Winston County Nursing Home
17560 East Main Street, Louisville, MS 39339 · Non profit - Corporation · 120 certified beds · (662) 779-5137 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- it has an abuse, neglect, or exploitation citation (F0606), cited Mar 2024
- it has a citation for mishandling residents’ money or property (F0565)
- it has 2 actual-harm citations
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its facility-reported quality-measure rating is low (2/5)
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 | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 2 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
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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 | 2 of 5 |
| Long-stay residentspeople who live here | 1 of 5 |
| Short-stay residentsrehab / post-hospital | 3 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 improved from 2 to 4 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 | 21.1% | 20.5% | 15.4% | worse |
| Long-stay residents who lose too much weight | 4.2% | 6.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.9% | 1.4% | 0.9% | typical |
| Long-stay residents with a urinary tract infection | 0.8% | 2.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 4.2% | 1.6% | 6.5% | worse than state‡ — see note marked double-dagger 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 | 3.3% | 3.1% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 21.3% | 19.6% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 18.6% | 23.8% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 97.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 12.4% | 6.3% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 19.9% | 20.7% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 21.6% | 21.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 5.5% | 2.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 75.7% | 84.6% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 33.3% | 27.7% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 10.9% | 15.5% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 3.54 | 2.43 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 3.90 | 2.86 | 1.80 | worse |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ 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.
56.2% 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 71 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 73.5% 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 34 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 0.34 therapist hours per resident per day in 2026Q1 — more than 57% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 | 56.2%CMS range 44.5–64.5 | 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 | 8.8%CMS range 5.9–14.1 | 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 | 73.5% | 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 | 70.6% | 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 | 70.6% | 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 | 86.7% | 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 | 100.0% | 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 | 1.7% | 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 | 6.7% | 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 | 7.5%CMS range 4.0–12.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.88 | 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 120 beds and averages 102.7 residents a day — about 86% occupied, or roughly 17 beds typically open. It runs fairly full. 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 4.39 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.22 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 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 3.58 hrs/resident/day on weekends vs 4.72 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 1.46 to 0.65 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 36% 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.
17 citations, most serious first. The 12 most serious are shown; the remaining 5 are one tap away and print in full.
- Actual harm · Gcited before2026-06-18 · 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 observations, interviews, record reviews, facility document review, and facility policy review, the facility failed to develop and implement care plans to address a physician-ordered fluid restriction for two (2) of five (5) dialysis residents, Resident #43 and Resident #58. Findings include: Record review of the facility policy titled Care Plan, revised 2/1/23, revealed under Purpose: To direct resident care from admission to discharge. Resident #43 Record review of Resident #43's dialysis Care Plan revealed Hemodialysis – I am at increased risk for complications related to I have diagnosis of: ESRD (end stage renal disease) with hemodialysis. There was no mention of fluid restrictions on the care plan. Record review of Resident #43's orders revealed, Hemodialysis at (Proper Name) Monday-Wednesday-Friday with active date 4/30/25. Record review of Resident #43's orders revealed, 1000 milliliters (mL) fluid restriction every 24 hours with active date 8/12/25. Record review of Resident #43's Nutritional…
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 · G2026-06-18 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services 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 observations, interviews, record review, facility document review, and facility policy review, the facility failed to ensure a physician-ordered fluid restriction was implemented and monitored for three (3) of five (5) dialysis residents. Resident #12, #43, and #58. Findings Include: Record review revealed that the facility does not have a policy and presented a statement on facility letterhead dated 06/17/26, that stated, (Proper name) nursing home does not have a policy specific to fluid restrictions on dialysis residents, signed by the Administrator. Resident #12An observation and interview with Resident #12 on 6/16/26 at 8:30 AM revealed she was lying in bed. A 32-ounce water pitcher full of ice water was located on the bedside table. The resident stated she attended dialysis three times weekly and was not aware of a fluid restriction.Record review of Resident #12's Order Summary Report revealed an order dated 2/20/26, Hemodialysis with 'proper name of dialysis company' Mon (Monday), Wed…
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 before2026-06-18 · 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 observation, staff interview, and facility policy review, the facility failed to store foods in kitchen refrigeration that was maintained in a clean, sanitary condition and good repair for one (1) of two (2) kitchen tours. Findings Include:Review of the facility policy titled Food Handling Guidelines: Cooling Process and Cold Holding, revised 4/26, revealed under, Policy: . An effective preventative maintenance plan is in place for each piece of food service equipment. All refrigeration is maintained in good working order and is calibrated, serviced, or tested per the manufacturer's instructions .During the initial kitchen tour on 6/15/26 at 11:00 AM, observation of the tray line cooler revealed the interior lower metal surface contained an excessive amount of moisture and was covered with a greenish-black substance in spotty patches. The interior lower door gasket was covered with a black substance, and the gasket was dangling from the refrigerator door, visibly preventing a proper seal.An observation and interview with Dietary Staff #3 on 6/15/26 at 11:06 AM confirmed 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 · E2026-06-18 · tag F0550 — failed to protect resident dignity and rights — patternHonor 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 observations, resident interviews, staff interviews, record review, and facility policy review, the facility failed to promote dignity and maintain independence during meal service by failing to provide a table knife to residents who were capable of independently cutting their own food for six (6) of eight (8) residents reviewed during a dining observation in the Cypress Cottage. Residents #6, Resident #16, Resident #34, Resident #49, Resident #70, and Resident #90Findings Include:Review of the facility policy titled Resident Rights revised 2/1/23 revealed under, Policy: It is the nursing home's policy to provide the kind of care that will maintain and enhance dignity, respect individuality and quality of life .An observation of the lunch meal and resident interviews in the Cypress Cottage on 6/17/26 at 12:31 PM revealed residents were served pork chop with gravy, rice, squash and zucchini, and a roll. During the observation, Resident #6 was observed attempting to cut her pork chop with a fork without success. She then used a spoon to attempt to cut the meat while holding…
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 · E2026-06-18 · 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 record review, observations, resident interviews, staff interviews, and facility policy review, the facility failed to make prompt efforts to resolve resident grievances related to food quality, food preferences, alternative menu selections, meal variety, food temperature, and food palatability as evidenced by unresolved concerns identified during six (6) of 12 months of Resident Council meetings reviewed. Resident #6, #13, #25, #28, #34, #38, #42, #49, #69, #81, and #99 Findings Include:Review of the facility policy titled Grievances-Family and Resident Grievances revealed under, Policy: It is the policy of this facility to support each resident's and family member's right to voice grievances without discrimination, reprisal, or fear of discrimination. Additionally revealed under, Policy Explanation and Compliance Guidelines: . 12. The facility will make prompt efforts to resolve grievances.Record review of Resident Council meeting minutes dated 12/1/25, 1/5/26, 3/2/26, 4/1/26, 5/4/26, and 6/1/26 revealed repeated resident complaints regarding food quality, alternative…
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 · E2026-06-18 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, resident interviews, staff interviews, test tray review, and facility policy review, the facility failed to ensure food was palatable and consistent with resident food preferences and dislikes for nine (9) of 23 residents reviewed for food services in the Elm and Cypress cottages (Residents #6, #8, #16, #34, #49, #58, #70, #81, and #90). Findings included repetitive menu items, tough meats that were difficult to chew, food that was excessively salty, spicy, undercooked, or otherwise unpalatable, and failure to honor resident food preferences and alternative meal requests. Findings Include:Review of the facility policy titled Guidelines for Patient Food Service revised 8/22 revealed under, Policy/Purpose: To ensure that all food served from the FNS (Food and Nutrition Service) is of the highest quality, prior to each serving period. Additionally revealed under, Procedure: . Prior to meal service, a designated team member will taste each prepared food item on the patient serving line. The following criteria will be used for testing food items: . Is food properly…
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 · D2026-06-18 · 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 interviews, and facility policy review, the facility failed to ensure medications were stored in a properly secured refrigerator for one (1) of four (4) medication storage rooms. C Hall Findings include:Review of the facility's policy titled Medication Storage-Controlled Medication Storage revised 2/1/23, revealed: Medications included in the Drug Enforcement Administration (DEA) classification as controlled substances are subject to special handling, storage, disposal and record keeping in the nursing care center in accordance with federal, state and other applicable laws and regulations .An observation on 6/16/2026 at 10:05 AM with Licensed Practical Nurse (LPN) #2, revealed the medication storage room on C Hall contained 44 Lorazepam syringes prescribed to Resident #50, and were maintained on the center shelf of the refrigerator rather than within the locked, affixed controlled-substance storage box.During an interview conducted with LPN #2 at 10:06 AM, she stated the syringes would not fit in the locked storage drawer in the refrigerator. During an…
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 · D2026-06-18 · 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
Based on observation, staff interview, record review and facility policy review, the facility failed to ensure staff implemented Enhanced Barrier Precautions (EBP) during medication administration for one (1) of four (4) care areas observed. Resident #9Findings Include:Review of the facility policy titled Infection Control-EBP with an effective date of 4/01/2024 revealed, It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms .2. Initiation of Enhanced Barrier Precautions: i .indwelling medical devices (e.g . feeding tubes .)On 6/16/26 at 4:15 PM, an observation during medication administration with Licensed Practical Nurse (LPN) # 2 revealed, she administered medications to Resident #9 via a Percutaneous Endoscopic Gastrostomy (PEG) tube and did not don a gown, required for EBP.An interview on 6/16/26 at 4:30 PM with LPN #2, confirmed she did not don a gown to administer Resident #9's medications and stated she forgot to wear the gown.An interview with the Director of Nursing (DON) on 6/17/2026…
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 · D2026-06-18 · tag F0919 — failed to provide a working call system — isolatedMake sure that a working call system is available in each resident's bathroom and bathing area.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, resident and staff interviews, facility document review, and facility policy review, the facility failed to provide an effective system for residents to summon staff assistance when the call light system was nonfunctional for two (2) of 24 residents residing on one (1) nursing unit, Unit C. (Resident #52 and #95)Findings include:Review of facility policy titled, Answering and Responding to Call Lights with revision date: 2/1/23, revealed, Purpose: To ensure that resident's needs are responded to and met in a timely manner .During initial rounds on 6/15/2026 at 12:39 PM, observation of the call light system was not functioning, and residents were using handbells to request assistance.During an interview on 6/15/2026 at 12:42 PM, Licensed Practical Nurse (LPN) #3 confirmed the call light system was down yesterday (6/14/2026) and today. During an interview on 06/15/2026 at 12:43 PM, the Director of Nursing (DON) revealed the call system went out midday Friday. She stated maintenance was working on the roof Friday, and something caused the call system to go down.…
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 before2024-03-28 · 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 observation, staff interview, facility policy review, the facility failed to ensure items in the kitchen refrigerator, freezer and dry good spices were labeled and dated on one (1) of two (2) kitchen tours during survey. Findings include: A review of the facility policy revised on 1/22, titled Food and Supply Storage revealed: Procedures: Cover, label and date unused portions and open packages . An interview on 03/26/24 at 10:15 AM, with the Assistant Dietary Director (ADD) revealed that the Dietary Director is off this week, and she oversees the kitchen. An observation and interview on 03/26/24 at 10:18 AM, of the walk-in freezer in the kitchen with ADD revealed four (4) clear gallon size Ziploc bags with some type of meat inside them. The ADD confirmed that it was fish inside two (2) of the gallon Ziploc bags and some type of red meat inside of the other 2 gallon size Ziploc bags. The ADD confirmed that the Ziploc bags should have been labeled and dated when the meat was placed in the bag and stored in the refrigerator. An observation on 03/26/24 at 10:35 AM, of the spice…
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 before2024-03-28 · tag F0606 — failed to not employ staff found guilty of abuse — patternNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interviews, record review, and facility policy review, the facility failed to submit criminal background checks on four (4) of five (5) new employee personnel records reviewed during survey. Employee #1, #2, #3, and #5. Findings include: Review of the facility policy titled, Hiring with no revision date revealed under Comments #3e. If the drug test is negative, a Criminal History Record Check (CHRC) will be performed. Employees will be fingerprinted, and fingerprints will be submitted to the (Proper Name State Agency) . An interview on 03/28/24 at 12:45 PM, with the Administrator confirmed that background checks were completed with the Human Resource Director who also oversees the hospital. The Administrator confirmed that she was not aware that the fingerprint letters were not on the employee files. An interview on 03/28/24 at 12:55 PM, with the Human Resource Director and the Administrator revealed that criminal background checks have not been performed on any employee that has been hired since the first week of January 2024. The Human Resource Director stated, I'm…
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 · D2024-03-28 · 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 staff interview, record review, and facility policy review, the facility failed to ensure a resident's choice for end of life care was indicated accurately on medical records for one (1) of 24 residents reviewed for advance directives. Resident #56 Findings include: Record review of facility's resident rights pamphlet titled, A Matter of Rights, undated, revealed, As a resident in a long term care facility, you have many rights guaranteed by law. Your rights include . freedom to make your own decisions. You have a right to expect care and a residential setting that: promotes your quality of life, and reflects your individual needs and preferences . Record review of facility policy titled, Policy for Advanced Directives, undated, revealed, (proper name of facility) and the Medical Staff will comply with the 1990 Patient Self Determination Act by: 1. Inquiring upon admission if the patient has an advance directive (Living Will or Durable Power of Attorney), 2. Providing information related to advance…
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 5 citations
- Potential for harm · D2024-03-28 · tag F0691 — failed to provide colostomy / ostomy care — isolatedProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, resident and staff interviews, record reviews, and facility policy review, the facility failed to ensure a resident received the necessary care and treatment of a nephrostomy for one (1) of three (3) residents with urinary catheter systems. Resident #78 Findings include: Record review of the facility policy titled Application of Urostomy pouch and bedside drainage bag with a revision date of 2/1/23, revealed, Purpose: Care of a Resident with a urostomy and pouch system for collection of urine. To promote the dignity and cleanliness of a Resident who has a urostomy Record review of Progress note, (Proper name of facility) dated 03/19/2024 at 4:03 AM, revealed, This nurse received report from emergency room (ER) Resident also needs a new bag ordered since his is leaking. An interview and observation on 3/26/24 at 10:57 AM, Resident #78 revealed his urinary catheter bag leaks, and he has to put the catheter bag inside of a zip-lock bag, so it doesn't leak into his privacy bag. An observation of a clear zip-lock bag with the nephrostomy bag inside of it with…
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 before2022-10-13 · 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 observation, staff interviews, and facility policy review the facility failed to ensure items in the kitchen refrigerator and refrigerated cooler were labeled and dated, expired food items were removed and that food bins were covered for one (1) of two (2) kitchen tours. Findings include: A review of the facilities' policy titled, Food and Supply Storage. Policy #BOO3, revised 1/22, revealed, All food, non-food items, and supplies used in food preparation shall be stored in such a manner as to prevent contamination to maintain the safety and wholesomeness of the food for human consumption .Dry Storage .Foods that must be opened must be stored in approved containers that have tight-fitting lids .Hang scoop. The food level must be no closer than one inch below the handle of the scoop .Refrigerated storage life of foods .Use the manufacturer's expiration date for products before they are opened .Label when the product is opened. The initial brief tour of the kitchen on 10/11/22 at 10:20 AM with the Dietary Manager (DM) revealed: 1. Kitchen refrigerator #1 an observation and…
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 · E2022-10-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide safe and appropriate respiratory care for a resident when 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 observation, resident and staff interviews, record review and facility policy review the facility failed to change, date, and label and store oxygen tubing and to post oxygen signage at the entrance to residents' rooms for three (3) of four (4) residents reviewed with oxygen. Residents #2, Resident #42 and Resident #184. Findings Include: Review of facility policy Oxygen Therapy with revision date of 02/09/18 revealed under Policy Explanation and Compliance Guidelines: .4. NO SMOKING and/or OXYGEN IN USE signs will be posted at the entrance of the resident's room. Facility Policy also revealed under Oxygen Concentrator the following: .3. Change humidified bottle and tubing weekly. Resident #184 An observation on 10/11/22 at 11:03 AM, revealed Resident #184 lying in bed with Oxygen (O2) via biprong nasal cannula at 5 (five) Liters Per Minute (LPM), O2 tubing was not dated or labeled and there was no O2 signage on the resident's room door. An observation on 10/11/22 at 2:00 PM, revealed Resident #184…
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 before2022-10-13 · tag F0606 — failed to not employ staff found guilty of abuse — isolatedNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interviews, record review and facility policy review the facility failed to submit criminal background checks on three (3) of five (5) new employee personnel records reviewed. Findings include: Review of the facility policy titled, Hiring with no revision date revealed under Comments #3e. If the drug test is negative, a Criminal History Record Check (CHRC) will be performed. Employee will be fingerprinted, and fingerprints will be submitted to the MS State Department of Health. An interview on 10/12/22 at 9:45 AM with the Human Resources (HR) Director confirmed that the background checks had not been completed on Certified Nursing Assistant (CNA) #1, CNA #2, and Registered Nurse (RN) #1. She revealed she is the only one in her department and she covers the hospital new hires as well and stated that she just got behind. She revealed she did not realize how behind she had gotten until the State Agency (SA) asked for the records of the latest new employees hired in the last 120 days and it revealed that these employees did not have their criminal background check. She…
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 before2022-10-13 · 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
Based on observations, staff interview, record review and facility policy review the facility failed to implement a comprehensive care plan for three (3) of 18 care plans reviewed. Resident #2, Resident #42 and Resident #184. Findings Include: Record review of the facility policy titled Care Plan with a revision date of 09/04/2014 revealed under Purpose .To direct resident care from admission to discharge. Resident #184 An observation on 10/11/22 at 11:03 AM, revealed Resident #184 lying in bed receiving Oxygen (O2)via biprong nasal cannula at five (5) Liters Per Minute (LPM). O2 tubing was not dated or labeled and there was no O2 signage on the resident's room door. Record review of Resident #184's care plans revealed the following care plan: I am at risk of respiratory complications related to the diagnosis of Asbestos exposure and I receive O2 @ 5 L/M (liters/minute) via nasal bi prong (NBP) with a goal of I will be free of signs and symptoms of respiratory distress and maintain optimal functioning within limitations imposed by disease process through next review and…
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
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| WINSTON COUNTY MEDICAL FOUNDATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 06/01/1994 |
| BLACK, PAUL | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 07/05/2011 |
| WOODWARD, JAMES | Individual | CORPORATE DIRECTOR | — | since 08/25/2015 |
CMS files one row per role, so the 5 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
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 255072. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-18, 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.