Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cross City Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A staff member was observed handling food and serving dishes without following proper sanitary procedures, including failing to use utensils, not performing hand hygiene before changing gloves, and touching the interior surfaces of plates and bowls during meal service. The Certified Dietary Manager confirmed these actions were not in line with facility policy.
A resident's MDS was inaccurately coded as a discharge to home/community, when the individual had actually been admitted to a hospital and later returned to the facility. The RN/MDS Coordinator reported confusion about the resident's status and acknowledged the discharge status should have been coded as a hospital admission, in accordance with facility policy requiring accurate assessments.
Two residents with diabetes did not receive insulin as ordered, and staff failed to notify the physician of abnormal blood glucose levels. Nursing staff withheld insulin without physician-approved parameters and did not document required notifications, resulting in a failure to follow physician orders and facility policy.
Two residents with complex respiratory and cardiac conditions were observed receiving oxygen at flow rates higher than those ordered by their physicians. In both cases, oxygen was administered via nasal cannula at 4 liters per minute, despite orders for lower rates. An LPN acknowledged the discrepancy and indicated that oxygen settings are checked after medication passes, but had not yet been verified for these residents. Facility policy requires oxygen to be administered as ordered by a physician.
A deficiency was cited when a resident’s drug regimen included medications that were not clinically indicated or were excessive, without proper justification documented.
A facility failed to ensure accurate discharge assessments for a resident. The resident, with multiple health conditions, was documented in the MDS as being discharged to a hospital, while notes and interviews confirmed the resident was discharged home. Staff acknowledged the assessment error.
The facility failed to administer medications according to physician orders for two residents, leading to inappropriate pain management. One resident received Acetaminophen for a pain level of 6, exceeding the prescribed range, and Oxycodone for pain levels below the prescribed range. Another resident was given Oxycodone-Acetaminophen for pain levels below the prescribed range and Acetaminophen for a pain level exceeding the prescribed range. Additionally, a resident with a PICC line had a dressing that was not changed for more than 7 days, contrary to facility policy.
Failure to Maintain Sanitary Food Handling During Meal Service
Penalty
Summary
During the midday meal service, a staff member was observed handling food and food service items in a manner that did not comply with sanitary standards. The staff member used gloved hands to retrieve scoops, metal containers, and other kitchen items, and then, without removing the gloves or performing hand hygiene, used the same gloved hands to lift pieces of cornbread from a tray and place them onto residents' plates. The Certified Dietary Manager confirmed that tongs should have been used for this task. Additionally, the staff member was seen touching the interior food surfaces of bowls and plates with her fingers and thumb while preparing meal plates for residents. Further observations revealed that after doffing gloves, the staff member donned a new pair without performing hand hygiene and resumed preparing meal plates. The Certified Dietary Manager acknowledged that the staff member should not have touched the interior surfaces of the serving dishes. Review of the facility's policy on maintaining a sanitary tray line indicated that staff are required to use utensils to handle food, perform hand hygiene before and after glove use, and change gloves when switching activities or food types. These procedures were not followed during the observed meal service.
Inaccurate MDS Coding for Resident Discharge Status
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) was accurately coded for one resident. Specifically, the MDS for a resident was coded as a discharge to home/community, while the resident was actually admitted to a hospital and later returned to the facility. The MDS Coordinator, an RN, stated that there was confusion regarding the resident's status after the hospital admission, and the discharge status was incorrectly coded due to a lack of clear information about whether the resident would return. The resident confirmed being hospitalized but was unsure of the exact date. Facility policy requires that all residents receive an accurate assessment reflective of their status at the time of assessment, conducted by qualified staff. The policy defines accuracy as correct documentation of the resident's medical, functional, and psychosocial problems by appropriate health professionals. In this case, the assessment was not accurately coded, as the discharge status did not reflect the resident's actual situation at the time of the MDS assessment.
Failure to Administer Insulin and Notify Physician of Abnormal Blood Glucose
Penalty
Summary
The facility failed to ensure proper administration of insulin and timely physician notification regarding elevated blood glucose levels for two residents with diabetes. For one resident with a history of myocardial infarction, atrial fibrillation, hypertension, and type 2 diabetes, physician orders required nightly administration of Insulin Glargine. However, the medication administration record showed extremely high blood sugar readings on multiple occasions, with no documentation that the physician was notified as required. Nursing staff interviews confirmed that insulin was not administered when blood sugar was outside parameters, and there was no evidence of physician notification or documentation in the medical record. For another resident with type 2 diabetes and diabetic neuropathy, physician orders specified nightly Lantus insulin without hold parameters. Despite this, the insulin was held on several occasions when blood sugar readings were low, and the nurse cited sliding scale parameters that were not present in the physician's order. Review of the facility's medication administration policy confirmed that medications are to be given as ordered by the physician. The failure to administer insulin as ordered and to notify the physician of abnormal blood glucose values constituted a deficiency in following physician orders and facility policy.
Failure to Administer Oxygen at Physician-Ordered Flow Rates
Penalty
Summary
The facility failed to administer oxygen at the physician-ordered flow rates for two residents who required respiratory care. For one resident with diagnoses including acute and chronic respiratory failure with hypoxia, COPD with acute exacerbation, pneumonia, and congestive heart failure, oxygen was observed being administered at 4 liters per minute via nasal cannula, despite a physician order specifying 2 liters per minute. The resident's care plan also indicated that oxygen should be provided as per the medical doctor's order. During staff interviews, an LPN acknowledged that the oxygen was set higher than ordered and stated that oxygen levels are typically checked after medication passes, but had not yet been checked for this resident. A second resident, with diagnoses including acute and chronic respiratory failure with hypercapnia, COPD with acute exacerbation, respiratory failure with hypoxia, atherosclerotic heart disease, paroxysmal atrial fibrillation, and obstructive sleep apnea, was observed receiving oxygen at 4 liters per minute, while the physician order specified 3 liters per minute. The oxygen concentrator was positioned outside the resident's reach and facing the wall. The resident reported that only nurses adjust the oxygen, and the LPN interviewed was unsure how the discrepancy occurred, stating that oxygen and oxygen saturations should be checked daily. The facility's policy requires oxygen to be administered according to physician orders and professional standards of practice.
Unnecessary Drugs in Resident Drug Regimens
Penalty
Summary
A deficiency was identified regarding the management of residents' drug regimens. The facility failed to ensure that each resident’s drug regimen was free from unnecessary drugs, as required by regulations. This indicates that at least one resident was prescribed or administered medications that were not clinically indicated or were excessive in dose or duration, without adequate justification documented in the medical record.
Inaccurate Resident Discharge Assessment
Penalty
Summary
The facility failed to ensure that the assessments accurately reflected the discharge status of a resident. Resident #57, who was admitted with diagnoses including surgical aftercare, type 2 diabetes mellitus, chronic kidney disease, and hypertension, was documented in the Minimum Data Set (MDS) Discharge Return Not Anticipated assessment as being discharged to a Critical Access Hospital. However, the social services progress note and discharge summary progress note indicated that the resident was discharged home, as per the request of the resident and family, and was transported home by the son. Interviews with the MDS Coordinator and the Social Services Director confirmed the inaccuracy in the assessment, acknowledging that the resident was documented incorrectly as going to the hospital instead of home.
Medication Administration and PICC Line Dressing Deficiencies
Penalty
Summary
The facility failed to administer medications according to physician orders for two residents, leading to inappropriate pain management. Resident #211 received Acetaminophen for a pain level of 6, which exceeded the prescribed range for mild pain (1-3). Additionally, Resident #211 was given Oxycodone for pain levels below the prescribed range (4-10) on multiple occasions. Similarly, Resident #25 was administered Oxycodone-Acetaminophen for pain levels of 2 and 3, which were below the prescribed range of 4-10, and Acetaminophen for a pain level of 6, exceeding the prescribed range for mild pain. The Director of Nursing acknowledged that the medications should not have been given outside the specified parameters. Furthermore, the facility did not adhere to proper care and treatment protocols for a resident with a Peripheral Inserted Central Catheter (PICC) line. Resident #160 was observed with a PICC line dressing that had not been changed for more than 7 days, contrary to the facility's policy of changing the dressing weekly unless soiled. The Director of Nursing stated that the expectation was for nurses to change the dressing if it was more than 7 days old upon admission and then weekly thereafter.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cross City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tri-county Nursing Home | 12.7 mi | ★★★★★ | 3 | 0 |
| Ayers Health And Rehabilitation Center | 19.3 mi | ★★★★★ | 1 | 1 |
| Lafayette Nursing And Rehabilitation Center | 30 mi | ★★★★★ | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.