Sharkey-Issaquena Nursing Home

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

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.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. Inspectors cited this home for failing to submit its staffing data to CMS (F0851) — see the citation below. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · F2026-06-11 · tag F0756 — failed to review each resident's drug regimen — widespread
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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 interview, record review, and consultant pharmacist job description review the facility failed to ensure a monthly medication regimen review (MMR) was conducted by the consultant pharmacist for residents residing in the facility for twelve (12) of (12) months reviewed, with the potential to affect all 50 residents residing in the facility. Findings include:A review of the facility's, Consultant Pharmacist Job Description, revealed, .The Consultant Pharmacist is responsible for overseeing and monitoring the pharmaceutical services provided to residents.The Consultant Pharmacist ensures compliance with federal and state regulations, promotes safe medication practices, conducts monthly medication regimen reviews, and serves as a resource to the interdisciplinary healthcare team to optimize resident outcomes and quality of care.Essential Duties and Responsibilities Medication Regimen Review Conduct monthly drug regiment reviews (DRR) for all residents as required by federal and state regulations.Complete…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-06-11 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and facility policy review, the facility failed to submit Payroll-Based Journal (PBJ) staffing data to the Centers for Medicare & Medicaid Services (CMS) for one (1) of (1) quarter reviewed. (Fiscal Year Quarter 2 2026) Findings include:A review of the facility's, Payroll-Based Journal (PBJ) Reporting Policy and Procedure undated revealed, .Purpose To establish standardized procedures for the accurate collection, verification, maintenance, and submission of Payroll-Based Journal. (PBJ) staffing data in compliance with CMS requirements. This policy ensures accurate reporting of staffing information and supports compliance with federal regulations governing long term care facilities.shall accurately collect and electronically submit staffing and census information through the CMS Payroll-Based Journal (PBJ) system as required by federal regulations. All staffing information submitted to CMS must be complete, accurate, supported by documentation and submitted by established CMS deadlines. Failure to submit accurate PBJ data may negatively impact 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-11 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor 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

  Based on staff interview, record review, and admission Package review, the facility failed to ensure residents or their Resident Representatives (RRs) were informed of their rights regarding Advance Directives (ADs), including whether an AD existed and whether they wished to receive information or assistance in formulating an AD, for two (2) of (16) sampled residents. Resident #11 and Resident #22.Findings included:A record review of the medical records for Resident #11 and Resident #22 revealed there was no documentation that the resident or the Resident Representative (RR) received information regarding formulating an Advance Directive (AD).A record review of the facility's admission Package revealed two (2) separate forms titled Advance Directive Consent, which included language regarding the level of treatment, including code status, and an Acknowledgement of Advance Directives, which provided documentation regarding advance directive rights and whether an advance directive existed.On 6/8/26 at 4:13 PM, during an interview and record review of Resident #11's medical record 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-11 · tag F0583 — failed to protect personal privacy — isolated
  Keep 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, interview, record review, and facility policy review, the facility failed to ensure a resident's right to personal privacy for one (1) of (16) sampled residents reviewed for resident rights, as evidenced by posting of identifying personal care directions including Nothing by Mouth (NPO), Keep Head of Bed (HOB) elevated at 45 degrees, safe swallow precautions, and elevate my legs while in bed. Resident #33. Findings included:A review of the facility's policy Resident Rights undated, revealed . It is the policy of this facility to ensure that the rights of the residents residing at this facility upheld in the highest regard. Staff will be trained on resident rights upon hire and at a minimum annually thereafter. Resident's Rights . 13. Each resident has the right to personal privacy and the right to privacy in written communication as evidenced by the following: . f. Medical record maintained confidentially .On 6/8/26 at 11:53 AM, during an observation, Resident #33 was lying in bed with eyes closed. There were five (5) signs above Resident #33's headboard 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-11 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure Resident #34's right to have grievances investigated and resolved by failing to initiate the grievance process after the resident reported three (3) missing clothing outfits for one (1) of (16) sampled residents reviewed.Findings included:A review of the facility's Grievance Policy, undated, revealed .It is the policy.that all residents are to be encouraged and assisted if necessary in filing grievance in the event that they have a need to make a concern knowns.The facility will document all grievances in the electronic health record. The social service department will retain evidence of grievances and actions taken for the required length determined by the retention log. Procedure: 1. Upon receipt of a grievance/complaint the staff receiving the complaint will initiate the Grievance/Complaint Form.5. In all grievance cases, the resident and or legal representative will be informed of the result of the investigation, the recommendations made by the investigating parties, and 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-11 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure a resident's right to be free from physical restraints by failing to identify a self-releasing seat belt as a restraint for one (1) of (16) sampled residents, Resident #21, who was unable to independently release the device.Findings included:A review of the facility's Restraint Reduction and Use Policy, undated, revealed, Purpose To promote resident dignity, safety, and quality of life through restraint-free care whenever possible and to ensure compliance with federal and state regulations governing restraint use. Policy.is committed to maintaining a restraint-free environment. Physical.restraints shall not be imposed for discipline or staff convenience and shall only be used when medically necessary.Definitions Physical Restraint: Any manual method, device, material, or equipment attached or adjacent to the resident's body that restricts freedom of movement and cannot be easily removed by the resident .Assessment Prior to the use of any restraint, the interdisciplinary team…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-11 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 ensure Minimum Data Set (MDS) assessments were accurately completed and coded in accordance with MDS requirements for three (3) of (16) sampled residents reviewed for MDS accuracy, as evidenced by failing to complete discharge assessment and entry assessments (Resident #2 and Resident #56) and inaccurately coding Resident #55's MDS to indicate Death in Facility when the resident expired at the hospital. Findings include:A review of the facility's Minimum Data Set (MDS) Assessment and Completion Policy, undated, revealed . Purpose To establish procedures for the timely, accurate, and comprehensive completion of Minimum Data Set (MDS) assessments in accordance with CMS (Center for Medicare and Medicaid Services) requirements . state regulations, and facility standards. Responsibilities The MDS Coordinator is responsible for scheduling assessments, coordinating IDT (interdisciplinary team) input, coding assessments, ensuring…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-11 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop 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 staff interview, record review, and facility policy review, the facility failed to develop a comprehensive, person-centered care plan related to hospice services for Resident #41 and for all care and services for Resident #42 for two (2) of (16) sampled residents. Findings include: A review of the facility's Comprehensive Care Plan Policy undated, revealed . Purpose To establish a standardized process for developing.comprehensive person-centered care plans that address each resident's physical, psychosocial, emotional, dietary, functional, and spiritual needs in accordance with federal and state regulations. Responsibilities The MDS (Minimum Data Set) Coordinator shall coordinate the care planning process, schedule care plan meetings, and ensure care plans are developed and updated timely.Development of Care Plans A Comprehensive care plan shall be developed within seven (7) days after completion of the comprehensive assessment. Resident #41 A record review of the admission Record revealed the facility admitted Resident #41 on 4/10/26 with the diagnoses including Chronic…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-11 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, and the facility policy review the facility failed to revise a resident's care plan for two (2) of (16) sampled residents related to significant weight loss and pressure injuries (Resident #2) and changes in psychotropic medication (Resident #13). Findings include: A record review of the facility's Comprehensive Care Plan Policy undated, revealed . Purpose To establish a standardized process for.reviewing, and revising comprehensive person-centered care plans that address each resident's physical, psychosocial, emotional, dietary, functional, and spiritual needs in accordance with federal and state regulations. Responsibilities The MDS (Minimum Data Set) Coordinator shall coordinate the care planning process, schedule care plan meetings, and ensure care plans are developed and updated timely. The Director of Nursing (DON) shall oversee nursing participation and implementation of care plan interventions. Review and Revision Care plans shall be reviewed and revised: Following comprehensive assessments . upon significant change in condition .…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure 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 review, and facility policy review, the facility failed to ensure smoking and vaping activities were assessed, supervised, and conducted in accordance with facility policy and resident safety requirements for one (1) of three (3) residents reviewed for accident/hazards. (Resident #51). Findings include:A review of the facility's Smoking and Smokeless Tobacco Policy, effective 12/31/17 revealed, .It is the policy.to endure precautions are taken for the resident's individual safety, as well as the safety of others in the facility. Residents are able to participate in novelty activities such as smokeless tobacco and e-cigarettes.A Smoking Safety Evaluation will be completed upon admission for all residents.Safety measures must be followed in order to participate in smoking activities.No.e-cigarettes.may be kept in the resident's rooms.Smoking times are daily at 7:00 AM, 9:00 AM, 11:00 AM, 1:00 PM, 3:00 PM, 5:00 Pm, and 7:00 PM. Residents will be accompanied by a staff member at each smoking time.On 6/8/26 at 1:40 PM, during an interview,…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 2 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