TUPELO NURSING AND REHABILITATION CENTER

Nursing Home Inspector

1901 BRIAR RIDGE ROAD
TUPELO, MS 38804
Lee County
Phone: 662-844-0675
Provider Number: 255136
Last Inspection: 08/03/2017

About the Nursing Home

Number of Beds: 120
Number of Residents: 107
Beds Available: 13
Percent Occupancy: 89%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Partnership
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

 

0

Facility
12

County
11

MS
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2017
9

2016
7

2015

Medicare Ratings

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

 

Details by Inspection Date

9/8/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 10/5/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 10/5/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 10/5/2016
 

8/20/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Pattern : Minimal 4 9/29/2015
 
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 9/29/2015
 

Complaint Investigation Deficiencies

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

1/20/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 2/24/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MS State Avg
Number of Residents 107 95.60 77.87
Registered Nurses 0.34 1.94 0.78
Licensed Practical / Vocational Nurses 1.01 0.77 0.98
Certified Nursing Assistants 2.21 2.77 2.33
Total Staff Hours 3.56 5.47 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 8 4 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 99 97
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 86 96 96
of long-stay residents experiencing one or more falls with major injury 1 4 3
of long-stay residents who have depressive symptoms 0 2 1
of long-stay residents who lose too much weight 5 7 7
of long-stay residents who received an antianxiety or hypnotic medication 26 25 26
of long-stay residents who received an antipsychotic medication 26 16 19
of long-stay residents who self-report moderate to severe pain 0 11 8
of long-stay residents who were physically restrained 1 0 1
of long-stay residents whose ability to move independently worsened 8 20 18
of long-stay residents whose need for help with daily activities has increased 18 15 16
of long-stay residents with a catheter inserted and left in their bladder 0 1 2
of long-stay residents with a urinary tract infection 0 4 4
of low risk long-stay residents who lose control of their bowels or bladder 91 63 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 94 94 87
of short-stay residents who had an outpatient emergency department visit 16 12 14
of short-stay residents who made improvements in function 63 66 62
of short-stay residents who newly received an antipsychotic medication 3 1 2
of short-stay residents who self-report moderate to severe pain 0 14 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87 93 84
of short-stay residents who were rehospitalized after a nursing home admission 31 21 24
of short-stay residents who were successfully discharged to the community 37 49 41
of short-stay residents with pressure ulcers that are new or worsened 0 0 0