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F0867
E

Repeat Deficiencies in Incontinence Care and Infection Control

Crystal Springs, Mississippi Survey Completed on 05-08-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility's Quality Assurance and Performance Improvement (QAPI) Committee failed to sustain corrective actions to prevent recurrence of previously cited deficiencies. Specifically, the facility was cited for not ensuring that incontinent residents received appropriate care and services to prevent the possibility of urinary tract infections, and for not consistently implementing infection control measures to prevent the development and/or transmission of infection. These deficiencies were previously identified during an annual recertification survey and were cited again during the current survey, indicating a lack of ongoing monitoring and oversight by the QAPI Committee. Record reviews confirmed that the facility had received citations for F690 (Bowel/Bladder Incontinence, Catheter, UTI) and F880 (Infection Prevention & Control) in the past, and the same issues were observed again. During the current survey, two residents reviewed for perineal care did not receive appropriate care to prevent urinary tract infections, and infection control practices were not followed during perineal care for these residents. Interviews with the DON and NHA confirmed awareness of the repeat deficiencies, with the NHA noting that new and part-time staff may have contributed to the recurrence.

See complete original report
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