Below average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Baptist Village, Inc. during CMS and state inspections, most recent first.
A resident with RA, dementia, and other diagnoses was discharged from the hospital on methotrexate 15 mg PO weekly, but the facility entered the order as 2.5 mg, six tablets PO daily. The care plan only addressed pain and meds as ordered, with no specific focus for RA or methotrexate. An LPN confirmed the transcription error, and the resident received the medication daily instead of weekly, later developing complications and expiring from methotrexate toxicity.
A resident with RA, dementia, spinal stenosis, syncope, and HTN was readmitted with a hospital discharge order for Methotrexate 15 mg once weekly, but the order was transcribed and carried on the MAR as daily dosing. The pharmacy DRR and physician review did not identify the frequency error, and the resident later developed complications, was transferred to the hospital, and died from Methotrexate toxicity.
A resident with RA and other chronic conditions was ordered Methotrexate weekly after hospital discharge, but the EMR/MAR reflected it as a daily medication and it was administered daily by multiple LPNs. The error was not caught by nursing or pharmacy review, and the resident later developed severe lab abnormalities, oral bleeding, and mouth sores before being transferred to the hospital; records and the death certificate identified Methotrexate toxicity as the cause of death.
The facility failed to cover the urinary catheter drainage bags of two residents, as required by its policy, compromising their dignity. Observations confirmed that the bags were left uncovered, exposing the residents' urine to others. An LPN and the ADON acknowledged the oversight, which affected residents with specific medical conditions requiring catheter use.
Two residents in the facility did not receive oxygen therapy as prescribed, with one resident diagnosed with COPD and asthma receiving oxygen at 3 LPM instead of the ordered 2 LPM, and another resident with hypertension receiving oxygen above 3 LPM instead of the prescribed 2 LPM. LPNs confirmed the discrepancies, and the MDS Coordinator stated that nursing staff was responsible for following care plans.
The facility failed to administer oxygen therapy according to physician orders for two residents, potentially affecting their respiratory care. One resident with pulmonary disease received oxygen at 3 LPM instead of the prescribed 2 LPM, while another with hypertension received oxygen above 3 LPM instead of the ordered 2 LPM. LPNs confirmed the discrepancies, and the ADON expected staff to frequently check and ensure correct oxygen flow rates.
Incorrect Methotrexate Order and Incomplete Care Planning
Penalty
Summary
The facility failed to implement a person-centered, comprehensive care plan related to medication administration for one resident who was readmitted with diagnoses including metabolic encephalopathy, dementia, rheumatoid arthritis, hyperlipidemia, and anxiety. The resident had been discharged from the hospital with instructions for methotrexate sodium 15 mg by mouth once a week, but the facility entered the order into the EMR as methotrexate sodium 2.5 mg, six tablets, once daily for rheumatoid arthritis. The resident’s care plan included a focus area for pain related to spinal stenosis and rheumatoid arthritis, with an intervention to administer medications as ordered and document results. There was no separate care plan focus for rheumatoid arthritis, immunosuppressant medication, or methotrexate. The MDS Coordinator confirmed that the resident was care planned only under pain and that a more specific focus for rheumatoid arthritis or methotrexate should have been included. Staff interviews showed that the transcription error occurred when an LPN incorrectly entered the methotrexate frequency as daily instead of weekly. The pharmacy verified the facility order against the hospital discharge orders, but the incorrect frequency was not identified. The physician later reviewed the admission orders and stated that no one had verified or compared the hospital orders before they were entered into the system at the facility. The resident subsequently received methotrexate daily instead of weekly and developed medical complications requiring transfer to an acute care hospital, where the resident later expired due to methotrexate toxicity.
Methotrexate Ordered Daily Instead of Weekly
Penalty
Summary
The facility failed to ensure that one resident’s drug regimen was free from an unnecessary medication related to an excessive dose of Methotrexate Sodium tablets. The resident was readmitted with diagnoses including rheumatoid arthritis, dementia, spinal stenosis, syncope and collapse, and hypertension. The hospital discharge medication list documented Methotrexate sodium 2.5 mg tablets, 15 mg by mouth once a week. Upon readmission, an LPN transcribed the order as Methotrexate sodium oral tablet 15 mg by mouth one time a day and sent the hospital discharge medication list to the pharmacy. The MAR then reflected Methotrexate sodium oral tablet 15 mg to give one tablet by mouth one time a day, and later reflected Methotrexate sodium oral tablet 2.5 mg to give six tablets by mouth one time a day. The MAR showed multiple administrations by different LPNs over the course of the resident’s stay. The pharmacy admission/readmission drug regimen review documented that the hospital discharge orders and completed medication reconciliation form were available, but the review did not identify that Methotrexate should have been ordered once weekly rather than daily. The new prescription signed by the physician also reflected Methotrexate Sodium oral tablet 15 mg, give one tablet by mouth one time a day, with no evidence that the frequency discrepancy was identified. The resident later developed medical complications, was transferred to an acute care hospital, and died from Methotrexate toxicity.
Methotrexate Given Daily Instead of Weekly
Penalty
Summary
The facility failed to ensure that a resident was free from a significant medication error involving Methotrexate. The resident had diagnoses including metabolic encephalopathy, dementia, rheumatoid arthritis, hyperlipidemia, and anxiety, and had been readmitted from the hospital with discharge instructions that included Methotrexate sodium 15 mg by mouth once a week for rheumatoid arthritis. Instead, the physician orders entered into the EMR and EHR reflected Methotrexate as a daily medication, including orders for 15 mg once daily and 2.5 mg, six tablets once daily, with black box and dose warning alerts present on the orders. The eMAR showed that Methotrexate was scheduled and administered daily rather than weekly, and the resident received multiple doses over the course of the month. The record also showed several physician orders for Methotrexate entered as daily therapy, and the facility’s discrepancy reports identified transcription errors in which nurses entered the medication incorrectly into the EMR/MAR. Staff interviews confirmed that the order was transcribed incorrectly, that the pharmacy and nursing process did not catch the error, and that there was no structured process in place at that time to identify the mistake. The resident later developed critical lab abnormalities, including a WBC of 1.23 and platelets of 42,000, along with bleeding in the mouth and tongue sores. The physician was notified, reviewed the medications, and sent the resident to the hospital. Hospital and medical examiner records documented Methotrexate toxicity, acute respiratory failure with hypoxia, encephalopathy, and poisoning by antineoplastic and immunosuppressive drugs. The death certificate listed Methotrexate toxicity as the cause of death.
Failure to Cover Urinary Catheter Drainage Bags
Penalty
Summary
The facility failed to ensure the dignity of two residents with indwelling urinary catheters by not covering their catheter drainage bags, as required by the facility's policy on Urinary Catheter Care. The policy, revised on December 27, 2023, mandates the use of a catheter bag cover to protect residents' dignity. However, observations revealed that the catheter drainage bags of two residents, R71 and R94, were left uncovered, exposing their urine to other residents and visitors. This oversight was confirmed by a Licensed Practical Nurse (LPN) during interviews and observations. Resident R71, who has a diagnosis of neuromuscular dysfunction of the bladder, was observed on September 17, 2024, with an uncovered catheter drainage bag. Similarly, Resident R94, diagnosed with benign prostatic hyperplasia and obstructive and reflux uropathy, was observed on September 17 and 18, 2024, with an uncovered catheter drainage bag. The Assistant Director of Nursing (ADON) confirmed that all residents with urinary catheters should have their drainage bags covered, indicating a lapse in adherence to the facility's policy and a potential impact on the residents' quality of life.
Failure to Implement Care Plan Interventions for Oxygen Therapy
Penalty
Summary
The facility failed to implement care plan interventions for two residents, R94 and R66, which resulted in them not receiving oxygen therapy as prescribed. R94, diagnosed with chronic obstructive pulmonary disease (COPD) and asthma, had a physician's order to receive oxygen at 2 liters per minute (LPM) via nasal cannula if oxygen saturation fell below 92 percent. However, observations on two separate occasions revealed that R94 was receiving oxygen at 3 LPM, contrary to the physician's order. This discrepancy was confirmed by LPN BB, who acknowledged that the care plan required administering oxygen as ordered by the physician. Similarly, R66, who had a diagnosis of hypertension, was also found to be receiving oxygen at a rate higher than prescribed. The physician's order for R66 specified oxygen at 2 LPM via nasal cannula as needed for shortness of breath, but observations showed the flow rate was set above 3 LPM on multiple occasions. LPN CC verified the incorrect flow rate and confirmed that the care plan required adherence to the physician's order. The MDS Coordinator FF stated that nursing staff was responsible for ensuring that resident care plans were followed.
Oxygen Therapy Administration Deficiency
Penalty
Summary
The facility failed to administer oxygen therapy in accordance with physician orders for two residents, potentially affecting their necessary respiratory care. Resident 94, diagnosed with pulmonary disease, had a physician's order for oxygen at 2 liters per minute (LPM) via nasal cannula when oxygen saturation fell below 92 percent. However, observations on two separate occasions revealed that the resident was receiving oxygen at 3 LPM, contrary to the physician's order. Licensed Practical Nurse (LPN) BB confirmed the discrepancy and acknowledged that medication nurses were responsible for checking the oxygen flow rates daily. Similarly, Resident 66, with a diagnosis including hypertension, had a physician's order for oxygen at 2 LPM as needed for shortness of breath. Observations over three days showed that the resident was receiving oxygen at a flow rate above 3 LPM. LPN CC verified the physician's order and adjusted the flow rate to the correct 2 LPM, noting that incorrect flow rates could lead to breathing and heart rate issues. The Assistant Director of Nursing (ADON) stated that nursing staff were expected to frequently check oxygen rates and ensure they matched the physician's prescribed rate.
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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 Waycross
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waycross Health And Rehabilitation | 3.1 mi | ★★★★★ | 3 | 0 |
| Harborview Satilla | 3.3 mi | ★★★★★ | 21 | 0 |
| Twin Oaks Convalescent Center | 22.8 mi | ★★★★★ | 4 | 0 |
| River Brook Healthcare Center | 23.4 mi | ★★★★★ | 15 | 0 |
| Bayview Nursing Home | 24.2 mi | ★★★★★ | 10 | 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 August 2026) and official state health department websites.