BRANDON NURSING AND REHABILITATION CENTER

Nursing Home Inspector

355 CROSSGATE BLVD
BRANDON, MS 39042
Rankin County
Phone: 601-825-3192
Provider Number: 255106
Last Inspection: 06/23/2017

About the Nursing Home

Number of Beds: 230
Number of Residents: 213
Beds Available: 17
Percent Occupancy: 93%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Limited Liability company
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

3

Facility
11

County
11

MS
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

3

2017
25

2016
6

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

6/23/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 8/4/2017
 

8/30/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 10/10/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 10/10/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 10/10/2016
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Pattern : Minimal 4 10/10/2016
 
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated : Minimal 3 10/10/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/10/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/10/2016
 

6/18/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 8/16/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 7/30/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

8/30/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 10/10/2016
 

2/26/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 3/25/2016
 

8/20/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Immediate 5 8/16/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Immediate 5 8/16/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Immediate 5 8/16/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Immediate 5 8/16/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Immediate 5 8/16/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MS State Avg
Number of Residents 213 78.70 77.87
Registered Nurses 0.58 0.68 0.78
Licensed Practical / Vocational Nurses 1.16 1.20 0.98
Certified Nursing Assistants 2.17 2.72 2.33
Total Staff Hours 3.90 4.59 4.09

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MS State Avg%
of high risk long-stay residents with pressure ulcers 3 9 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 98 97
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 97 96
of long-stay residents experiencing one or more falls with major injury 1 3 3
of long-stay residents who have depressive symptoms 0 1 1
of long-stay residents who lose too much weight 9 10 7
of long-stay residents who received an antianxiety or hypnotic medication 28 28 26
of long-stay residents who received an antipsychotic medication 19 28 19
of long-stay residents who self-report moderate to severe pain 12 8 8
of long-stay residents who were physically restrained 8 5 1
of long-stay residents whose ability to move independently worsened 15 9 18
of long-stay residents whose need for help with daily activities has increased 25 10 16
of long-stay residents with a catheter inserted and left in their bladder 2 1 2
of long-stay residents with a urinary tract infection 1 2 4
of low risk long-stay residents who lose control of their bowels or bladder 40 40 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 98 85 87
of short-stay residents who had an outpatient emergency department visit 12 10 14
of short-stay residents who made improvements in function 64 54 62
of short-stay residents who newly received an antipsychotic medication 3 2 2
of short-stay residents who self-report moderate to severe pain 23 20 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96 94 84
of short-stay residents who were rehospitalized after a nursing home admission 29 27 24
of short-stay residents who were successfully discharged to the community 26 41 41
of short-stay residents with pressure ulcers that are new or worsened 0 0 0