Below average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Farmerville Nursing And Rehabilitation Center, Llc during CMS and state inspections, most recent first.
A resident fell from bed due to a malfunctioning side rail, resulting in a fracture. Another resident, at risk for wandering, eloped from the facility due to inadequate supervision. The facility failed to maintain a safe environment and proper monitoring, leading to these incidents.
A facility failed to provide adequate care for a resident with pressure ulcers, resulting in a deficiency. The resident, with quadriplegia and existing pressure ulcers, developed an unstageable sacral ulcer that progressed to stage 4 before being identified. The facility did not follow physician orders for daily wound care, missing a scheduled treatment. Staff interviews revealed communication lapses and a lack of awareness about the resident's condition, contributing to the oversight.
The facility did not ensure that an agency CNA and an agency LPN had documented training and competency demonstrations for their roles. The personnel files of the LPN and CNA lacked evidence of training, policy reviews, or competency assessments before they started patient care. The Clinical Operations Consultant confirmed that these requirements were not met prior to their employment.
A resident experienced head injuries during two separate transfers using a mechanical lift due to improper use and lack of staff training. The facility failed to conduct a thorough investigation for the first incident and did not ensure staff followed the manufacturer's guidelines.
The facility failed to ensure an RN provided services for 8 consecutive hours on specific dates. A review of staffing data and reporting forms showed no documented evidence of RN coverage on those dates, and the Executive Directors could not provide proof during an interview.
A resident was prescribed Seroquel, Ativan, and Doxepin without an appropriate diagnosis documented in the medical record. The resident had a diagnosis of unspecified dementia, which did not justify the use of these medications. The facility did not implement gradual dose reductions or non-pharmacological interventions as required.
A resident with multiple health issues, including quadriplegia and chronic respiratory failure, was found with long, jagged fingernails and grime underneath, indicating a failure by the facility to provide necessary personal hygiene services. The resident, dependent on staff for all ADLs, reported that his fingernails had not been trimmed or cleaned for months.
A facility failed to ensure proper medication administration when an LPN left a medication cup with three unidentified pills unattended at a resident's bedside. The resident, who had severe cognitive impairment, was unsure who left the medication. The Director of Nursing confirmed that the LPN should not have left the pills at the bedside.
The facility failed to complete State Adverse Actions Website checks for a CNA both upon hire and monthly thereafter. The personnel file of a CNA hired on 10/04/2023 lacked the required documentation, which was confirmed by the Corporate Human Resource Coordinator.
Failure to Maintain Safe Environment and Supervision
Penalty
Summary
The facility failed to ensure that the environment for a resident was free from accident hazards, specifically by not maintaining assistive devices in good repair. A resident, who was moderately cognitively impaired and dependent on staff for certain activities, fell from his bed due to a malfunctioning side rail. The side rail was attached to a bed extender that flared approximately 45 degrees away from the bed, leading to the resident's fall and subsequent injury, which included a closed fracture of the left distal femur requiring surgery. In another incident, the facility failed to adequately supervise a resident assessed at risk for wandering and elopement. The resident, who had moderately impaired cognitive skills and was placed on 1 to 1 supervision for wandering, managed to elope from the facility. The resident was found approximately 2.4 miles away by the local police department, about 1 hour and 40 minutes after last being seen by the assigned staff. The staff failed to maintain the required supervision, and there was a lack of communication regarding the resident's monitoring status. The facility's policies and procedures for monitoring residents at risk for elopement were not effectively implemented. The staff did not adhere to the 1 to 1 supervision requirement, and there was no immediate notification to nursing staff when the resident was found missing. Additionally, the facility did not have a specific policy for 1 to 1 monitoring supervision, contributing to the oversight that allowed the resident to elope.
Failure to Provide Adequate Pressure Ulcer Care
Penalty
Summary
The facility failed to provide necessary treatment and services for a resident with pressure ulcers, leading to a deficiency in care. Resident #4, who was admitted with diagnoses including quadriplegia and pressure ulcers, was at risk for further skin breakdown. Despite being cognitively intact and dependent on staff for all activities of daily living, the facility did not observe or report the development of an unstageable pressure ulcer on the sacrum area in a timely manner. The sacral wound was not identified until it had progressed to a stage 4 pressure ulcer, requiring surgical debridement and specific wound care treatments. The facility also failed to adhere to physician orders for treating the stage 4 pressure wound. Although the resident was supposed to receive daily wound care, there was a documented instance where the treatment was not provided as scheduled. Interviews with staff revealed a lack of awareness and communication regarding the severity of the resident's condition, contributing to the oversight in care. The deficiency was further highlighted by the discrepancy in wound measurements and the failure to consistently follow the prescribed wound care regimen.
Lack of Documented Training and Competency for Agency Staff
Penalty
Summary
The facility failed to ensure that an agency CNA and an agency LPN had documented training and competency demonstrations for all skills related to their expected roles. Specifically, the personnel files of the LPN, who began working on January 4, 2025, and the CNA, who started on December 26, 2024, lacked evidence of any facility training, policy reviews, or competency assessments prior to their commencement of patient care duties. During an interview, the Clinical Operations Consultant acknowledged that these skill competencies, training, and policy reviews had not been completed for the employees before they began providing care, which was a requirement that should have been fulfilled.
Improper Use of Mechanical Lift Leads to Resident Injuries
Penalty
Summary
The facility failed to ensure residents remain as free of accident hazards as possible, specifically for one resident who experienced improper transfers using a mechanical lift on two separate occasions. The resident, who was totally dependent on staff for all transfers and had a BIMS score indicating cognitive intactness, was hit in the head by the lift during transfers on two different dates. The incidents resulted in physical injuries, including a bump and a laceration that required hospital attention. The staff involved did not follow the manufacturer's guidelines for using the lift, and the lift was not locked during the transfers, leading to the accidents. The first incident occurred when two CNAs and an LPN were transferring the resident, and the lift tilted, causing the resident to be struck in the head. The facility's investigation into this incident was incomplete, as it failed to identify the two CNAs involved. The second incident involved two different CNAs who also did not follow proper procedures, resulting in the lift hitting the resident's head again. Both CNAs admitted to not being trained on the lift by the facility prior to the incident. Interviews with the involved staff and the resident confirmed that the lift was improperly positioned during the transfers, leading to the accidents. The facility's previous Executive Director and Director of Nursing corroborated the staff's statements and acknowledged that the lift was not used correctly. The lack of proper training and failure to follow the manufacturer's guidelines were significant factors contributing to the incidents, and the facility did not conduct a thorough investigation for the first incident, further compounding the issue.
Failure to Ensure RN Coverage for 8 Consecutive Hours
Penalty
Summary
The facility failed to ensure a Registered Nurse (RN) provided services for 8 consecutive hours a day on specific dates: 11/05/2023, 02/03/2024, 02/10/2024, and 05/12/2024. This deficiency was identified based on a review of the facility's Payroll Based Journal (PBJ) staffing data report, which revealed excessively low weekend staffing for the period from 10/01/2023 to 12/31/2023. Further review of the Nursing/Ancillary Personnel Staffing Pattern Reporting Forms for weekends from October 2023 to May 2024, completed by the previous Executive Director, showed no documented evidence that an RN worked for 8 consecutive hours on the specified dates. During an interview on 05/08/2024, the current and previous Executive Directors were unable to provide documentation or time sheets to prove that an RN worked the required hours on those dates.
Failure to Justify Use of Psychotropic Medications
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary psychotropic medications. Specifically, Resident #323 was prescribed Seroquel, Ativan, and Doxepin without an appropriate diagnosis documented in the medical record. The resident had a diagnosis of unspecified dementia with unspecified severity, which did not justify the use of these medications. The facility did not implement gradual dose reductions (GDR) or non-pharmacological interventions prior to or instead of continuing these psychotropic medications, as required by regulations. During an interview, the Director of Nursing (S3DON) confirmed that Resident #323 was taking these medications with a diagnosis of dementia with behaviors but without any other acceptable diagnosis for the use of antipsychotic, antidepressant, and antianxiety medications. A review of the Consultant Pharmacist Communication to the Physician revealed a request for a diagnosis to justify the use of Seroquel, which was signed by a nurse practitioner. However, the nurse practitioner's documentation did not provide an acceptable diagnosis for the use of these medications. This deficiency was confirmed by the Director of Nursing during the interview.
Failure to Maintain Resident's Personal Hygiene
Penalty
Summary
The facility failed to ensure that a resident who is unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene. Resident #15, who has multiple diagnoses including quadriplegia, chronic respiratory failure, and stage 4 pressure ulcer, was observed with long, jagged fingernails with a brown grime substance underneath. Despite being cognitively intact and dependent on staff for all ADLs, the resident reported that his fingernails had not been trimmed or cleaned for a couple of months. Observations on multiple occasions confirmed the resident's fingernails were in poor condition. The Director of Nursing also confirmed the resident's fingernails needed attention. The resident's care plan indicated a need for substantial assistance with personal hygiene, yet this need was not met, leading to the deficiency noted in the report.
Failure to Ensure Proper Medication Administration
Penalty
Summary
The facility failed to ensure nursing staff had the appropriate competencies and skill sets to provide nursing and related services to assure resident safety and maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, a medication cup with three unidentified pills was found unattended on a resident's overbed table. The resident, who had severe cognitive impairment and required partial to moderate assistance with most activities of daily living, was unsure who left the medication at his bedside. An LPN confirmed that another LPN was assigned to the resident's hall and was passing medications to residents on that hall. However, the LPN did not remember leaving the pills on the resident's overbed table. The Director of Nursing confirmed that the LPN should not have left the resident's pills at the bedside, indicating a failure to adhere to the facility's Medication Administration - General Guidelines Policy, which states that medications are to be administered at the time they are prepared and not pre-poured.
Failure to Complete State Adverse Actions Checks for CNA
Penalty
Summary
The facility failed to ensure that State Adverse Actions Website checks were completed for Certified Nursing Assistants (CNA) both initially upon hire and monthly thereafter. Specifically, the personnel file of S7CNA, who was hired on 10/04/2023, lacked documented evidence of these required checks. This deficiency was confirmed during an interview with the Corporate Human Resource Coordinator on 05/22/2024, who acknowledged the absence of the necessary documentation for S7CNA.
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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 Farmerville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arbor Lake Skilled Nursing & Rehabilitation | 1 mi | ★★★★★ | 9 | 0 |
| Bernice Nursing And Rehabilitation Center, Llc | 14.8 mi | ★★★★★ | 3 | 0 |
| Ruston Nursing And Rehabilitation Center, Llc | 19.7 mi | ★★★★★ | 1 | 0 |
| Ridgecrest Community Care Center | 22.8 mi | ★★★★★ | 0 | 0 |
| Landmark Nursing & Rehabilitation Ctr Of West Mon | 22.8 mi | ★★★★★ | 8 | 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.