Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Carthage Senior Care during CMS and state inspections, most recent first.
Missed and Delayed Wound Care Documentation: The facility failed to consistently document ordered wound tx and weekly wound assessments for two residents with sacral pressure ulcers. One resident with dementia and a Stage 3 ulcer had multiple missed TAR/ETAR entries, while another resident with a Stage IV ulcer had repeated gaps in daily wound care documentation and late weekly wound observation reports. The wound for one resident worsened and was later documented as infected, with wound cx results leading to ABX and contact isolation precautions. Interviews with the DON, RN wound tx nurse, and Administrator confirmed the documentation failures.
ADL Care Plans Not Implemented for Grooming Needs: Three residents had care plans that addressed ADL/personal hygiene needs, but observations showed unmet grooming needs. One resident had jagged, dirty fingernails, and two residents had visible facial hair that they said they wanted removed. An LPN and the MDS coordinator confirmed that clean, trimmed nails and removal of unwanted facial hair were part of personal hygiene and that the care plans were not being followed as written.
A facility failed to maintain residents’ personal hygiene by not cleaning and trimming one resident’s fingernails and not removing unwanted facial hair for two residents. One resident with Alzheimer’s disease and a need for personal care had jagged, dirty fingernails that remained unchanged, while two other residents were observed with facial hair on the chin and mouth area and stated they wanted it shaved off. Staff interviews confirmed the grooming needs were not being met, and an LPN and the DON stated residents should be kept clean and presentable.
Expired and undated medications were found in an A Hall med room and med cart. An opened vial of Novolog insulin was kept beyond the 28-day period after opening, an Albuterol HFA inhaler was used past its printed expiration date, a bottle of chewable antacid tablets was expired, and several opened liquid medications and nasal spray lacked opening dates. An LPN confirmed the items were in use, and the DON stated nurses were responsible for monitoring expiration dates and labeling medications when opened.
Failure to use EBP during wound care and incontinent care: an RN and a CNA provided direct care to a resident with a Stage 3 sacral pressure ulcer without wearing the required gown, despite the resident being identified for EBP. The resident had unspecified dementia, moderate cognitive deficits, and an ordered daily dressing treatment for the sacral wound; staff acknowledged they forgot to don the gown during care.
The facility failed to implement a care plan for a resident requiring a palm protector for a hand contracture and did not develop a care plan for another resident needing bilateral hand splints. Staff confirmed the care plans were not followed or developed as required.
The facility failed to revise a care plan for a resident with limited range of motion and required splinting devices. The resident, who had a contracture to the left elbow and quadriplegia, was observed without the prescribed splint. The care plan did not reflect the updated order requiring the resident to wear a left elbow brace for 4-6 hours during the 3-11 shift. The DON confirmed the care plan had not been updated.
The facility failed to ensure residents with limited range of motion received appropriate treatment, leading to two residents not having their prescribed splints applied. Staff were unaware of changes in orders, and discrepancies in transcription and documentation were found.
Missed and Delayed Wound Care Documentation
Penalty
Summary
The facility failed to ensure physician-ordered pressure ulcer treatments were consistently provided and documented for two residents with sacral pressure ulcers, and failed to complete and document weekly wound assessments in a timely manner. Facility policy stated that wound treatments were to be provided in accordance with physician orders and documented on the TAR or in the electronic health record. Record review showed that one resident with a Stage 3 coccyx/sacral pressure ulcer had multiple days in May and June 2026 with no wound care documentation on the ETAR/TAR, despite orders for daily cleansing, dressing application, and later a changed wound treatment order beginning in June 2026. That resident had diagnoses including dementia and a pressure ulcer of the sacral region, and MDS data showed cognitive impairment. For the second resident, record review showed repeated gaps in documentation of ordered daily wound care for a Stage IV sacral pressure ulcer across May and June 2026. The TAR reflected physician orders for cleansing with 1/4 strength Dakins solution, packing with silver dressing, applying skin prep, and covering with bordered foam or super absorbent dressing, but several dates were not signed off as completed. Weekly wound observation reports were also not completed on time; reports with effective dates in May and June were opened and electronically signed days later by the wound treatment nurse. One weekly report documented that the wound had deteriorated, with increased measurements and undermining compared with the prior week. The resident’s wound was later documented as infected, and the wound care physician noted the sacral wound was not improving, with increased drainage and slight redness over the wound border. A wound culture led to orders for Augmentin and contact isolation precautions due to Proteus mirabilis and light growth of MRSA in the wound bed. Interviews with the DON, RN wound treatment nurse, and Administrator confirmed that the documentation gaps occurred, that the wound treatment nurse had been counseled and disciplined earlier for failing to document wound care and weekly assessments, and that the nurse continued to fall behind on wound treatment documentation after that action.
ADL Care Plans Not Implemented for Grooming Needs
Penalty
Summary
The facility failed to implement ADL care plans for three sampled residents. The facility policy stated that comprehensive person-centered care plans must include measurable objectives and timeframes to meet residents’ medical, nursing, mental, and psychosocial needs. For Resident #11, the care plan identified a need for assistance with ADLs related to weakness and included nail care as needed or scheduled, but the resident was observed with fingernails on both hands that were jagged, about one-half inch past the fingertips, with a brown substance underneath them. The resident stated she wanted her nails trimmed and cleaned. Her record showed diagnoses including Alzheimer’s Disease and a need for assistance with personal care, and her MDS indicated a BIMS score of 10. For Resident #50, the care plan identified a need for assistance with ADLs and listed dependent personal hygiene, but the resident was observed repeatedly picking at her chin while sporadic patches of facial hair about 1/4 inch long were present on her chin. The resident stated she wished the hair would be shaved off and that she did not like hair on her face. Her record showed diagnoses including COPD and Alzheimer’s Disease, and her MDS showed a BIMS score of 13. For Resident #60, the care plan included assistance with ADLs and daily/as-needed personal hygiene and oral care, but the resident was observed with approximately 1/4 inch sporadic facial hair on the sides of her mouth and chin and stated she wanted it shaved off. Her record showed Alzheimer’s Disease with late onset and a need for assistance with personal care, and her MDS showed a BIMS score of 10. Staff interviews confirmed the residents’ grooming needs were not being met as written in the care plans.
Failure to Maintain Personal Hygiene
Penalty
Summary
The facility failed to assist residents in maintaining acceptable personal hygiene by not cleaning and trimming fingernails and not removing unwanted facial hair for three residents. The deficiency was identified through observations, resident and staff interviews, record review, and facility policy review. The facility policy stated that ADL care should meet residents’ daily needs and that nail care includes routine cleaning and inspection during ADL care. Resident #11 was observed with fingernails on both hands that were jagged, approximately one-half inch past the fingertips, with a brown substance underneath the nails. The resident stated she wanted her nails trimmed and cleaned. The next day, the fingernails remained unchanged. Her record showed diagnoses including Alzheimer’s Disease and a need for assistance with personal care, and the MDS indicated a BIMS of 10, showing moderate cognitive impairment. Resident #50 was observed repeatedly picking at her chin, and sporadic facial hair about one-fourth inch long was noted on her chin. She stated she wanted the hair shaved off and did not like hair on her face. Resident #60 was observed with similar facial hair on the sides of her mouth and chin, stated she did not like having the chin hair, and said she wanted it shaved off; the hair remained unchanged the next day. Staff interviews confirmed the residents’ long fingernails and facial hair, and one CNA stated she had never shaved facial hair for female residents. An LPN and the DON stated residents should be kept clean and presentable, including clean and trimmed fingernails and removal of facial hair if the resident chooses.
Expired and Undated Medications Found in Storage Areas
Penalty
Summary
The facility failed to ensure medications were properly labeled, dated, and stored for one of two medication rooms and one of two medication carts reviewed on A Hall. During observation of the A Hall medication room refrigerator, an opened vial of Novolog insulin dated 05/18/26 was found still in use beyond the manufacturer's recommended 28-day period after opening. LPN #1 confirmed the insulin remained in use beyond the 28-day expiration period, and the DON stated insulin should be removed from use 28 days after opening and that nurses were responsible for monitoring expiration dates. Observation of the A Hall medication cart also revealed an Albuterol HFA inhaler that remained in use beyond its printed expiration date, and a bottle of chewable antacid tablets with an expiration date of 08/2025 that was still available for use. In addition, several opened medications on the A Hall medication cart were not labeled with opening dates, including two bottles of cough syrup, liquid acetaminophen, liquid iron supplement, liquid laxative, antacid, and nasal spray. LPN #1 confirmed the medications were in use and lacked opening dates, and the DON stated medications should be labeled with the opening date when first opened and that nurses were responsible for ensuring medications were appropriately dated and removed from use when expired.
Failure to Use Enhanced Barrier Precautions During Wound and Incontinent Care
Penalty
Summary
The facility failed to use Enhanced Barrier Precautions (EBP) during 2 of 3 care observations for a resident with a Stage 3 pressure ulcer. During wound care, the RN Treatment Nurse washed her hands, applied clean gloves, and completed care to the resident’s Stage 3 pressure ulcer to the sacrum without donning a gown, even though the facility policy required gowns and gloves for high-contact care activities such as wound care. During the same observation, a CNA assisted with repositioning the resident and changed the resident’s soiled brief after a bowel movement without wearing a gown. The resident involved had an admission date of 05/15/24 and diagnoses including unspecified dementia and a Stage 3 pressure ulcer of the sacral region. The June 2026 TAR showed an order to cleanse the Stage 3 pressure ulcer of the coccyx/sacral area with 1/4 strength Dakins solution, apply calcium alginate with silver or gelling fiber dressing with silver, then apply split drainage sponge and cover with a bordered gauze dressing daily and as needed. The resident’s MDS with ARD 04/21/26 showed a BIMS score of 09, indicating moderate cognitive deficits. Staff interviews confirmed that the resident required EBP and that gowns and gloves were expected during direct care, but both the CNA and RN stated they forgot to wear the required gown.
Failure to Implement and Develop Care Plans for Splinting Devices
Penalty
Summary
The facility failed to implement a care plan related to splinting devices for Resident #17 and develop a care plan for a resident with limited range of motion requiring splinting devices for Resident #26. For Resident #17, the care plan indicated the use of a palm protector for the right hand during waking hours to prevent worsening of contractures. However, multiple observations revealed that the resident did not have the splint on as ordered. Interviews with staff, including an LPN, RN, and the DON, confirmed that the splint was not applied as per the care plan. The OT had provided in-service education and instructions for applying the splints, but these were not followed. The DON confirmed that the care plan was not adhered to, despite the resident having a documented need for the splint due to a contracture in the right hand. For Resident #26, the facility failed to develop a care plan for the use of bilateral hand splints, despite having an order for the resident to wear splints for one hour per day. A review of the comprehensive care plans revealed no care plan related to the use of hand splints. The DON confirmed the absence of a care plan and acknowledged that the comprehensive care plans are intended to direct resident-specific care. Resident #26 had a diagnosis of contracture in an unspecified wrist, necessitating the use of splints, which was not documented in the care plan.
Failure to Revise Care Plan for Resident with Limited Range of Motion
Penalty
Summary
The facility failed to revise a care plan for a resident with limited range of motion and required splinting devices. The resident, who had a contracture to the left elbow and quadriplegia, was observed without the prescribed splint while sitting in the lobby. The care plan, last revised on 4/8/24, did not reflect the updated order from 9/22/23, which required the resident to wear a left elbow brace for 4-6 hours during the 3-11 shift. The Director of Nursing confirmed that the care plan had not been updated to reflect this change, despite the facility's policy requiring comprehensive care plans to be revised by the interdisciplinary team.
Failure to Apply Splints as Ordered
Penalty
Summary
The facility failed to ensure residents with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion. Resident #17 was observed multiple times without the prescribed palm splint for her right hand contracture. Staff interviews revealed that the splint was missing, and the Certified Nursing Assistant (CNA) responsible for the resident's care did not inform the nurse about the missing splint. The Occupational Therapist (OT) had not completed a recent assessment and had provided in-service education to staff, but the splint was still not applied as ordered. Resident #26 was also observed multiple times without the prescribed splints for his bilateral hand and left elbow contractures. The Resident Representative (RR) expressed concerns about the worsening contractures due to the staff not applying the splints. The Licensed Practical Nurse (LPN) assigned to Resident #26 confirmed that the splints were not applied as scheduled. The Director of Nursing (DON) acknowledged that the physician's orders for the splints were not correctly transcribed, leading to staff not following the correct orders. Record reviews revealed discrepancies in the transcription of physician orders and incomplete documentation on the Treatment Administration Record (TAR). The OT confirmed that staff were not following the orders, placing the resident at risk for worsening contractures. Despite in-service training, staff were unaware of the changes in orders and failed to apply the splints as required. Both residents had diagnoses of unspecified wrist contractures and were at risk of further decline due to the facility's failure to provide appropriate care.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 19 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Carthage
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Trend Health & Rehab Of Carthage Llc | 0.2 mi | ★★★★★ | 7 | 0 |
| Attala County Nursing Center | 22.8 mi | ★★★★★ | 0 | 0 |
| Choctaw Residential Center | 23.6 mi | ★★★★★ | 2 | 0 |
| Neshoba County Nursing Home | 24.3 mi | ★★★★★ | 10 | 1 |
| Hilltop Manor Health And Rehabilitation Center | 26.2 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Carthage Senior Care.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.