Ms Care Center Of Alcorn County, INC-SNF
3701 Joanne Drive, Corinth, MS 38834 · For profit - Limited Liability company · 119 certified beds · (662) 287-8071 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a high payroll-based staffing rating (4/5)
- it has abuse, neglect, or exploitation citations (F0600, F0609) — most recent Jan 2025
- it has a citation for mishandling residents’ money or property (F0565)
- it has 5 actual-harm citations
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (28) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $25,376 in federal fines (most recent 2025-03-06)
- its payroll-based staffing score sits well above its independent inspection score
- its independent health-inspection rating is low (1/5)
- its facility-reported quality-measure rating is low (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 1 of 5 |
Worth a closer look. This home's staffing rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 1 of 5 |
| Long-stay residentspeople who live here | 1 of 5 |
| Short-stay residentsrehab / post-hospital | 1 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 1 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 18.0% | 20.5% | 15.4% | worse |
| Long-stay residents who lose too much weight | 10.2% | 6.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 5.1% | 1.4% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 15.6% | 2.5% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.0% | 1.6% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 3.2% | 3.1% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 26.7% | 19.6% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 49.1% | 23.8% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 98.7% | 97.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.9% | 6.3% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 28.3% | 20.7% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 18.0% | 21.7% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 5.1% | 2.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 74.3% | 84.6% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 27.4% | 27.7% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 18.5% | 15.5% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.72 | 2.43 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 4.03 | 2.86 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
51.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 296 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 27.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 107 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.37 therapist hours per resident per day in 2026Q1 — more than 64% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 51.8%CMS range 47.2–56.7 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.5%CMS range 9.8–14.9 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 27.1% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 39.2% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 33.6% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 95.8% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 99.1% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.6% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 12.8%CMS range 8.9–16.7 | 7.1% | Oct 2023–Sep 2024 | worse than U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.27 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 119 beds and averages 87.0 residents a day — about 73% occupied, or roughly 32 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.551 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.30 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.51 hrs/resident/day on weekends vs 4.92 on weekdays — 29% thinner on weekends — a notable drop. RN hours go from 0.70 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
28 citations, most serious first. The 16 most serious are shown; the remaining 12 are one tap away and print in full.
- Immediate jeopardy · J2025-03-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interviews, record reviews, facility policy reviews, and the facility's investigation, the facility failed to provide adequate supervision to prevent Resident #1, who was identified as a wandering risk, from exiting the facility unnoticed and unsupervised for one (1) of three (3) residents reviewed. Resident #1. The facility failed to provide supervision to prevent an elopement for Resident #1, who was a wandering risk. The resident left the facility unnoticed and unsupervised on 3/4/25 at 5:09 AM and was discovered asleep in the back seat of someone's car at their place of residency which was approximately eight (8) miles from the facility on 3/4/25 at approximately 9:30 AM after the resident rode home with them from their place of employment. During the investigation, the State Agency (SA) identified an Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) which began on 3/4/25 and existed at 42 CFR: 483.25 (d)(1)(2)- Free of Accidents Hazards/Supervision/Devices (F689) - Scope and Severity J. This situation placed Resident #1 and other residents at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · G2026-04-01 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on resident and staff interviews, observation, record review and facility policy review, the facility failed to ensure interventions were maintained to prevent the recurrence of a pressure injury for one (1) of 18 sampled residents. Resident #3Findings Include:Review of the facility policy titled Pressure Injury Prevention Guidelines undated, revealed, Inspect skin while providing care .Pressure Relieving Devices: 6. Provide alternative support surfaces as needed. Considerations for utilizing specialized support surfaces: a. Medical condition and weight .e. Stage 3, 4, unstageable, or deep tissue injury on trunk .Record review of the Wound Care Note dated 2/4/26, by the Wound Care Family Nurse Practitioner (FNP), revealed Resident #3 had a Stage 4 pressure injury to the sacrum that was documented as a status of healed.Record review of the Wound Care Note dated 3/25/26, by the Wound Care FNP, revealed .being seen for evaluation of a re-opened Stage 4 sacral wound Record review of the Order Summary Report revealed a Physician Order dated 3/23/26 for Sacrum, Cleanse with wound…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · G2025-01-30 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, staff interviews and facility policy review, the facility failed to ensure a resident's right to be free from abuse and neglect as required for one (1) of 20 residents reviewed. Resident A. Cross Reference F609, F656, F697 Findings Include: Review of facility policy Freedom from Abuse, Neglect and Exploitation revised October 2022 revealed Policy Statement: All residents of this facility have the right to be free from neglect .Residents must not be subject to abuse by anyone .Practices of omitting part of resident care or neglecting resident and misappropriation of property is to be considered as leading to abuse and should be investigated and treated as abuse. A record review of the Grievance/Complaint Report documented by Social Services on 10/22/24 revealed that Resident A reported that staff was rude to him and refused to give him his medications, stating it was bad for him and that he did not need it. He further reported that staff threw his call light on the floor, refused to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · G2025-01-30 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and staff interviews the facility failed to identify and report an allegation of abuse and neglect to the proper authorities within prescribed timeframes as required for one (1) of 20 residents reviewed. Resident A. Cross reference F600, F656, F697 Findings Included: Review of facility policy Freedom from Abuse, Neglect and Exploitation revised October 2022 revealed Policy Statement: Practices of omitting part of resident care or neglecting resident and misappropriation of property is to be considered as leading to abuse and should be investigated and treated as abuse .5. The facility will ensure that all alleged violations involving mistreatment, neglect, or abuse .are reported immediately to the supervisor, and the administrator of the facility, or other officials, such as the State Board of Health and the Office of the Attorney General . A review of the Record of Complaint documented by the Director of Nursing (DON) on 10/21/24 indicated that Resident A's responsible party (RP) stated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · Gcited before2025-01-30 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview and facility policy review, the facility failed to implement pain management care plan interventions and failed to develop a care plan with individualized interventions to include triggers for Post Traumatic Stress Disorder (PTSD) for two (2) of 20 sampled resident care plans reviewed. Resident A and Resident #64. Findings include: Record review of the facility policy Pain Management revealed, Policy: The facility will ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. A record review of Resident A's Care Plan revealed, Focus: Risk for altered comfort related to benign hypertrophy of the prostate (BHP) and pain related to fractures, with interventions including: .Administer pain medication as needed . A record review of the Grievance/Complaint Report documented by Social Services/Grievance Official on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · G2025-01-30 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, staff interviews, and facility policy reviews, the facility failed to ensure that a resident received pain medication as ordered by the physician for one (1) of one (1) resident reviewed for pain management. Resident A. Cross reference F600, F656, F609 Findings include: Record review of the facility policy Pain Management dated September 2022 revealed, Policy: The facility will ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. A record review of the admission Record revealed that Resident A was admitted to the facility on [DATE] with diagnoses including Left-sided Maxillary Fracture, Left-sided Fracture of the Medial Orbital Wall, Multiple Left-sided Rib fractures, other Physical Fracture of the Lower End of the Radius, and Unspecified Pain. Resident A was discharged home on [DATE]. A record review of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2026-04-01 · tag F0552 — widespreadEnsure that residents are fully informed and understand their health status, care and treatments.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview and facility policy review, the facility failed to obtain informed consent from the resident or resident representative prior to initiating psychotropic medications for five (5) of 5 residents reviewed for unnecessary medications. Resident #4, Resident #6, Resident #10, Resident #12 and Resident #92 Findings Include: Record review revealed that the facility did not have a policy and provided a statement on letterhead signed by the Administrator dated 03/31/26 (Proper name of the facility) does not currently have a Psychotropic Consent Policy. Resident #4 Record review of the Order Summary Report revealed a physician's order dated 2/13/2026 for Zyprexa oral tablet 5 milligrams (mg) give 5 mg by mouth at bedtime for schizoaffective disorder. Record review revealed a lack of consent forms for psychotropic medications were signed prior to initiation. Record review of the admission Record revealed that Resident #4 was admitted to the facility on [DATE] with a medical diagnosis…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2026-04-01 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and facility policy review, the facility failed to label and store food properly for one (1) of two (2) kitchen tours. Findings include:Review of facility policy titled Storage of Refrigerated Food revised 11/23, revealed, .All opened foods are labeled with common name of food and date stored and/or use-by date.During the initial kitchen tour with the Dietary Manager (DM) on 3/30/26 at 9:12 AM several observations were made regarding food storage practices. In reach-in cooler number one (1), several items, including sliced tomatoes, sliced cheese in a clear container, a five (5) gallon container of pasta salad, a one gallon container of sweet and sour sauce, a four (4) pound (lb.) uncovered container of sweet cornbread, 12 boiled eggs, one gallon of liquid seasoning sauce, one gallon of sweet pickle relish, one gallon of BBQ sauce, one gallon of jalapeno peppers, and one gallon of apple cider vinegar were present without dates indicating when they were opened or when they expired. In reach-in cooler number two (2), several items, including 46-ounce…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2026-04-01 · tag F0925 — failed to control pests — widespreadMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations, interviews, and facility policy review, the facility failed to maintain effective pest control management by preventing pests from entering the food and nutrition service department for one (1) of two (2) kitchen tours. Findings included:Review of facility policy titled Pest Control revised 8/17, revealed, Policy: In order to maintain a safe and sanitary environment, a pest management program is used to prevent pests from entering the food and nutrition service department and to implement measures to eliminate any pest infestations.During the initial kitchen tour with the Dietary Manager (DM) on 3/30/26 at 9:12 AM, multiple flies were observed randomly flying around in the kitchen prep and cook area and a cockroach was noted crawling on the floor in the dietary manager's office. During an interview on 3/30/26 at 9:12 AM, the Dietary Manager confirmed that the presence of pests (flies and roaches) was unsanitary and they should not be present in food prep or food storage areas.
- Potential for harm · D2026-04-01 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure the resident's right to dignity was maintained by not providing privacy for a urinary catheter drainage bag for one (1) of six (6) residents with an indwelling catheter. Resident #3.Findings Include:Review of the facility policy titled Dignity and Respect, undated, revealed, Each resident at the facility has the right to a dignified existence . During an observation on 3/30/26 at 9:50 AM, Resident #3 was noted to have a urinary catheter drainage bag containing approximately 100 cubic centimeters (cc) of yellow urine hanging on the lower left side of the bed. The drainage bag was not placed in a privacy bag and was clearly visible to anyone entering the room. During an observation and interview on 3/30/26 at 9:56 AM, the Quality Assurance (QA) Nurse responded to the resident's call light and confirmed the urinary catheter drainage bag was not placed in a privacy bag. The QA Nurse acknowledged that the exposure of the drainage bag constituted a dignity concern for Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-01 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure resident privacy during wound care when privacy measures were not implemented for one (1) of four (4) care opportunities observed. Resident #90 Findings Include:Record review of the facility policy titled Dignity and Respect undated revealed under, .5. Residents will be examined and treated in a manner that maintains bodily privacy. A closed door and/or drawn cubicle curtain should be utilized to maximize the privacy of each resident while rendering care .Record review of Resident #90's Treatment Administration Record revealed an order dated 3/17/26, Left heel, cleanse with wound cleanser, apply collagen to wound bed, cover with bordered foam dressing every day shift for stage 3 pressure injury. During an observation of Resident #90's wound care on 3/31/26 at 2:58 PM with the Wound Nurse, she performed wound care to the resident's left heel and pulled the resident's brief down to assess the skin on the resident's buttocks without shutting the window blind for privacy. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-01 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, staff interviews, and facility policy review, the facility failed to ensure a resident received an ordered supplement to prevent weight loss for one (1) of four (4) residents reviewed for nutrition. Resident #8. Findings Include: Record review of facility policy titled Weight Policy with no date, revealed, The facility shall evaluate a resident with significant weight changes to identify clinical conditions and risk factors that place the resident at risk for unintended weight change and initiate interventions if needed . A dining observation of Resident #8 on 3/30/2026 at 11:30 AM revealed no nutritional supplement that was ordered was present on the lunch meal tray. The meal included barbecue chicken, sweet peas, potato salad, garlic bread, peach cobbler, and four (4) ounces (oz) of apple juice. Record review revealed a diet order of Controlled Carb Diet (CCD), No Added Salt (NAS), and Super Pudding to lunch and supper meals. An interview with Quality Assurance (QA) nurse on 3/30/2026 at 11:32 AM revealed that the super pudding was on back…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interviews, record review, and facility policy review, the facility failed to ensure physician-ordered settings and proper oxygen integration for a Trilogy ventilator for one (1) of two (2) resident reviewed for respiratory care. Resident #100Findings Include:The facility provided a statement on letterhead that read, (Proper name of the facility) does not currently have a policy in place to obtain Physician Orders regarding Trilogy settings.On 3/30/2026 at 9:59 AM, during an observation of Resident #100, he was observed lying in bed with the head of the bed elevated and extremely short of breath (SOB) with rapid respirations. Oxygen was in place at three (3) liters by nasal cannula. A Trilogy ventilator was observed sitting on the table beside the bed without an oxygen enrichment line connected to the device.On 3/31/26 at 8:02 AM, an observation revealed Resident #100's Trilogy machine did not have an oxygen enrichment line attached to the device.Record review of Resident #100's Order Summary report revealed an order dated 3/20/26, Apply Trilogy Q (every)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-01 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure insulins were properly stored in accordance with manufacturer's guidelines to maintain safety and effectiveness for one (1) of two (2) medication carts observed. 300 hall Findings Include:Review of the facility policy titled Insulin Pen, with no date, revealed, .Insulin pens should be disposed of after 28 days.An observation of the 300 hall medication cart on 3/31/26 at 10:50 AM, with Licensed Practical Nurse (LPN) #1, revealed the following insulins were in use and were not dated when opened:Resident #2 - Lantus SoloStar that was undated. Resident #4 - Basagalar KwikPen and Tresiva FlexTouch that was undated.Record review of the Insulin 28 Day Expiration Date Calculator with no date revealed, .Discard multi-dose vials 28 days after initially opening.Record review of In-Service: Medication Pass - Tips for Success with no date revealed, .Insulin.Ensure that insulin vials are dated when opened.An interview with LPN #1 on 3/31/26 at 10:52 AM revealed that all insulins, vials…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-04-01 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interviews, and facility policy review the facility failed to implement and maintain an effective infection prevention and control program to prevent the spread of infection. This was evidenced by failure to utilize Enhanced Barrier Precautions (EBP) during high-risk care and failure to maintain urinary catheter equipment in a manner to prevent contamination for three (3) of 18 sampled residents. (Resident #2, #13, and #77).Findings Include: Review of facility policy titled Enhanced Barrier Precautions dated 4/1/2024, revealed, Policy: It is the policy of this facility to implement enhanced barrier precautions for preventing transmission of novel or targeted multidrug-resistant organisms .Enhanced barrier precautions refer to the use of gown and gloves for certain residents during specific high-contact resident care activities .An order for enhanced barrier precautions will be obtained for residents with any of the following: .feeding tube .High-contact resident care…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-03-17 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff and resident representative (RR) interviews, record review, and facility policy review, the facility failed to notify the resident representative of a significant change in physical condition and that the resident was being sent to the hospital for one of three residents reviewed. Resident #1. Findings Include: Review of the undated facility policy Required Notices revealed under Notification of changes: Facility will immediately inform the resident; consult with resident's physician; notify, consistent with their authority, the resident representative when: .b. The resident has a significant change in their physical, mental, or psychosocial status in either life threatening conditions or clinical complications d. A decision to transfer or discharge the resident from the facility . A phone interview on 03/17/25 at 9:06 AM with Resident #1's RR revealed that she was upset about a recent situation that occurred at the facility. RR revealed that she gone into the facility on [DATE], walked into…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 12 citations
- Potential for harm · Fcited before2025-01-30 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interviews, record review, and facility policy review, the facility failed to ensure food temperatures were completed and documented adequately for one (1) of three (3) kitchen observations. Findings include: A review of the facility policy titled Kitchen Thermometers undated revealed, A food thermometer should also be used to ensure that cooked food is held at safe temperatures until served. Cold foods should be held at 40 degrees F (Fahrenheit) or below. Hot food should be kept hot at 140 degrees F or above . Temperature Recording Preserves the Food's Quality. If facilities don't keep food at the proper temperature, its quality can quickly deteriorate . During the initial tour of the facility with resident interviews on 1/28/25 at 10:10 AM, Resident #28 revealed, I have received cold chicken soup on more than one occasion. Last week, I requested two bowls of soup; they brought it, but it was cold. During dining room observation on 1/28/25 at 11:50 AM, Resident #28 was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-01-30 · tag F0565 — failed to support the resident council — patternHonor the resident's right to organize and participate in resident/family groups in the facility.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on resident and staff interviews, record review, and facility policy review, the facility failed to act upon and resolve resident grievances regarding cold food and lack of hot water for six (6) of eight (8) residents in the Resident Council meeting. Resident #5, Resident #13, Resident #28, Resident #43, Resident #64, and Resident #73 Findings Include: Review of the facility policy titled Grievances undated, revealed under, . 2. The resident has the right and the facility will make prompt efforts to resolve grievances the resident has . Record review of the Resident Council Meeting Agenda dated 10/29/24 revealed Resident #73, Resident #43, and Resident #5 voiced concerns: Food is getting cold by the time it gets to us (Breakfast, Lunch, Supper). Record review of the Resident Council Meeting Agenda dated 11/26/24 revealed, Resident #43 voiced a complaint of bacon being cold. Resident #64 voiced, The food is cold because staff doesn't start passing trays until about 10-15 minutes after trays are on the hall. Also revealed under, Dietary . talked with staff about serving hot…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-01-30 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure a home-like environment, as evidenced by cold water temperatures in the 300-hall shower room for one (1) of two (2) shower rooms observed. Findings include: Review of the facility policy titled, Resident Rights undated revealed, Facility will treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of their quality of life . During an interview on 1/28/25 at 10:15 AM, Resident #28 revealed that the shower room on the 300 hall where we take our showers is often without hot water. He revealed that it was a big problem last week, and when my aide brought me back to my room after the cold shower, I saw the Administrator in the hallway and told him about the issue. An interview on 1/29/25 at 9:50 AM, Certified Nurse Aide (CNA) #1 revealed she has had several residents complain of the water being cold in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-01-30 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and facility policy review, the facility failed to submit a status change for a resident with a new mental illness diagnosis to the Preadmission Screening and Resident Review (PASRR) program for one (1) of four (4) residents reviewed. Resident #41 Findings include: Record review of facility letterhead revealed, Admissions Coordinator uses the Division of Medicaid Pre-admission Screening (PAS) Instruction Manual to determine the admission PAS process. Social Services uses the Maximus guide to determine status change or potential status change that require submission of a Resident Review status change in MS (Mississippi). Record review of guidelines titled, Mississippi PASRR Identifying Status Changes, dated 8/3/22, revealed, The nursing facility (NF) must submit a Status Change (SC) to Maximus using the Level I PASRR Resident Review process whenever a Significant Change in Condition occurs for an individual with a PASRR identified condition (i.e., Serious Mental Illness…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-01-30 · tag F0699 — isolatedProvide care or services that was trauma informed and/or culturally competent.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interviews, record review, and facility policy review, the facility failed to provide trauma care and services for a resident with a diagnosis of Post Traumatic Stress Disorder (PTSD) for one (1) of 20 sampled residents. Resident #64 Findings include: Record review of facility policy titled, Trauma-Informed Care undated, revealed, The general idea of trauma-informed care is to provide increased sensitivity to residents who have experienced trauma. Educating staff on how to interact with residents in an effort to limit triggering events and provide sensitive psychosocial interventions. On 1/28/25 at 11:55 AM, an interview with Resident #64 revealed he was in the Vietnam War and he suffered from PTSD from his military service. He stated he was left for dead and the two soldiers with him were killed and it was a miracle he survived. He said that during that event, he was praying for God to keep him still so they would think he was dead and then he talked about how his mother…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-09-21 · tag F0565 — failed to support the resident council — patternHonor the resident's right to organize and participate in resident/family groups in the facility.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff and resident interview, record review and facility policy review the facility failed to resolve resident's grievances as evidence by recurring grievances mentioned in the last three (3) resident council meetings with no documented resolution follow-up for five (5) of eight (8) residents present during the resident council meeting. Resident #7, Resident #17, Resident #40, Resident #64, and Resident #82. Findings Include: Record review of the facility policy titled, Grievance Policy with a revision date of November 2016 revealed Procedure .This facility grievance policy ensures the prompt resolution of all grievances regarding the residents' rights .To ensure the prompt resolution of all grievances regarding the residents' rights, this facility will: A reasonable expected time frame for completing the review of the grievance .The right to obtain a written decision regarding his or her grievance; This review revealed under Grievance Official .4.b .Issuing written grievance decisions to the resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-09-21 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interviews, record review, and facility policy review the facility failed to perform medication administration using proper hand hygiene, failed to ensure a multi-use glucometer was properly cleaned and disinfected, and failed to wear masks in the resident halls in the facility during a COVID-19 outbreak for two (2) of four (4) survey days. Findings Include: Review of the facility policy titled, Infection Prevention and Control Program with no revision date revealed Policy: This facility has established and maintains an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections . Review of the facility policy titled, Personal Protective Equipment with no revision date revealed Policy: This facility promotes appropriate use of personal protective equipment to prevent the transmission of pathogens to residents, visitors, and other staff . Review of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interviews, record review, and facility policy review, the facility failed to honor a resident's preference to get up and attend morning activities for one (1) of 24 residents sampled. Resident #40 Findings Include: Review of the facility policy titled, Resident Rights undated, revealed Policy: Facility will ensure the resident has the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. Facility will treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of their quality of life, recognizing each resident's individuality. The facility will protect and promote the rights of each resident . An interview on 09/18/23 at 3:21 PM, with Resident # 40 revealed that she sometimes missed morning activity due to the assigned aide being too busy to get her up in time. The resident revealed that this is something that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interviews, record review, and facility policy review, the facility failed provide the resident with the choice for end-of-life care for one (1) of 32 residents sampled. Resident #72 Findings include: Record review of facility policy titled, Advanced Directive Policy, undated, revealed, This facility recognizes the resident's rights under state law to accept or refuse medical treatment and to formulate advance directive such as a Living Will, Durable Power of Attorney for health care, and decisions regarding resuscitation Upon admission it is assumed that every resident will receive cardiopulmonary resuscitation (CPR) unless there is a physician order to the contrary and/or written directives from the resident . An interview with the Director of Nursing on [DATE] at 7:55 AM, revealed Resident #72 did not have a Power of Attorney (POA) directive in place and was cognitive and was able to choose his code status. She confirmed the facility failed to verify his code status when he became…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-21 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interviews, record review, and facility policy review, the facility failed to develop and implement a care plan related to nail care for one (1) or 24 residents sampled. Resident #54 Findings Include: Record review of the facility policy titled Care Plans, Comprehensive Person-Centered undated, revealed Policy Statement: A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. Policy Interpretation and Implementation . 2. The care interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment . Record review of the care plans for Resident #54 revealed under, Self-care deficit: . shampoo, shower/bath: two (2) times a week. Fingernail/toenails cleaned and checked. An observation on 9/19/23 at 3:20 PM, of Resident # 54 revealed a dark brown substance underneath all the fingernails on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interviews, record review and facility policy review, the facility failed to perform nail care for a resident dependent on staff for one (1) of 24 residents sampled. Resident #54 Findings Include: Record review of the facility policy titled Fingernails/Toenails, Care of undated revealed Purpose: The purposes of this procedure are to clean the nail bed, to keep nails trimmed, and to prevent infection .General Guidelines 1. Nail care includes daily cleaning and regular trimming . An observation on 9/19/23 at 3:20 PM, of Resident # 54 revealed a dark brown substance underneath all the fingernails on her left hand. An observation and interview on 9/19/23 at 3:25 PM, with Certified Nurse Aide (CNA) # 1 confirmed Resident # 54 had a brown substance underneath the nails on the left hand. She stated, They need cleaning, and revealed the aides were responsible for cleaning the residents' nails while bathing and when needed. An observation and interview on 9/19/23 at 3:35 PM, with Licensed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0725 — failed to have enough nursing staff — isolatedProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident, family, and staff interviews, record review, and facility policy review, the facility failed to ensure adequate staff for the care of the residents as evidenced by not answering call lights, getting the residents up and not delivering meal trays in a timely manner for nine (9) of 105 residents reviewed. Resident #6, Resident #7, Resident #17, Resident #40, Resident #54, Resident#59, Resident #64, Resident #74, and Resident #82. Findings Include: Record review of the facility policy titled Nursing Services with a revision date of 9/2022 revealed . Sufficient Nursing Services: The facility will have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety, and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by their resident assessments and individual plan of care and considering the number, acuity and diagnoses of the facility's resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$25,376 in federal fines across 3 penalties.
- $14,508 — penalty dated 2025-03-06
- $5,434 — penalty dated 2025-01-30
- $5,434 — penalty dated 2025-01-30
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to MISSISSIPPI CARE CENTER — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 1 of 5 | 3.4 | -2.4 vs chain |
| Health inspection | 1 of 5 | 3.2 | -2.2 vs chain |
| Staffing | 4 of 5 | 4.0 | ≈ chain avg |
| Quality measures | 1 of 5 | 2.6 | -1.6 vs chain |
The other 4 homes this chain runs (chain average 3.4★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| BEEBE, HAROLD | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR | 33% | since 11/01/2008 |
| DELANEY, STEVEN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR | 33% | since 11/01/2008 |
| PACE, GARRY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | 33% | since 11/01/2008 |
| SHELTON, REBECCA | Individual | CORPORATE OFFICER | — | since 05/01/2014 |
| EUBANKS, TONYA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/01/2002 |
| SKELTON, ROBIN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/11/2020 |
| PRATT, JOSEPH | Individual | ADP OF THE SNF | — | since 10/01/2008 |
CMS files one row per role, so the 14 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.1M paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in MS
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Mississippi Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 255110. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-01, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.