Below 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 Attala County Nursing Center during CMS and state inspections, most recent first.
A facility failed to maintain a homelike environment when several resident room doors were hard to open or close and resident-used equipment was dirty or corroded. A resident’s door dragged on the floor, another resident’s door was difficult to shut, an overbed table had a thick black rust-like substance on most of its base, and an IV pole base was observed with a thick substance. The DON, ADM, and staff confirmed the conditions and acknowledged the equipment and doors were not in proper condition.
Incorrect MDS Coding of Indwelling Catheter: A resident’s Medicare 5-day and Significant Change MDS incorrectly indicated no indwelling catheter even though the resident had an indwelling catheter with an active order and had been using it since 5/1/25. The resident was cognitively intact on the BIMS and had diagnoses including stage 4 sacral pressure ulcer and stage 3 pressure ulcer at another site. The MDS Coordinator acknowledged the coding error, and the DON stated MDS assessments must accurately reflect the resident’s condition for care planning, billing, and look-backs.
Two residents had care plans that included personal hygiene and nail care, but staff did not follow those plans. Observations showed long, jagged fingernails with dirt under the nails, and both residents said they wanted their nails trimmed. An LPN, CNA, and the DON confirmed nail care should have been provided as part of daily care, and the MDS Coordinator confirmed the care plan was not being implemented as directed.
Failure to Provide Nail Care for Two Residents: Two residents were observed with dirty, long, jagged fingernails that had brown substance under the nailbeds. One resident with DM and dementia-related diagnoses and another resident with hemiplegia and DM both stated they wanted their nails trimmed. Staff, including an LPN, CNA, and DON, confirmed the nails should have been cleaned and trimmed as part of routine ADL care.
Failure to complete a trauma-informed care assessment for a resident with PTSD and a significant trauma history. The resident reported witnessing his father shoot his mother, said loud noises and tools could trigger fear, and stated staff had not warned him before loud activity. The SW, DON, and MDS Coordinator confirmed the trauma history was known through an outside LCSW, but the assessment to identify triggers was not completed.
Excessively Low Weekend Staffing: The facility triggered an excessively low weekend staffing PBJ finding after record review showed low weekend staffing on five days during the quarter. The Staff Development nurse said the schedule was intended to be adequate, but weekend call-ins and attempts to use agency staff affected coverage. The ADM was unaware of the PBJ trigger, and the DON reported staffing issues, including excessive call-ins and no-call-no-shows, with CNAs being the main source of the problem.
Failure to obtain physician approval for psychotropic med recommendations. For one resident with unspecified dementia and behavioral disturbance, consultant notes recommended changes to Risperdal, but one increase was delayed, and later recommended dose changes were never implemented or documented as reviewed by the physician. The DON confirmed the consultant recommendations were not timely addressed per facility policy.
The facility failed to ensure a medication refrigerator was properly secured in 1 of 3 medication storage rooms. An observation found a locked narcotic lock box inside the refrigerator door that was not affixed and could be easily removed; it contained Lorazepam. An RN stated the box should have been secured to the refrigerator, and the DON confirmed it was not secured and had not yet been properly installed.
A medication diversion incident occurred in a long-term care facility where an LPN removed non-controlled medications from the medication room after they were discontinued or after a resident expired. The facility's policy required discontinued medications to be logged and secured, but lapses in this process allowed the LPN to access and remove the medications. The affected residents had various medical conditions, and the facility's failure to maintain proper control and documentation of discontinued medications led to the misappropriation incident.
Dirty equipment and difficult room doors affected resident environment
Penalty
Summary
The facility failed to provide a homelike environment for four residents because several items in resident rooms and resident-used equipment were observed to be dirty, corroded, or difficult to use. Resident #11’s room door was observed dragging on the floor when opened and closed, and the resident stated it had been hard to open and close for a while. Resident #20’s room door was also observed and confirmed by an LPN to be difficult to open, and the resident stated the door had been hard to shut for two years. The Administrator acknowledged awareness of a couple of doors that were difficult to open and close and stated this could present a safety hazard if residents needed to evacuate in an emergency. Both residents were cognitively intact based on BIMS scores of 15. Resident #38’s overbed table was observed with a thick black substance scattered over most of the metal base, and the resident stated the table looked bad and needed cleaning. The DON and Administrator later confirmed the table was corroded with a rust-like substance and needed to be replaced, and the Administrator stated that furniture in that condition did not represent a home-like environment. Resident #99’s IV pole base was observed on two occasions with a thick substance on it. Staff interviews showed mixed responsibility for cleaning such equipment: a CNA stated housekeeping was responsible for cleaning IV poles, while an LPN and the Administrator confirmed nursing staff were supposed to clean IV poles used for PEG tube feedings, especially when milk dripped and splattered on the base. The DON confirmed that nursing staff who find dirty equipment or equipment needing replacement are responsible for cleaning it or notifying maintenance.
Incorrect MDS Coding of Indwelling Catheter
Penalty
Summary
The facility failed to accurately code a Medicare five-day and Significant Change MDS assessment for one resident. During an observation and interview, the resident was noted to have an indwelling catheter that had been in place since 5/1/25, and the Order Summary Report showed an active order for the catheter. However, the resident’s Medicare five-day and Significant Change MDS with an ARD of 6/6/25 coded Section H0100 Appliances as not having an indwelling catheter. The resident was admitted originally on 4/23/25 and readmitted on 5/31/25. The resident’s diagnoses included Pressure Ulcer of Sacral Region, Stage 4, and Pressure Ulcer of Other Site, Stage 3. The MDS Coordinator acknowledged the incorrect coding and stated it was her mistake. The DON stated that MDS assessments are expected to accurately reflect the resident’s condition for care planning, billing, and look-backs. The resident’s BIMS score on the Medicare five-day MDS was 14, indicating the resident was cognitively intact.
Failure to Implement Comprehensive Care Plans for Nail and Personal Hygiene Care
Penalty
Summary
The facility failed to implement comprehensive care plans for two sampled residents, both of whom had care plan interventions for personal hygiene and nail care that were not followed. The facility policy stated that a baseline care plan must include instructions needed to provide effective, person-centered care. For one resident, the ADL care plan identified a need for partial/moderate assistance with personal hygiene, and observations on 8/18/25 and 8/19/25 showed fingernails about one-half inch long, jagged, and with a brown substance underneath. The resident stated a preference for short-trimmed nails, and an LPN confirmed the nails should have been trimmed by nursing staff. The DON also confirmed nursing staff should perform nail care on diabetic residents as needed, and the MDS Coordinator agreed the care plan was not being implemented as directed because the resident had long, dirty fingernails. For the second resident, the care plan identified a need for substantial/moderate assistance with personal hygiene, including nail care. An observation and interview showed long, jagged fingernails about one-half inch long on both hands, with a brown substance under the thumbnail and index fingernail of the right hand. The resident stated staff had clipped his nails only once since admission and that he wanted them trimmed. A CNA and an LPN both confirmed the fingernails were long, jagged, and dirty, and both stated nail care was part of daily care and should have been completed. The DON confirmed the purpose of the comprehensive care plan was to identify resident-specific needs so staff would know how to care for them, and stated the resident's nail care was included in the care plan but was not followed.
Failure to Provide Nail Care for Two Residents
Penalty
Summary
The facility failed to provide ADL care to maintain personal hygiene for two sampled residents by not keeping their fingernails clean and trimmed. Facility policy titled "Nail Care" stated the purpose was to promote cleanliness, safety, and a neat appearance and to observe skin condition on fingers and toes. Observations and interviews showed Resident #42 had dirty fingernails with a brown substance under the nailbeds, nails about one-half inch past the fingertips, and jagged edges. Resident #42 stated a preference for short-trimmed nails. LPN #3 confirmed the resident's fingernails should have been cleaned and trimmed by nursing staff, and the DON stated residents' nails should be kept clean and trimmed as necessary, with nursing staff performing nail care on diabetic residents as needed. Resident #42's record showed diagnoses including Type 2 DM with diabetic chronic kidney disease and moderate dementia with psychotic disturbance, and the MDS indicated the resident was cognitively intact. Resident #67 was observed with fingernails approximately one-half inch long past the fingertips and brown substance under the right thumbnail and index fingernail. The resident stated staff had only clipped his fingernails one time since admission and that he wanted them trimmed. CNA #1 confirmed the nails were long, jagged, and dirty, and stated fingernail care was part of daily care and should have been done. LPN #1 also confirmed the nails needed cleaning and trimming, acknowledged the long dirty nails were a safety issue that could lead to inflammation of the skin, and stated both CNAs and nurses could clean diabetic residents' fingernails while nurses were responsible for trimming. Resident #67's record showed diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side and Type 2 DM, and the MDS indicated the resident was cognitively intact.
Failure to Complete Trauma-Informed Care Assessment
Penalty
Summary
The facility failed to assess and identify potential triggers for a resident with PTSD and a documented history of trauma. Resident #5 stated that, as a teenager in May 1977, he witnessed his father shoot his mother, resulting in her death, and that loud noises, hammers, loud tools, or anything resembling a gunshot often scared him. He also stated that he wanted staff to let him know ahead of time when something loud was going to happen and that no one had warned or prepared him for loud activity in the facility. He reported that he had told staff about this past experience and did not want them to be unaware of it, but no one had talked with him about possible triggers related to the trauma. Record review showed that a trauma-informed care assessment was not completed for Resident #5. The facility's Social Worker confirmed she was responsible for conducting trauma-informed care assessments and admitted she had not completed one for this resident, despite learning that an outside therapy group’s LCSW had documented his significant trauma history in February 2025. The DON also confirmed the resident should have been evaluated to identify trauma and possible triggers. The MDS Coordinator stated she was informed by the outside LCSW that the resident had witnessed his father attempt to kill his mother, resulting in her death, and that she marked trauma on the MDS and generated a care plan, but did not report this to the facility SW so the trauma-informed care assessment could be completed. The resident’s record also showed diagnoses of depression and anxiety disorder, and his BIMS score of 14 indicated he was cognitively intact.
Excessively Low Weekend Staffing
Penalty
Summary
The facility failed to provide adequate weekend staffing for one of two quarterly PBJ reviews. The facility policy titled, “Nursing Services – Staffing,” stated that the facility would have sufficient nursing staff 24 hours every day to provide nursing and nursing related services to attain or help maintain the highest practicable physical, mental, and psychosocial well-being of each resident as determined in the comprehensive assessment and resident care plan. However, the PBJ Staffing Data Report for Quarter 2 2025 showed “Excessively Low Weekend Staffing – Triggered,” indicating the submitted weekend staffing data was excessively low. Record review of the staffing grid for the weekends during Quarter 2 2025 confirmed low weekend staffing for five days. The Staff Development nurse stated she compiled the nursing schedule and said the facility had adequate staff on the schedule, but there were many weekend call-ins and attempts to use agency staff during that period. The Administrator stated she was not aware the facility had triggered excessively low weekend staffing and said it was her expectation that the facility remain adequately staffed at all times. The DON stated she knew there were staffing issues during January through March, including excessive call-ins and some no-call-no-shows, and said the facility was using agency and on-call staff to cover shifts, with the main issue being CNAs calling in.
Failure to Obtain Physician Approval for Psychotropic Medication Recommendations
Penalty
Summary
The facility failed to ensure that the physician was contacted for order approval regarding psychotropic drug dosage recommendations from the licensed pharmacist/consultant for one resident reviewed for psychotropic drug dosage reduction. Facility policy titled, Physician Orders, stated that when new or revised orders are requested due to consultant recommendations, the attending physician or nurse practitioner shall be contacted for approval and the response documented in the resident clinical record, with additional follow-up until a response is received. For Resident #10, record review showed a Behavioral Medicine Evaluation and Management Note recommending an increase of Risperdal from 1 mg to three times daily, but the order was not implemented until more than a month later. A later consultant note recommended increasing Risperdal to 2 mg twice daily, but that recommendation was never implemented. Another note later recommended decreasing Risperdal to 1 mg twice daily, and that recommendation was also never implemented. The resident’s active orders showed only Risperdal 1 mg three times daily with a start date of 6/19/25. The DON confirmed that the later consultant recommendations were neither implemented nor documented in the medical record as reviewed by the physician. Resident #10 had diagnoses including unspecified dementia with behavioral disturbance, and an MDS assessment showed a BIMS score of 8, indicating moderately impaired cognition.
Unsecured Narcotic Lock Box in Medication Refrigerator
Penalty
Summary
The facility failed to ensure medications were stored in a properly secured refrigerator in 1 of 3 medication storage rooms. Review of the facility policy titled "Medication Storage," revised 11/17, stated that medication storage shall meet all applicable federal, state, and local guidelines. During an observation on 08/20/25 at 2:30 PM, the second-floor medication storage room contained a narcotic lock box inside the refrigerator door that was locked but not secured or affixed to the refrigerator, and the lock box was easily removable. The lock box contained a bottle of Lorazepam. During interviews, RN #2 stated she believed the lock box was supposed to be secured to the refrigerator and not removable, and the DON confirmed the narcotic lock box was not secured and said the refrigerator was new and the box had not yet been properly installed.
Medication Misappropriation Incident in LTC Facility
Penalty
Summary
The facility failed to protect residents from the misappropriation of their medications, as evidenced by a medication diversion incident involving a Licensed Practical Nurse (LPN) who removed medications from the facility. The investigation revealed that the LPN took non-controlled medications from the medication room after they were discontinued or after a resident had expired. The medications involved included Cardizem, Pravastatin, Glucophage, Cipro, and Lasix, affecting four residents. The facility's policy required that discontinued medications be logged and placed in a secured cabinet, but lapses in this process allowed the LPN to access and remove the medications. Interviews with staff, including the Administrator, LPNs, and the Medical Records Nurse, highlighted inconsistencies in the handling of discontinued medications. It was noted that the floor nurse was responsible for logging and securing discontinued medications, but there were instances where medications were left unsecured, allowing unauthorized access. The Director of Nursing (DON) was the only person with a key to the secured cabinet, and it was her responsibility to destroy the medications monthly. However, the lack of regular audits and medication reconciliations contributed to the oversight that enabled the LPN to misappropriate the medications. The affected residents had various medical conditions, including diabetes, atrial fibrillation, heart failure, and hyperlipidemia. The facility's failure to maintain proper control and documentation of discontinued medications led to the misappropriation incident. The investigation did not determine the exact timing or method of the medication removal, but it was clear that the facility's protocols for handling discontinued medications were not consistently followed, resulting in the deficiency.
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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 Kosciusko
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Holmes County Long Term Care Center - Durant | 15.6 mi | ★★★★★ | 0 | 0 |
| Vaiden Community Living Center | 21.2 mi | ★★★★★ | 1 | 0 |
| Trend Health & Rehab Of Carthage Llc | 22.7 mi | ★★★★★ | 2 | 0 |
| Carthage Senior Care | 22.8 mi | ★★★★★ | 0 | 0 |
| Lexington Manor Senior Care, Llc | 26.2 mi | ★★★★★ | 0 | 0 |
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