J G ALEXANDER NURSING CENTER in UNION, MS was fined $16,720 by CMS across 2 separate penalties following 16 deficiency citations identified during federal surveys.

J G ALEXANDER NURSING CENTER (UNION, MS) — $16,720 in CMS Fines

Outcome: J G ALEXANDER NURSING CENTER in UNION, MS was fined $16,720 by CMS across 2 separate penalties following 16 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.


• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.


• Provide enough food/fluids to maintain a resident's health.


• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.


• Post nurse staffing information every day.


• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.


• 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.


• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.