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Complaint Investigation

West Point Community Living Center

April 8, 2025 · West Point, MS · 2056 N Eshman Avenue
Citations 2
CMS Rating 1/5
Beds 100
Provider ID 255111
Healthcare Facility
West Point Community Living Center
West Point, MS  ·  View full profile →
Inspection Summary

WEST POINT COMMUNITY LIVING CENTER in WEST POINT, MS — inspection on April 8, 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.

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Inspection Findings

FF602
Minimal harm or then drug tested and went back to her duties at work. Few clocked out at 11:36 PM. affected

During an interview on 4/7/25 at 9:45 AM, the Administrator stated the facility had a 30-count card of Hydrocodone medication for Resident #1 that was reported missing on 02/18/25 by Licensed Practical Nurse (LPN) #1.

On 4/7/25 at 5:30 PM, a phone interview with LPN #1 revealed she had worked in the facility from around 7:00 AM until 11:00 PM on 2/18/25, the day Resident #1's medications went missing.

She admitted that she left the medication cart keys unattended on the desk while she went outside and left the keys on the medication cart while the corporate nurse checked the cart that day.

She stated the missing medication was noticed around 2:30 PM - 3:00 PM and was reported to the nurse supervisor.

She stated she continued to complete her assignment and give medications to the residents which included the medication pass for the evening shift until around 11:00 PM the night of 02/18/25.

She revealed she was not told to turn in her keys or leave the facility during the investigation and she continued to work her remaining shift and the next shift that evening and clocked out after 11:00 PM that night.

On 4/8/25 at 2:15 PM, during an interview the Administrator confirmed that Resident #1 had narcotic medication that was missing and had not been located, and LPN #1 was the nurse responsible for that medication cart.

She acknowledged the facility allowed the nurse to continue to work on the medication cart and did not require her to turn in the keys and leave the facility during the investigation.

She confirmed the facility failed to prevent the misappropriation of a resident's medication and she confirmed the facility failed to prevent further potential misappropriation of a resident's medication by not removing LPN #1 from the facility during the investigation.

255111

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 255111 B.

Wing 04/08/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

West Point Community Living Center 2056 N Eshman Avenue West Point, MS 39773

During an interview on [DATE] at 9:45 AM, the Administrator stated she had reported the incident of missing narcotic medication to the required entities and acknowledged that Licensed Practical Nurse (LPN) #1 had left the medication keys unattended at the nurses station while she went outside for a break and also left the keys on the medication cart unattended while the corporate nurse checked the medication cart.

When LPN #1 returned from her break she went to the medication cart to obtain a PRN (as needed) medication for Resident #1 and realized that a medication card for a 30 count Norco Oral Tablet ,d+[DATE] milligram was missing, and she reported it and an investigation was initiated immediately.

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

255111

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 255111 B.

Wing 04/08/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

West Point Community Living Center 2056 N Eshman Avenue West Point, MS 39773

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


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