Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Rayville Nursing And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to maintain a safe, clean, comfortable, and homelike environment when a kitchen wall behind the three-compartment sink was damaged, a resident’s AC unit was missing its air diverting grill, and another resident’s wheelchair had cracked armrests with exposed foam. The Dietary Mgr, Maintenance Dir, and ADON each confirmed the observed conditions.
Inaccurate restraint assessments were completed for three residents. Two residents had bed rails coded as physical restraints even though physician orders stated the rails were used to assist with bed mobility, and one of those residents also had a pommel cushion coded as a restraint despite an order stating it was to improve posture and prevent sliding forward. The DON and MDS Coordinator confirmed the restraint coding was in error.
A resident with psychosis, dysphagia, depression, abnormal weight loss, and malnutrition had a care plan directing staff to monitor and record meal intake, with CNAs responsible for documenting meal percentages. However, the record lacked meal intake documentation for an entire month and multiple additional days, and a CNA confirmed she had not documented the resident’s meal percentages while the DON verified the missing entries.
Hot Water Temperature Exceeded Safe Limit in Resident Bathroom. A resident's bathroom sink water was observed to be hot, and the Maintenance Director measured the temperature at 121 degrees Fahrenheit while the surveyor measured it at 123.4 degrees Fahrenheit. The Maintenance Director confirmed the water was above 120 degrees Fahrenheit, and the Administrator confirmed the sink water should not exceed 120 degrees.
A resident with diagnoses including heart failure and wheezing had nebulizer equipment and tubing stored in a bag dated 08/04, and the equipment was not dated. Facility policy required nebulizer equipment and tubing to be changed every 7 days, and the resident’s physician order directed weekly tubing changes on Thursdays. The DON confirmed the nebulizer and tubing were still stored as observed and were not dated.
The facility failed to maintain personal hygiene for several residents, including untrimmed and dirty fingernails, unbrushed teeth, and unaddressed facial hair. Observations confirmed that staff did not provide necessary assistance, despite residents' cognitive impairments and care plans indicating a need for help with activities of daily living. The DON and administrators were notified of these deficiencies.
The facility failed to provide in-room activities for four residents with severe cognitive impairments, as required by their care plans. Despite the Activity Director's responsibility to visit these residents three times a week, there was no documented evidence of such activities. The Activity Director confirmed the lack of visits, indicating a failure to support the residents' activity preferences.
The facility failed to assess residents for bed rail entrapment risk and did not obtain physician orders before installing bed rails for six residents. These residents, who had severe cognitive impairments and required assistance with daily activities, were observed with raised bed rails without documented assessments or orders. Interviews with facility staff confirmed the lack of documentation, indicating a significant oversight in policy adherence.
The facility failed to store and serve food according to professional standards, with opened food items in freezers lacking labels and exposed to air. The kitchen had significant dirt and grime buildup, and employee personal items were improperly stored in the food preparation area. The Dietary Manager and other staff confirmed these deficiencies, acknowledging the need for improved cleanliness and proper food labeling.
The facility failed to maintain essential equipment safely. A microwave in the secured unit had rust inside, confirmed by the DON, and was used by a CNA to reheat residents' food. In the kitchen, a deep fryer had dust and grime buildup on its gas piping, confirmed by the Administrator and Maintenance Supervisor, indicating it was not in safe working condition.
A resident with glaucoma did not receive prescribed eye drops on multiple occasions due to a medication shortage. The resident, with moderate cognitive impairment, reported missing doses, and the facility confirmed the medication was on back order, leading to a deficiency in care.
A resident with chronic health conditions was not provided with prescribed continuous oxygen therapy, despite documentation indicating otherwise. Observations and interviews confirmed the absence of necessary equipment and care, highlighting a failure in adhering to physician orders and care plans.
Unsafe Environment and Damaged Resident Equipment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for 2 residents reviewed for environment and in a kitchen area that was in need of repair. During an initial kitchen tour, the wall behind the three-compartment sink was observed to be damaged, with loose tile above the sink and a large hole in the wall beneath it; the Dietary Manager confirmed the wall was in need of repair. For Resident #12, observations of the air conditioning unit showed the air diverting grill was missing and the unit needed repair, and the Maintenance Director confirmed this condition. For Resident #45, the wheelchair was observed with cracked bilateral armrests and exposed foam, and the ADON confirmed the armrests were cracked and needed replacement.
Inaccurate restraint assessments for bed rails and a pommel cushion
Penalty
Summary
The facility failed to ensure accurate assessments were completed for 3 residents reviewed for physical restraints. Resident #2 was observed in bed with bilateral 1/4 bed rails in the upright position and later in a high-back manual wheelchair with a pommel cushion in the seat. The resident had diagnoses including type 2 diabetes mellitus, muscle wasting and atrophy, osteoarthritis of the left hip, gait and mobility abnormalities, generalized muscle weakness, end stage renal disease, dependence on renal dialysis, paroxysmal atrial fibrillation, and left hip pain. The admission MDS showed a BIMS score of 9, indicating moderate cognitive impairment, and section P coded the bed rails and the pommel cushion as physical restraints. The physician orders stated the bed rails were to assist with bed mobility related to muscle weakness and osteoarthritis, and the pommel cushion was to improve posture and prevent sliding forward. The DON and MDS Coordinator confirmed the restraint coding was inaccurate and coded in error. Resident #8 was observed lying in bed with bilateral 1/4 bed rails in the up position. The quarterly MDS showed a BIMS score of 6, indicating severe cognitive impairment, and section P coded the bed rails as a physical restraint. The physician order stated the bilateral 1/4 side rails were to assist with bed mobility related to muscle weakness. The DON and MDS Coordinator confirmed the bed rails were coded as a restraint in error. Resident #4 was observed in bed with the left side bed rail in the up position on two occasions. The quarterly MDS coded the bed rails as a physical restraint, while the physician order stated the bed against the wall with the left quarter bed rail up was to aid in bed mobility secondary to muscle weakness. The DON stated the left upper bed rail was used only as an assistive device for repositioning, and the MDS Coordinator confirmed the restraint coding was in error.
Missing Meal Intake Documentation for Resident at Risk for Weight Loss
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for Resident #55 that included measurable objectives and timeframes to meet the resident’s nutrition needs, as evidenced by missing documentation of meal percentage intakes. Resident #55 was admitted on 08/02/2024 and had diagnoses including psychosis, muscle weakness, lack of coordination, anxiety, dysphagia, depression, and abnormal weight loss. The quarterly MDS assessment showed a BIMS score of 13, indicating intact cognition for daily decision making, and also indicated the resident required setup assistance for eating and had malnutrition and weight loss. The current care plan identified Resident #55 as at risk for weight loss related to poor appetite and directed staff to monitor and record meal intake and administer medications as ordered, with CNAs responsible for documenting meal percentage intakes. Review of the medical record showed no documented meal percentage intakes for July 2025 and no documented meal intake percentages for August 1, 2025 through August 14, 2025, August 18, 2025, August 19, 2025, and August 20, 2025. On 08/20/2025, a CNA stated she had not documented meal intake percentages for Resident #55, and the DON confirmed that CNAs were responsible for documenting those meal percentages and that the record lacked daily documentation for the listed dates.
Hot Water Temperature Exceeded Safe Limit in Resident Bathroom
Penalty
Summary
The facility failed to ensure each resident environment remained as free of accident hazards as possible for Resident #36, whose bathroom sink water temperature was found to be greater than 120 degrees Fahrenheit. During observation, the water in Resident #36's bathroom sink felt hot to the surveyor's touch. The Maintenance Director checked the hot water temperature in the sink and measured it at 121 degrees Fahrenheit, and the surveyor's own thermometer measured it at 123.4 degrees Fahrenheit. The Maintenance Director confirmed the water temperature was greater than 120 degrees Fahrenheit, and the Administrator later confirmed that the hot water in Resident #36's sink should not exceed 120 degrees.
Nebulizer Equipment and Tubing Not Changed as Ordered
Penalty
Summary
The facility failed to provide respiratory care in accordance with physician orders and facility policy for Resident #35, who was admitted on 04/14/2025 with diagnoses including hypertensive heart disease with heart failure, wheezing, and other specified diseases of the upper respiratory tract. The facility policy for administering medications through a small volume nebulizer required that equipment and tubing be changed every seven days. On 08/18/2025 and 08/19/2025, observations of the resident’s room showed the nebulizer and tubing stored on the bedside table in a bag dated 08/04, and the nebulizer and tubing were not dated. A review of the resident’s active August 2025 physician orders showed an order to change nebulizer tubing every week on Thursdays. During an observation on 08/19/2025, the DON confirmed that the nebulizer and tubing were stored in a bag dated 08/04 and were not dated.
Deficiency in Personal Hygiene Care for Residents
Penalty
Summary
The facility failed to provide necessary services to maintain good personal hygiene for several residents who were unable to perform activities of daily living independently. Specifically, the facility did not ensure that the fingernails of four residents were kept clean and trimmed. Observations revealed that these residents had long and dirty fingernails, which were not addressed by the staff despite being in close proximity and having the opportunity to do so. This lack of attention to personal hygiene needs was confirmed by the Director of Nursing (DON) and other staff members upon notification. Resident #44, who had multiple diagnoses including cognitive communication deficit and required assistance with personal hygiene, was observed on two occasions with long fingernails that needed trimming. Similarly, Resident #17, who was severely cognitively impaired, was seen with dirty fingernails while feeding himself, and this was not addressed by the CNAs present. The DON and administrators were informed of these observations, confirming the oversight in care. Resident #23, with severe cognitive impairment, was observed with unbrushed teeth, long chin hairs, and dirty, untrimmed fingernails on multiple occasions. The lack of oral hygiene was evident as there was no toothbrush in the resident's room. Resident #29 was also found with long chin hairs and dirty fingernails. These observations were brought to the attention of the DON and administrators, who confirmed the need for personal hygiene care for these residents.
Failure to Provide In-Room Activities for Residents with Cognitive Impairments
Penalty
Summary
The facility failed to provide an ongoing program to support residents in their choice of activities, as evidenced by the lack of in-room activities for four residents with severe cognitive impairments. Resident #1, who is bedbound and diagnosed with quadriplegia, had no documented in-room activities since February 2024, despite the care plan indicating the Activity Director should visit three times a week. Similarly, Resident #23, with severe cognitive impairment and a self-care deficit, also lacked documented in-room activities, and the Activity Director admitted to not consistently visiting the resident. Resident #29, who suffers from major depressive disorder and prefers in-room activities, did not receive the planned visits from the Activity Director. Resident #43, with severe cognitive impairment and total dependence on staff, also had no documented in-room activities, despite the care plan's requirements. The Activity Director, who had been employed for about a month, confirmed the lack of in-room activities for these residents, indicating a failure to adhere to the care plans and support the residents' activity preferences.
Failure to Assess Bed Rail Entrapment Risk and Obtain Physician Orders
Penalty
Summary
The facility failed to ensure that residents were assessed for the risk of entrapment from bed rails and did not obtain a written order from a physician for the use of bed rails prior to their installation. This deficiency was identified for six residents who were reviewed for accident hazards. The facility's policy on physical restraints and side rails mandates that side rails should only be used to treat a resident's medical symptoms or assist with mobility and transfer, and requires an assessment of the resident's risk of entrapment and a physician's order before installation. For Resident #1, the medical record revealed severe cognitive impairment and dependency on staff for activities of daily living. Observations during the survey showed that quarter bed rails were raised on both sides of the bed, yet there was no documented assessment for the risk of entrapment or a physician's order for the bed rails. Similar findings were noted for Residents #17, #23, #29, #16, and #30, all of whom had varying degrees of cognitive impairment and required assistance with daily activities. In each case, the facility failed to document an assessment for entrapment risk or obtain a physician's order for the use of bed rails. Interviews with the Corporate Administrator, Director of Nursing, and Administrator confirmed the lack of documented evidence for assessments and physician's orders for the use of bed rails for these residents. The absence of these critical steps in the process of bed rail installation highlights a significant oversight in the facility's adherence to its own policies and regulatory requirements, potentially compromising resident safety.
Deficiencies in Food Storage and Kitchen Cleanliness
Penalty
Summary
The facility failed to adhere to professional standards for food storage, distribution, and service, as observed during a survey. Opened food items in the freezers were exposed to air and lacked labels indicating the date they were opened. Specifically, ice cream cups were improperly stored, and a pizza in a zip lock bag was not labeled with an opened date. Additionally, the kitchen environment was not maintained in a clean condition, with dirt and grime buildup observed on various surfaces, including the ice machine and PVC pipes under the sinks. Employee personal items were also improperly stored in the food preparation area. The Dietary Manager confirmed the issues with food storage and cleanliness, acknowledging that the kitchen required cleaning and that all opened food items should be labeled with an opened date. The presence of personal items in the kitchen was also confirmed as inappropriate. Further confirmation of the need for cleaning was provided by the Administrator and Maintenance Supervisor during a tour of the kitchen. The Corporate Administrator was notified of these findings, indicating a recognition of the deficiencies in maintaining food safety and hygiene standards.
Deficiencies in Equipment Maintenance
Penalty
Summary
The facility failed to maintain essential mechanical equipment in safe operating condition, as observed by surveyors. In the secured unit, a microwave used by a CNA to reheat residents' food was found to have rust on the inside, which was confirmed by the DON upon inspection. Additionally, in the kitchen, a deep fryer was observed with a buildup of dust and grime on the gas piping system within its lower compartment. This condition was confirmed by the Administrator and Maintenance Supervisor, indicating the fryer was not in safe working condition.
Failure to Administer Prescribed Eye Drops
Penalty
Summary
The facility failed to administer eye drops as ordered for a resident with impaired vision due to glaucoma. The resident, who has moderate cognitive impairment, reported not receiving his eye drops on a specific day. A review of the medical records showed that the eye drops were not administered on several occasions as per the physician's orders. Interviews with the LPN and the DON revealed that the resident was out of the prescribed eye drops, and the pharmacy had not sent the medication due to it being on back order. The DON confirmed that the medication was not available for administration, leading to the deficiency in providing the necessary treatment and care according to the resident's needs and professional standards of practice.
Failure to Administer Prescribed Oxygen Therapy
Penalty
Summary
The facility failed to provide necessary respiratory care to a resident, as per the physician's orders and the comprehensive care plan. Resident #42, who has a medical history including chronic heart failure, type 2 diabetes mellitus, chronic obstructive pulmonary disease, and other conditions, was ordered to receive continuous oxygen at 4 liters per nasal cannula. However, observations on multiple occasions revealed that the resident was not wearing the nasal cannula, and there was no oxygen concentrator present in the room. Interviews with the resident and staff confirmed the absence of the oxygen equipment, despite documentation in the Medication Administration Record indicating that oxygen was administered on specific dates. The Director of Nursing acknowledged the discrepancy between the documented administration and the actual provision of care, confirming that the resident did not receive the prescribed oxygen on the noted dates.
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What surveyors actually found near you
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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 Rayville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Colonial Manor Nursing & Rehabilitation Home | 3.3 mi | ★★★★★ | 10 | 0 |
| Deerfield Nursing And Rehabilitation Center | 13.7 mi | ★★★★★ | 4 | 1 |
| Ouachita Healthcare And Rehabilitation Center | 18.2 mi | ★★★★★ | 5 | 0 |
| Legacy Nursing And Rehabilitation Of Winnsboro | 18.3 mi | ★★★★★ | 0 | 0 |
| Plantation Manor Nursing And Rehab Center, Llc | 18.5 mi | ★★★★★ | 0 | 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.