Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Bruce Community Living Center during CMS and state inspections, most recent first.
Failure to notify the Ombudsman of a resident discharge. A resident admitted with cystitis and generalized muscle weakness was discharged home with HHC after therapy services, but the discharge was not reported on the facility’s Ombudsman transfer/discharge log. The SSD stated she did not send the notification and did not know it was required, and the facility had no policy for notifying the local or state Ombudsman of discharges to home.
A resident with bipolar disorder experienced a significant psychiatric decline with active suicidal ideation, plan, and intent, and was transferred for inpatient psych services. Social Services confirmed no status change referral was submitted to the State Mental Health Authority, despite the facility policy requiring notification within 24 hours of a significant change in mental or physical condition for a resident with a mental disorder.
Improper Catheter Drainage Bag Positioning: A resident with ESRD and an indwelling catheter was observed multiple times with the suprapubic catheter drainage bag resting on the wheelchair seat instead of below the bladder. Staff did not intervene to correct the placement, and an RN confirmed the setup was not being maintained to prevent backflow of urine, which could cause a UTI. The DON stated staff were responsible for monitoring the bag position.
Surveyors found that three residents were unable to access their call lights or frequently used items, with call lights found on the floor, attached out of reach, or placed across the room. Staff confirmed these items should be accessible at all times, and the affected residents had various medical conditions and cognitive statuses.
A resident, moderately cognitively impaired and diagnosed with COPD, requested to have her back cleaned with a warm wet washcloth after a bath, but a CNA used cleansing wipes instead despite washcloths being available. When the resident objected, an LPN told her she would have to wait for care if she did not accept the wipes, leaving her wet and uncomfortable. This failure to honor the resident's expressed care preference did not maintain or promote her dignity, as required by facility policy.
A resident with COPD made allegations of verbal abuse and neglect involving a CNA and an LPN, which were reported to the facility Administrator by the Ombudsman. The Administrator failed to notify the State Agency within the required timeframe, and the incident was only reported after the Ombudsman followed up and made the report herself.
A cognitively intact resident was not consulted about his Advance Directives upon admission, resulting in a conflict between his documented DNR status and his actual wish to receive CPR. The resident's brother signed the DNR without the resident's knowledge, and facility staff confirmed that the resident should have been asked about his code status and signed his own directive.
The facility failed to provide written notification of discharge or transfer to two residents and their representatives when they were transferred to the hospital. The facility's policy requires such notifications, but staff interviews revealed a lack of awareness and adherence to this policy, resulting in the deficiency.
The facility failed to implement comprehensive care plans for two residents requiring ADL assistance. One resident had unshaven facial hair and long, jagged fingernails, while another had similar issues with nail care and facial hair. Staff confirmed that the care plans were not followed, despite the facility's policy requiring comprehensive care plans developed by an interdisciplinary team.
The facility failed to provide adequate hygiene care for two residents, resulting in unshaven facial hair and unclean, jagged fingernails. One resident, with a history of COPD and osteoporosis, was observed with facial hair and dirty nails, while another resident with peripheral vascular disease and severe cognitive deficits had similar issues. Staff interviews confirmed the need for proper grooming, despite the residents' conditions.
Failure to Notify Ombudsman of Resident Discharge
Penalty
Summary
The facility failed to ensure notification of the Long-Term Care Ombudsman for one resident who was discharged from the facility. Resident #40 was admitted on 11/10/25 with diagnoses including cystitis and generalized muscle weakness, and later had a physician order dated 11/25/25 to discharge home with home health services. The progress note for that date documented that the resident was propelled in a wheelchair to a private auto and transferred into the vehicle with maximum assistance of one, and that the resident was discharged home with home health. Review of the facility’s Emergency Transfer Log for the Office of the State Long-Term Care Ombudsman for November 2025 showed that Resident #40 was not listed among the month’s transfers/discharges. During interview, the Social Services Director stated that she did not send notification of the discharge to the Ombudsman and did not know it was required, and the facility’s typed statement also indicated it did not have a policy to notify the local or state ombudsman of discharges to home.
Failure to Notify State Mental Health Authority of Significant Psychiatric Change
Penalty
Summary
The facility failed to notify the State Mental Health Authority of a significant change in mental health status for a resident with bipolar disorder. The facility policy stated that, in addition to notifying the resident and/or representative, the state mental health agency or state intellectual disability agency would be notified within 24 hours of a significant change in the mental or physical condition of a resident with a mental disorder or intellectual disability. Resident #2 was admitted with a diagnosis of bipolar disorder. A psychotherapy progress note documented that nursing staff reported emotional distress, and the resident was tearful, visibly upset, and expressed active suicidal ideation with both plan and intent, including statements about wanting to die and obtaining cyanide pills. Progress notes also showed the resident was transferred to a behavioral health facility for inpatient psychiatric services related to suicidal ideation. Social Services staff stated they were responsible for submitting status change referrals to the State Mental Health Authority and confirmed that no status change was submitted for this resident, despite the worsening psychiatric symptoms and inpatient psychiatric hospitalization.
Improper Catheter Drainage Bag Positioning
Penalty
Summary
Resident #12’s suprapubic catheter drainage system was not maintained below the level of the bladder to promote proper drainage and prevent backflow of urine. During observation on 2/17/26 at 10:18 AM, the resident was sitting in a wheelchair in his room with the urinary catheter drainage bag resting on the wheelchair seat beside him rather than positioned below the bladder. The resident stated the bag would not stay attached to the lower part of the wheelchair and frequently fell off. Later that morning, the resident was observed propelling himself in the hallway with the drainage bag still in the same improper position and no staff intervention to correct it. A second observation on 2/18/26 at 7:55 AM again showed the resident sitting in his wheelchair with the urinary drainage bag lying on the wheelchair seat and not below the level of the bladder. At 8:45 AM, he was observed propelling himself down the hallway with the bag still positioned the same way and no staff intervention to ensure proper placement. RN #1 confirmed the drainage bag was not being maintained to prevent backflow of urine and stated that backflow could cause a UTI. The DON stated staff were responsible for monitoring the catheter drainage bag and ensuring it remained below the level of the bladder. The resident’s record showed diagnoses including ESRD, and the MDS documented a BIMS score of 15 and the presence of an indwelling catheter.
Failure to Maintain Call Lights and Essential Items Within Residents' Reach
Penalty
Summary
The facility failed to ensure that call lights and frequently used items were maintained within reach for three out of four residents observed. Observations and interviews revealed that one resident's call light and phone were often found on the floor, making them inaccessible when assistance was needed. Another resident was unable to reach her call light, which was attached to the top of the upper side rail, and a third resident's call light was left on a nightstand across the room, out of reach. These deficiencies were confirmed during observations with certified nurse assistants, who acknowledged the concerns related to call lights being out of reach. The affected residents had varying medical conditions, including chronic obstructive pulmonary disease, bilateral primary osteoarthritis of the first carpometacarpal joints, and cerebral infarction. Two of the residents were moderately cognitively impaired, while one was cognitively intact. Staff interviews, including with an LPN and the facility administrator, confirmed that call lights and frequently used items should always be within residents' reach, and acknowledged the issues observed during the survey.
Failure to Honor Resident's Care Preferences and Dignity
Penalty
Summary
The facility failed to honor a resident's expressed preference for care and did not provide services in a manner that maintained and promoted dignity. On the night in question, a resident requested that a CNA clean her back with a warm wet washcloth due to soap being left on her skin after a bath. The CNA, who had only cleansing wipes on hand, used the wipes instead and did not consider retrieving a washcloth from the linen cart, despite their availability. The resident expressed dissatisfaction and asked the CNA to leave if her request could not be met. Subsequently, an LPN informed the resident that if she did not allow the CNA to proceed with care using the wipes, she would have to wait until staff finished with other residents, which could result in her remaining wet and uncomfortable for an extended period. Interviews and record reviews confirmed that the resident, who was moderately cognitively impaired with a BIMS score of 12 and had a diagnosis of chronic obstructive pulmonary disease, did not receive care as she requested. Facility policy requires that residents be treated with respect and dignity, and that their preferences be honored to maintain or enhance their quality of life. The administrator acknowledged that the CNA should have provided care using a washcloth as requested and that failing to do so could have made the resident feel her voice was not heard.
Failure to Timely Report Alleged Abuse and Neglect
Penalty
Summary
The facility failed to report allegations of abuse and neglect to the State Agency within the required timeframe for one resident. According to the facility's policy, all alleged violations must be reported immediately to the state agency and other required authorities. On the date in question, a resident made allegations of verbal abuse and neglect involving a CNA and an LPN, which were reported to the facility Administrator by the Ombudsman. However, the Administrator did not notify the State Agency as required. The Ombudsman discovered during a follow-up that the incident had not been reported and subsequently reported it herself. The investigation report confirmed that the incident was reported to the State Licensing Agency several days after the initial allegation. The resident involved had a diagnosis of chronic obstructive pulmonary disease and was admitted to the facility prior to the incident.
Failure to Consult Cognitively Intact Resident on Advance Directives
Penalty
Summary
The facility failed to consult with a cognitively intact resident regarding his Advance Directives, leading to a conflict between his documented preferences and his actual wishes. The resident, who was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 13, was not consulted about his code status upon admission. Instead, his brother signed the admission paperwork and marked him as Do Not Resuscitate (DNR) without the resident's knowledge or consent. The resident later expressed that he wanted to receive Cardiopulmonary Resuscitation (CPR) if he stopped breathing, contrary to the DNR status documented. Interviews with the Social Services Director and the Administrator confirmed that the resident was capable of making his own decisions and should have been asked about his code status choice. The Social Services Director admitted that she did not discuss CPR options with the resident, and the Administrator acknowledged that the resident should have signed his own Advance Directive. The facility's policy requires that residents be informed of their rights to formulate an Advance Directive, but this was not followed in the case of this resident.
Failure to Notify Residents of Hospital Transfers
Penalty
Summary
The facility failed to provide written notification of discharge or transfer to the resident and/or their representative when two residents were transferred to the hospital. According to the facility's policy, residents and their representatives should receive information regarding the reason for the transfer or discharge, the effective date, and the new location. However, for Resident #15, who was admitted with a history of traumatic brain injury and hydrocephalus, there was no record of a transfer/discharge notification when they were transported to the emergency room. Similarly, Resident #30, who had diagnoses including aphasia and metabolic encephalopathy, was transferred to the emergency room without the required notification being sent. Interviews with facility staff revealed a lack of awareness and adherence to the policy. The Administrator acknowledged the failure to mail the written notifications to the residents' representatives. Additionally, the Social Services Director admitted to being unaware of the requirement to send out these notifications but committed to ensuring they would be sent in the future. This oversight in communication and policy adherence led to the deficiency identified by the surveyors.
Failure to Implement Comprehensive Care Plans for ADL Assistance
Penalty
Summary
The facility failed to implement a comprehensive care plan for two residents who required assistance with Activities of Daily Living (ADL). Resident #3's care plan included interventions for shaving and nail care, but observations revealed that the resident had sporadic facial hair and long, jagged fingernails with a brown substance underneath. Interviews with RN #1 and the Director of Nurses confirmed that the care plan was not being followed. Resident #3 was admitted with medical diagnoses including Chronic Obstructive Pulmonary Disease, Osteoporosis with a current pathological fracture, and Paroxysmal Atrial fibrillation. Similarly, Resident #4's care plan included interventions for nail care and shaving, but observations showed long, jagged fingernails with a brown substance underneath and facial hair. RN #1 confirmed that the care plan was not being followed. Resident #4 was admitted with diagnoses of Peripheral Vascular Disease and Muscle Weakness and had a Brief Interview for Mental Status (BIMS) score indicating severe cognitive deficits. The facility's policy required an interdisciplinary team to develop and maintain a comprehensive care plan for each resident, which was not adhered to in these cases.
Failure to Provide Adequate Hygiene Care for Residents
Penalty
Summary
The facility failed to maintain proper hygiene for two residents, as evidenced by the lack of shaving and nail care. Resident #3 was observed with sporadic facial hair and jagged fingernails with a brown substance underneath. Interviews with the resident's sister, CNA #2, LPN #1, and RN #1 confirmed that the resident's facial hair should have been shaved and her nails cleaned. Despite being on hospice care, the facility staff acknowledged their responsibility for the resident's grooming. The resident's medical history includes Chronic Obstructive Pulmonary Disease, Osteoporosis with a current pathological fracture, and Paroxysmal Atrial Fibrillation. Resident #4 was observed with long, jagged fingernails and facial hair on both sides of her face. Interviews with CNA #1 and RN #1 confirmed the need for nail and facial hair care. The resident's representative also noted the need for better nail maintenance. The Director of Nursing expressed that facial hair on female residents should be removed and confirmed the need for clean and clipped fingernails. Resident #4's medical history includes Peripheral Vascular Disease and Muscle Weakness, and she has severe cognitive deficits, requiring substantial assistance with personal hygiene.
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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 Bruce
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Baptist Nursing Home-calhoun, Inc | 9.4 mi | ★★★★★ | 1 | 0 |
| Yalobusha County Nursing Home | 18.3 mi | ★★★★★ | 4 | 0 |
| Trend Health And Rehab Of Houston | 23 mi | ★★★★★ | 0 | 0 |
| Oxford Health & Rehab Center | 25.3 mi | ★★★★★ | 13 | 0 |
| Pontotoc Health & Rehab Center | 25.5 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.