B-
74/100

MISSION CONVALESCENT HOME Inspection Report, Violations & Safety Grade (JACKSON, Tennessee)

118 GLASS ST, JACKSON, Tennessee 38301

Phone: 7314242951

CMS Overall:3/5

Overview & Bed Count

Certified Beds
57
Avg Residents/Day
40.1
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Madison
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health4/5
Staffing1/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.340.60-0.26
Total Nurse Hours per Resident per Day3.363.82-0.46
CMS Staffing Rating1/52.5/5-
Nursing Staff Turnover56.8%48.6%-

Health Citation History

11 health citations on record

DateCategoryDescriptionSeverity
2026-07-29Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D – Moderate Harm Potential
2026-07-29Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-07-02Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-07-02Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-07-02Quality 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
2024-09-18Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-09-18Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-09-18Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-09-18Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2024-09-18Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2024-09-18Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D – Moderate Harm Potential

Fire Safety Citation History

11 fire safety citations on record

DateCategoryDescriptionSeverity
2026-07-29Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.D – Moderate Harm Potential
2026-07-29Emergency Preparedness DeficienciesConduct testing and exercise requirements.D – Moderate Harm Potential
2026-07-29Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2026-07-29Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2026-07-29Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2026-07-29Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2026-07-29Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2026-07-29Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.D – Moderate Harm Potential
2026-07-29Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2024-09-18Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2024-09-18Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – 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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