The Bluffs Rehabilitation And Healthcare Center
THE BLUFFS REHABILITATION AND HEALTHCARE CENTER in VICKSBURG, MS — inspection on January 9, 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
Findings included:
A review of the facility policy titled Homelike Environment with a revision date of 02/2023 revealed under the Policy Statement .Residents are provided with a safe, clean, comfortable environment .
During an initial facility tour on 1/6/25, beginning at 7:45 AM, observations revealed broken or missing slats on window blinds in Rooms 203, 505, 601, and 607.
This observation revealed there were residents residing in these rooms and the broken blinds allowed the room to be visible from outside the building.
An observation of room [ROOM NUMBER] on 1/6/25 at 8:00 AM, revealed four (4) broken slats on the left side of the blinds.
An observation of room [ROOM NUMBER] on 1/6/25 at 9:05 AM, revealed four (4) missing slats at the bottom of the blinds.
An observation of room [ROOM NUMBER] on 1/6/25 at 3:19 PM revealed ten (10) missing slats on the blinds.
In an observation and interview with Certified Nursing Assistant (CNA) #4 on 1/7/25 at 1:00 PM, she confirmed that the window blinds were broken with multiple missing pieces. CNA #4 stated that maintenance needs are typically reported verbally to the Maintenance Director or Administrator, as there is no formal documentation process.
She admitted she had noticed the broken blinds but forgot to report the issue due to other responsibilities.
During an interview with the Administrator on 1/7/25 at 1:15 PM confirmed that she was aware of the broken blinds because she conducts daily rounds.
She stated that she reports maintenance needs to the maintenance director and that replacement blinds had been received but admits they had not been put up yet.
She admitted there was no documentation of her rounds or maintenance notifications regarding the blinds.
In an interview with the Maintenance Director on 1/7/25 at 1:24 PM, he confirmed that he was aware of the broken blinds in multiple rooms and stated that some replacement blinds had arrived the previous week, but none had been installed yet. He then verified that there was no documentation available to show when the blinds were ordered.
255140
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 255140 B.
Wing 01/09/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
The Bluffs Rehabilitation and Healthcare Center 2850 Porter's Chapel Road Vicksburg, MS 39180
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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.