J G Alexander Nursing Center
J G ALEXANDER NURSING CENTER in UNION, MS — inspection on January 30, 2025.
Found 2 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
During an observation on 01/28/2025 at 12:10 PM, Resident #45 was in the dining hall but remained asleep throughout the entire lunch period and did not wake up despite multiple attempts by CNA #1.
During an interview on 01/29/2025 at 11:23 AM, Registered Nurse (RN)#2 stated that psychiatric services were being ordered for Resident #45 because his son requested a psychiatric consultation on 01/24/2025. RN #2 confirmed that the resident had not received a psychiatric follow-up since returning from the behavioral health hospital ten (10) months ago.
During an observation on 01/29/2025 at 1:59 PM, Resident #45 was asleep in his wheelchair in the common area near the nurses' station.
During an interview on 01/29/2025 at 3:12 PM, the Director of Nursing (DON) confirmed that a psychiatric consultation for medication management had not been in progress until the resident's son requested the consultation on 01/24/2025.
The DON stated that it was standard practice for the facility's Medical Doctor of Behavioral Health (MDB) to follow up with residents discharged from behavioral health units but acknowledged that this did not occur in this case.
During an observation on 01/30/2025 at 9:35 AM, Resident #45 was asleep in his wheelchair in his room.
On 01/30/2025 at 11:45 AM, during an interview the Medical Director stated he was unaware of the resident's weight loss and had not been notified by nursing staff. He stated that the resident was prescribed multiple psychotropic medications, including Rexulti, which could cause lethargy, and Trileptal, which could affect appetite. He explained that he should have been informed of the weight loss through dietitian reports in Quality Assurance meetings but had not been made aware. He acknowledged that the weight loss should have been addressed sooner.
255318
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 255318 B.
Wing 01/30/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
J G Alexander Nursing Center 25112 Highway 15 Union, MS 39365
During the current annual recertification survey, the facility failed to label and date food stored and dispose of expired foods in the refrigerator and freezer in one (1) of four (4) days in kitchen observations.
255318
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 255318 B.
Wing 01/30/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
J G Alexander Nursing Center 25112 Highway 15 Union, MS 39365
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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.