A list of the most recent deficiencies for The Pillars of Biloxi. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-02-03 | 2023-03-03 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-09-13 | 2022-10-22 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-09-13 | 2022-10-22 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-09 | 2022-05-16 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-03-16 | 2022-04-27 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-16 | 2022-04-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-16 | 2022-04-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-16 | 2022-04-27 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-16 | 2022-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-16 | 2022-04-27 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-16 | 2022-04-27 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-03-16 | 2022-04-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-16 | 2022-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-04-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-16 | 2022-04-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-16 | 2022-04-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-16 | 2022-04-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-16 | 2022-03-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-16 | 2022-03-28 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-12-07 | 2022-01-20 | Y |
| Keep all essential equipment working safely. | Health | 2021-12-07 | 2022-01-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-01 | 2021-11-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-01 | 2021-04-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-15 | 2019-07-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-15 | 2019-07-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-15 | 2019-07-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-15 | 2019-07-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-05-15 | 2019-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-15 | 2019-07-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-05-15 | 2019-07-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-15 | 2019-07-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-15 | 2019-07-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-15 | 2019-07-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-15 | 2019-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-15 | 2019-07-02 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-05-15 | 2019-07-02 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-05-13 | 2019-07-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-13 | 2019-07-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-10 | 2017-04-24 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-03-10 | 2017-04-24 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-03-10 | 2017-04-24 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-10 | 2017-04-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-10 | 2017-04-24 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-10 | 2017-04-24 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-10 | 2017-04-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-10 | 2017-04-24 | N |
| 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. | Health | 2017-03-10 | 2017-04-24 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-03-10 | 2017-04-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-10 | 2017-04-24 | N |
| Dispose of garbage and refuse properly. | Health | 2017-03-10 | 2017-04-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-10 | 2017-04-24 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-03-10 | 2017-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-08 | 2017-04-12 | N |
