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 Bedford Care Ctr-monroe Hall during CMS and state inspections, most recent first.
Failure to Maintain Resident Dignity During Feeding Assistance: A resident with Alzheimer's Disease and severe cognitive impairment was observed being fed while lying in bed by an IP who was standing over him with the room door open to the hallway. The IP acknowledged the dignity violation, and the DON affirmed the issue during interview.
Surveyors found expired grape juice in a reach-in cooler and 34 expired yogurt cups in the refrigerator, and the Dietary Manager confirmed the grape juice had already been served at breakfast and the yogurt had been distributed at lunch. Facility policy required refrigerated foods to be dated, monitored, and used by the use-by date or discarded, and the DON and Administrator stated staff were expected to prevent residents from being served expired food.
A resident with severe cognitive impairment was left unattended in a facility van for an extended period after returning from an outing. The van driver left the resident to retrieve supplies, and the front desk staff claimed to supervise the resident. However, discrepancies in staff statements and a non-operational surveillance system led to uncertainty about the duration the resident was left in the van. The incident prompted an emergency QA meeting, and the NP ordered basic blood work to assess the resident's condition.
A resident with severe cognitive impairment was left in a facility van for an undetermined amount of time after an outing. The facility failed to report this neglect within 24 hours as required by policy. The Administrator conducted an investigation based on limited interviews and concluded the resident was supervised, but did not report the incident to the State Agency. The DON was informed but did not investigate further.
A resident with severe cognitive impairment was left in a facility van after an outing, and the investigation into the incident was incomplete. The Administrator relied on limited staff statements without interviewing all relevant personnel, leading to discrepancies in the timeline. The facility's video surveillance was not operational, and the resident was eventually found unharmed, but the investigation was deemed unsubstantiated.
Failure to Maintain Resident Dignity During Feeding Assistance
Penalty
Summary
The facility failed to assure a resident's dignity during feeding assistance. During an observation from the hallway, Resident #6 was in his room being fed by the Infection Preventionist while lying in bed, and the staff member was standing above him while assisting with the meal. The room door was open to the hallway, and several people passed by the room during the observation. The facility policy on assisting with meals states that residents who cannot feed themselves will be fed with attention to dignity, including not standing over residents while assisting them with meals. Resident #6 was admitted with diagnoses including Alzheimer's Disease, and the Quarterly MDS with an ARD of 7/30/25 showed a BIMS score of 8, indicating severe cognitive impairment. During interview, the Infection Preventionist acknowledged that she had assisted Resident #6 with feeding while standing over him and stated that she knew this was a violation of dignity and should have known better. The DON also affirmed that this was a violation of the resident's dignity and stated that staff would be in-serviced on the proper way to assist residents with feeding.
Expired Food Served and Stored in Kitchen
Penalty
Summary
Food safety was not maintained when surveyors found out-of-date food items stored in the kitchen and available for use. During the initial kitchen tour, one container of grape juice was observed in Reach-In Cooler #1 with an expiration date of 5/19/25, and the Dietary Manager confirmed it had been served at breakfast that morning. At the same time, 34 four-ounce containers of light vanilla yogurt were found in the refrigerator with a use-by date of 8/18/25, and the Dietary Manager confirmed the yogurt had last been distributed during lunch on 8/24/25. The facility’s policies required refrigerated foods to be labeled, dated, monitored, and used by the use-by date or discarded, and to be stored in accordance with safe food handling practices. The Registered Dietitian Consultant stated her expectation that dietary staff check expiration dates and discard food before the use-by date in accordance with policy and federal food service guidelines. The DON and Administrator both confirmed their expectation that dietary staff ensure residents are not served expired food and consistently check food dates.
Resident Left Unattended in Facility Van
Penalty
Summary
The facility failed to ensure a resident was free from neglect when a resident was left in the facility's transportation van for an extended period after returning from an outing at a local fair. The incident involved a resident with severe cognitive impairment, as indicated by a Brief Interview of Mental Status (BIMS) score of 6, who was left in the van from approximately 2:45 PM until around 5:00 PM. The van driver, who was also responsible for central supply, left the resident in the van to retrieve supplies for another resident, and the front desk staff claimed to have kept an eye on the resident during this time. The situation was further complicated by discrepancies in staff statements regarding the timeline and supervision of the resident. The van driver and front desk staff reported that the resident was in the van for a short period and was supervised, while other staff members, including a Registered Nurse (RN) and a Licensed Practical Nurse (LPN), reported that the resident was found in the locked van at approximately 5:00 PM during the evening meal. The facility's video surveillance system was not operational at the time, adding to the uncertainty about the exact duration the resident was left unattended. The facility's Administrator admitted to not interviewing all relevant staff members and was unable to explain the discrepancies in the statements and timeline. The incident prompted an emergency Quality Assurance (QA) meeting, where it was acknowledged that the resident was left in the van for an unknown amount of time, but it was believed to be less than an hour. The Nurse Practitioner (NP) was notified and ordered basic blood work to assess the resident's condition following the incident.
Failure to Report Neglect of Resident Left in Van
Penalty
Summary
The facility failed to report a violation of neglect within 24 hours when a resident was left in a facility van for an undetermined amount of time. The facility's policy requires that all reports of neglect be promptly reported to local, state, and federal agencies within 24 hours if the violation does not involve abuse and has not resulted in serious bodily injury. The incident involved a resident with severe cognitive impairment, as indicated by a BIMS score of 6, who was left in the van after an outing to the fair. The resident was found later in the day, and although the facility staff notified the Nurse Practitioner to assess the resident, the event was not reported to the State Agency. The Administrator, upon being informed of the incident, conducted an investigation based on statements from the van driver and a front office staff member, concluding that the resident was in the van for less than an hour and was supervised the entire time. However, the Administrator did not interview any nursing staff who assisted the resident off the van. The Director of Nursing was informed of the incident but did not report or investigate further, as the Administrator stated he would handle the investigation. The facility's Quality Assessment and Assurance Committee held an emergency meeting to discuss the incident, but the exact duration the resident was left in the van remained unknown.
Incomplete Investigation of Resident Left in Van
Penalty
Summary
The facility failed to conduct a thorough investigation regarding an incident where a resident was left on the facility's transportation van after returning from an outing. The incident involved a resident with severe cognitive impairment, as indicated by a BIMS score of 6, who was left in the van for an indeterminate amount of time. The facility's policy required a comprehensive investigation, including interviews with all relevant staff and witnesses, which was not completed. The Administrator relied solely on statements from the van driver and front office staff, without interviewing nursing staff or other potential witnesses, leading to discrepancies in the timeline and details of the event. The incident occurred when the van returned to the facility, and all residents except one were unloaded. The van driver, who also had other responsibilities, was called away, and the resident was left in the van. The facility's video surveillance was not operational at the time, complicating the investigation. The Director of Nursing was informed of the incident but did not conduct an investigation, as the Administrator took responsibility. The resident was eventually found in the van, and a Nurse Practitioner was called to assess the resident, who was found to have no injuries. However, the investigation was deemed incomplete and unsubstantiated due to the lack of thoroughness in interviewing all involved parties and reviewing all events leading up to the incident.
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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 Hattiesburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bedford Alzheimer's Care Center | 0 mi | ★★★★★ | 0 | 0 |
| Forrest General Hospital Skilled Nursing Unit | 1.3 mi | ★★★★★ | 0 | 0 |
| Bedford Care Center Of Hattiesburg | 1.7 mi | ★★★★★ | 5 | 0 |
| Merit Health Wesley | 2.7 mi | ★★★★★ | 1 | 0 |
| Hattiesburg Health & Rehab Center | 2.8 mi | ★★★★★ | 3 | 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.