TALLAHATCHIE GENERAL HOSP ECF

Nursing Home Inspector

201 SOUTH MARKET ST/P. O. BOX 230
CHARLESTON, MS 38921
Tallahatchie County
Phone: 662-647-5535
Provider Number: 25A190
Last Inspection: 03/03/2017

About the Nursing Home

Number of Beds: 98
Number of Residents: 96
Beds Available: 2
Percent Occupancy: 98%
Insurance Accepted: Medicaid
Types of Councils: Resident
Ownership: Government - County
Within Hospital?: YES

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

 

13

Facility
13

County
11

MS
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

13

2017
0

2016
29

2015

Medicare Ratings

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

 

Details by Inspection Date

3/3/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain comfortable sound levels. Pattern : Minimal 4 3/20/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 3/17/2017
 
Failed To: Dispose of garbage and refuse properly. Isolated : Minimal 3 3/21/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 3/17/2017
 

7/23/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide written records when a resident is transferred or discharged. Isolated : Minimal 3 9/4/2015
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 9/4/2015
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 9/4/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 9/4/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 9/4/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 9/4/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 9/4/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 9/4/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/4/2015
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MS State Avg
Number of Residents 96 96.00 77.87
Registered Nurses 0.47 0.47 0.78
Licensed Practical / Vocational Nurses 1.68 1.68 0.98
Certified Nursing Assistants 3.02 3.02 2.33
Total Staff Hours 5.17 5.17 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 5 5 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 99 97
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 99 96
of long-stay residents experiencing one or more falls with major injury 3 3 3
of long-stay residents who have depressive symptoms 0 0 1
of long-stay residents who lose too much weight 9 9 7
of long-stay residents who received an antianxiety or hypnotic medication 31 31 26
of long-stay residents who received an antipsychotic medication 13 13 19
of long-stay residents who self-report moderate to severe pain 19 19 8
of long-stay residents who were physically restrained 4 4 1
of long-stay residents whose ability to move independently worsened 33 33 18
of long-stay residents whose need for help with daily activities has increased 27 27 16
of long-stay residents with a catheter inserted and left in their bladder 3 3 2
of long-stay residents with a urinary tract infection 0 0 4
of low risk long-stay residents who lose control of their bowels or bladder 47 47 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 73 73 87
of short-stay residents who had an outpatient emergency department visit 4 4 14
of short-stay residents who self-report moderate to severe pain 26 Not Available   62
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 72 Not Available   2
of short-stay residents who were rehospitalized after a nursing home admission 4 26 15
of short-stay residents with pressure ulcers that are new or worsened 8 72 84