completion of the MDS and Care Plan (CP). LPN #2 stated that the CP is developed based on the MDS and the physician orders. LPN #1 reviewed Resident's #1's CP and confirmed there was not a CP developed related to the DTIs on the left and right heels.

She reported that the wound care nurse was responsible for completing wound care orders and updates in the CP.

LPN #2 stated that they audit by comparing orders to the CP periodically and it must have been missed.On 3/26/26 at 2:30 PM, during an interview with Director of Nursing (DON), she stated her expectation is for the wound care nurse to update the care plan with new orders for wound care treatments.ON 3/26/26 at 2:37 PM, during an interview with Registered Nurse (RN) #1, she explained she is able to update care plan interventions, but she had not been trained on developing a new focused care plan.

She said, she had not developed or added the physician orders for Resident #1's DTIs to her left and right heels on the care plan and was not aware that it was her responsibility to do so.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

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 PASCAGOULA, 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 PLAZA COMMUNITY LIVING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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