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WISTERIA GARDENS Inspection Report, Violations & Safety Grade (PEARL, Mississippi)

5420 HIGHWAY 80 EAST, PEARL, Mississippi 39208

Phone: 6019886800

CMS Overall:3/5

Overview & Bed Count

Certified Beds
52
Avg Residents/Day
44.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare
County
Rankin
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health4/5
Staffing1/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityMississippi AvgDifference
RN Hours per Resident per Day0.000.63-0.63
Total Nurse Hours per Resident per Day0.004.20-4.20
CMS Staffing Rating1/53.8/5-
Nursing Staff Turnover31.5%44.4%-

Health Citation History

11 health citations on record

DateCategoryDescriptionSeverity
2026-03-11Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-03-11Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-02-20Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-02-20Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2025-02-20Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-02-20Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-02-20Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.D – Moderate Harm Potential
2025-02-20Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-10-19Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-10-19Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2023-10-19Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential

Fire Safety Citation History

2 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-11Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-10-19Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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