Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Choctaw Residential Center during CMS and state inspections, most recent first.
The facility failed to protect residents from abuse when two residents with cognitive and behavioral issues inappropriately touched other residents in common areas without effective supervision. In one case, a cognitively impaired resident touched another resident’s leg and later was reported to have touched a female resident’s leg and between her thighs. In another case, a cognitively intact resident with prior documented inappropriate touching was confirmed by video to have touched a resident’s breast in a hallway. Affected residents reported the incidents to staff, but documentation was incomplete, follow-up with the victims was limited, and communication about the incidents and protective measures was insufficient, resulting in a failure to uphold residents’ rights to be free from abuse and to feel safe.
A facility failed to provide necessary behavioral health services and effective supervision to prevent inappropriate sexual contact between residents. In one case, a cognitively impaired resident with borderline intellectual functioning inappropriately touched another resident’s leg in a lobby area, and the affected resident later reported minimal follow-up and no documented assessment of the incident in her health status note. In another case, a resident with vascular dementia reported that another cognitively intact resident touched her breast in a hallway, despite prior documentation of that resident touching another resident inappropriately. In both incidents, residents were in common areas without effective supervision, and the facility did not proactively implement sufficient behavioral interventions or consistent behavioral health follow-up for the affected residents.
Several cognitively intact residents reported missing personal items, insufficient activities—especially on weekends—and excessive noise near the nurse's station, with complaints raised multiple times to staff and during council meetings. Despite these ongoing concerns, no formal grievances were filed, and the Administrator and key staff were unaware of the issues, resulting in unresolved resident complaints.
A resident with left hemiplegia and bilateral hand contractures was not provided with the care interventions outlined in their care plan, including the use of hand rolls, regular oral hygiene, and nail care. Observations and interviews confirmed that staff did not consistently follow the care plan, resulting in the resident being found with long, discolored nails, poor oral hygiene, and without prescribed contracture management devices.
Licensed nursing staff failed to follow professional standards for medication administration, resulting in two residents receiving discontinued, incorrectly scheduled, or incorrect forms of medication. In both cases, LPNs did not verify the six rights of medication administration, leading to errors such as giving a discontinued diabetes medication, administering an inhaler at the wrong time, documenting a medication that was not given, and providing the wrong form of aspirin to residents with complex medical conditions.
Three residents with intact cognition and significant medical histories reported that the facility did not provide structured group activities on weekends, offering only independent options like puzzles and coloring sheets. Staff confirmed the absence of weekend activity staff and lack of scheduled group activities, despite residents' documented preferences for such engagement.
A resident with severe hand and finger contractures, a history of cerebral infarction, and hemiplegia was repeatedly observed without the required bilateral hand rolls in place, despite care plans and therapy recommendations mandating their use every shift. Staff and therapy interviews confirmed the devices were not consistently applied, and facility policy required either application or documentation of reasons for omission.
Surveyors identified that the facility's medication error rate exceeded 5% after observing two LPNs who failed to verify the six rights of medication administration. Errors included administering a discontinued medication, giving a medication at the wrong time, documenting a medication as given when it was not, and providing the incorrect form of aspirin to two residents with complex medical conditions.
A medication cart was found unlocked and unattended in a hallway, contrary to facility policy requiring medication carts to be locked or under direct observation during medication passes. An LPN admitted to leaving the cart unlocked after being called away, and the administrator confirmed that this practice is not permitted as it could allow residents access to medications.
Surveyors found that the facility did not maintain a safe, clean, and homelike environment for several residents, including rooms with damaged walls and splintered plywood, persistent foul urine odors in a hallway and resident room despite repeated cleaning efforts, and a privacy curtain that was dirty and stained for an extended period. Staff and administrators confirmed these issues and acknowledged that they had not been resolved, impacting the comfort and safety of residents.
A resident who was totally dependent on staff for ADLs did not receive necessary oral and nail care, as evidenced by long, unclean fingernails and unbrushed teeth with visible buildup. Staff interviews confirmed the resident required total assistance and that aides were responsible for daily hygiene, but the care was not provided as observed.
Failure to Prevent and Adequately Address Resident-to-Resident Sexual Contact
Penalty
Summary
The deficiency involves the facility’s failure to protect residents from abuse by not preventing resident-to-resident inappropriate sexual contact and not providing effective supervision in common areas. Facility policy on Resident Rights, revised 3/24, states that each resident has the right to be free from mental and physical abuse and to have a safe, secure, and homelike environment, and that the facility is responsible for implementing interventions to prevent resident-to-resident altercations and to ensure supervision sufficient to protect residents from harm. Despite this policy, two separate incidents of non-consensual touching occurred between residents in common areas where supervision was ineffective. In the first set of incidents, one resident with borderline intellectual functioning and a BIMS score of 7, indicating severe cognitive impairment, inappropriately touched another resident with a cognitive communication deficit. On one occasion in the front lobby, the cognitively impaired resident approached the other resident and touched her leg without consent. The affected resident reported that she told him to stop and he left her alone, and she informed staff shortly after the incident. She stated that a nurse spoke with her once about what happened, but there was no further follow-up discussion or additional inquiries from other staff, and she did not receive updates on the outcome of the investigation. A later nurse’s note documented that a female resident reported this same resident inappropriately touched her twice on her leg and between her thighs, again requiring staff intervention to separate the residents. The affected resident later expressed concern that the alleged perpetrator’s name remained on the room across from hers and reported that she planned to avoid him and common areas if he returned. In the second incident, another resident with a cognitive communication deficit and a BIMS score of 13, indicating cognitive intactness, was observed and reported to have engaged in inappropriate touching of other residents. A health status note documented that this resident had previously been noted touching another resident inappropriately at the nurses’ desk and did not respond to redirection. Subsequently, a resident with vascular dementia and a BIMS score of 8, indicating moderate cognitive impairment, reported that this same resident touched her breasts without consent in the hallway in front of the nurse’s station. She immediately notified a CNA and clearly described that the resident had touched her breasts. The facility’s investigation, including review of camera footage, confirmed that the resident touched her breast while passing her in the hallway. Record review and interviews revealed that in both sets of incidents, the residents were in common areas without effective supervision at the time of the events, and although staff responded after the incidents occurred, the facility did not implement sufficient interventions to prevent the inappropriate resident-to-resident contact prior to the incidents. Interviews with the LNHA and the social worker further described gaps in the facility’s response related to the affected residents’ ongoing needs after the incidents. The LNHA acknowledged that while the facility determined that inappropriate contact had occurred and that staff responded once the incidents were reported, there were areas where the response could have been improved for the affected residents. She stated that the facility should have implemented more consistent and ongoing follow-up with the affected residents, including routine check-ins to assess fear, anxiety, or other psychosocial effects, and stronger communication with them regarding the protective measures in place. The social worker similarly acknowledged that the affected residents should have received more focused follow-up and supportive services after the allegations were made, including assessment of their immediate emotional and psychological needs, private discussions, validation of their concerns, and ensuring they felt heard. These statements, combined with the lack of documentation of the inappropriate touching in at least one resident’s health status note, demonstrate that the facility did not fully carry out its responsibility under its own Resident Rights policy to ensure residents were protected from abuse and that their concerns were adequately addressed. Record review confirmed that in both incidents, the residents were in common areas without effective supervision at the time of the events. Although staff separated residents and assessed for injuries after the incidents were reported, the facility failed to implement sufficient preventive interventions and supervision to stop the inappropriate resident-to-resident contact from occurring in the first place. The combination of ineffective supervision in common areas, repeated inappropriate touching by certain residents, incomplete documentation of the incidents in the affected residents’ records, and limited follow-up and communication with the affected residents led to the deficiency in protecting residents from abuse and ensuring their right to a safe and secure environment as required by facility policy.
Failure to Provide Necessary Behavioral Health Services and Supervision for Inappropriate Sexual Behaviors
Penalty
Summary
The deficiency involves the facility’s failure to ensure residents received necessary behavioral health care and services, specifically by not proactively assessing and implementing effective behavioral interventions to address inappropriate sexual behaviors between residents. Facility policy on Resident Rights states that each resident has the right to be free from mental and physical abuse and to have a safe, secure, and homelike environment, and that the facility is responsible for implementing interventions to prevent resident-to-resident altercations and to ensure supervision sufficient to protect residents from harm. The facility’s Behavioral Health Services policy further requires that all residents receive necessary behavioral health services to help them reach and maintain their highest level of mental and psychosocial functioning. One incident involved a resident with borderline intellectual functioning and severe cognitive impairment, who approached another resident with a cognitive communication deficit while both were seated in the front lobby and touched her leg without consent. The cognitively impaired resident had a BIMS score of 07, indicating severe cognitive impairment. The resident who was touched reported the incident to staff and stated she told him to quit and he left her alone. She later reported that she only spoke once with a nurse about what happened, that there was no further follow-up discussion or additional inquiries from other staff, and that she did not receive any updates regarding the outcome of the investigation. Her health status note for the date of the incident contained no documentation of the inappropriate touching. She also reported seeing the other resident’s name still listed on the room across from hers and stated she planned to avoid him and common areas if he returned. Record review showed that another female resident later reported that the same cognitively impaired resident inappropriately touched her twice on her leg and between her thighs. A separate incident involved a resident with vascular dementia and moderate cognitive impairment, who reported that another resident with a cognitive communication deficit and a BIMS score indicating intact cognition touched her breast without consent in the hallway in front of the nurse’s station. The resident who was touched immediately notified a CNA and clearly described that the other resident had touched her breast. Facility records showed that this same resident with intact cognition had previously been noted at the nurses’ desk touching another resident inappropriately and, when redirected, simply looked at the nurse and continued rolling in his wheelchair. In both incidents, record review revealed that the residents were in common areas without effective supervision at the time of the events. Although staff responded after the incidents occurred, the facility did not implement sufficient proactive interventions or supervision to prevent inappropriate resident-to-resident contact before these incidents took place, and affected residents did not receive consistent, documented behavioral health follow-up and support as required by facility policy.
Failure to Timely Resolve Resident Grievances Related to Missing Property, Activities, and Noise
Penalty
Summary
The facility failed to resolve resident grievances in a timely manner for four residents who participated in the resident council, specifically regarding missing clothing, insufficient activities, and excessive noise. One resident, who served as the Resident Council President and was cognitively intact, reported missing several clothing items to staff on multiple occasions. Despite the Ombudsman notifying the Case Manager about the missing items, no grievance form was completed, and the status of the missing clothing remained unresolved. The Social Services staff, responsible for completing grievances, confirmed that a grievance was not filed for this issue, and the Administrator was unaware of the situation until the day of the survey. During a resident council meeting, several residents expressed dissatisfaction with the lack of activities, particularly on weekends, and the noisy environment near the nurse's station at night. Residents reported that their concerns about limited activities and excessive noise, especially on weekends, had been raised multiple times with staff and during council meetings. One resident described being unable to sleep due to the noise, while another stated that staff were loud, played music, and gathered around the desk at night. These concerns were documented in previous council meeting minutes, but the Administrator was not aware of them, and no grievances were filed for these issues. Interviews with facility staff, including the Activity Director and Assistant Director of Nursing, revealed a lack of communication and follow-through regarding the residents' complaints. The Activity Director acknowledged the difficulty in planning activities for a diverse age group and confirmed that concerns discussed in resident council should be written up as grievances, but this was not consistently done. The Assistant Director of Nursing did not recall being informed about the noise complaints. All residents involved were cognitively intact and had voiced their concerns clearly, but the facility failed to document and address these grievances according to policy.
Failure to Implement Comprehensive Care Plan for Dependent Resident
Penalty
Summary
The facility failed to implement a comprehensive care plan for a resident who required total assistance with activities of daily living due to a history of cerebrovascular accident resulting in left hemiplegia and bilateral hand contractures. Despite the care plan specifying the use of bilateral hand rolls to prevent skin breakdown and further contracture, as well as regular oral and nail care, observations revealed that the resident was repeatedly found without hand rolls in place, had long, discolored nails (one of which was broken and hanging), and had a thick white substance on his teeth and gums. The resident reported that staff sometimes placed a hand towel in his hands instead of the prescribed hand rolls, and that oral care was not consistently provided despite his requests. Staff interviews confirmed that the care plan was not being followed, and the MDS nurse acknowledged that the purpose of the care plan was to guide staff in providing appropriate care. The resident was cognitively intact, as indicated by a BIMS score of 15, and was able to communicate his needs. The facility's own policy required the development and implementation of a comprehensive, person-centered care plan with measurable objectives and timeframes, but this was not adhered to for this resident.
Failure to Follow Professional Standards for Medication Administration
Penalty
Summary
Licensed nursing staff failed to follow professional standards of practice for medication administration, as evidenced by direct observation, record review, and staff interviews. In one instance, an LPN administered Glipizide 10 mg to a resident despite the medication having been discontinued two days prior. The same LPN also administered Albuterol Sulfate HFA inhaler at an incorrect time, as it had already been given earlier that morning, and documented the administration of Mometasone Furoate inhaler without actually giving it. The LPN did not verify the six rights of medication administration during these events. The resident involved had diagnoses including Type 2 Diabetes Mellitus and Chronic Systolic Congestive Heart Failure. In another instance, a different LPN administered Aspirin EC 81 mg to a resident without verifying the six rights of medication administration, resulting in the administration of the incorrect form of aspirin. The LPN later confirmed the error after reviewing the medication record. The resident involved had a diagnosis of End-Stage Renal Disease. In both cases, the LPNs acknowledged during interviews that they did not thoroughly check the six rights of medication administration, which contributed to the errors.
Failure to Provide Resident-Preferred Activities on Weekends
Penalty
Summary
The facility failed to provide activities that met the interests and preferences of residents, specifically for three residents who expressed a desire for structured group activities on weekends. Interviews with these residents revealed that while some activities were available during the week, there were no organized group activities on weekends, and only independent activities such as puzzles and coloring sheets were offered. Residents reported dissatisfaction with the lack of weekend activities and expressed that participating in their favorite activities was very important to them, as documented in their assessments. Staff interviews confirmed the absence of a dedicated activity staff member on weekends, with the Activity Director working only Monday through Friday. The charge nurse was responsible for assisting with independent activities on weekends, and church groups occasionally provided services, but no regular group activities were scheduled. The Administrator acknowledged the lack of structured weekend activities and stated efforts were being made to hire weekend activity staff. Activity calendars and attendance records corroborated that only independent activities were listed for weekends, and there was no documentation of resident participation in activities on those days. The residents involved had various medical diagnoses, including hemiplegia, hemiparesis following cerebral infarction, diabetes mellitus, chronic obstructive pulmonary disease, and dementia. All three residents were assessed as cognitively intact and indicated that engaging in their preferred activities was very important to them. Despite this, the facility did not provide activities tailored to their interests on weekends, resulting in unmet psychosocial needs as evidenced by resident and staff interviews, record reviews, and facility policy.
Failure to Consistently Apply Hand Rolls for Resident with Contractures
Penalty
Summary
A resident with a history of cerebral infarction and hemiplegia affecting the left nondominant side, who was cognitively intact, was observed multiple times without prescribed hand rolls in place for management of severe hand and finger contractures. The resident's care plan, as documented in the Treatment Administration Record and supported by occupational therapy recommendations, required bilateral hand rolls to be applied every shift to decrease the risk of skin breakdown and further contracture formation. Despite documentation indicating that the hand rolls were applied as ordered, direct observations on several occasions revealed that the resident did not have the hand rolls in place while in bed. Interviews with the resident, nursing staff, and the occupational therapist confirmed that the hand rolls were not consistently applied as required. The resident reported that staff sometimes placed a hand towel in his hands, but not consistently, and at the time of observation, no device was present. Nursing staff and the occupational therapist acknowledged the importance of the hand rolls and confirmed that failure to apply them could lead to worsening contractures and skin breakdown. The facility's policy stated that residents should not experience a reduction in range of motion unless clinically unavoidable, and the administrator confirmed that staff should either apply the hand rolls or document the reason for not doing so.
Medication Error Rate Exceeds 5% Due to Failure to Follow Six Rights
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in a calculated error rate of 10.81% during the survey. This deficiency was identified through direct observation, record review, and staff interviews, revealing that licensed nursing staff did not consistently verify the six rights of medication administration. Specifically, one LPN administered a discontinued medication (Glipizide 10 mg) and gave an inhaler (Albuterol Sulfate HFA) at an incorrect time to a resident with Type 2 Diabetes Mellitus and Chronic Systolic Congestive Heart Failure. The same LPN also documented the administration of another inhaler (Mometasone Furoate) that was not actually given. The LPN admitted to not verifying the medication label against the medication administration record prior to administration. Another LPN was observed administering the incorrect form of aspirin (Aspirin EC 81 mg instead of the prescribed chewable tablet) to a resident with End-Stage Renal Disease. This LPN also failed to verify the six rights of medication administration by not checking the medication label against the medication record. Both LPNs acknowledged during interviews that their failure to follow proper medication administration procedures led to these errors.
Medication Cart Left Unlocked and Unattended
Penalty
Summary
A medication cart located on C hall was observed to be unlocked and unattended during a survey, with no nurse in view. Facility policy requires that medications must be either under the direct observation of the person administering them or locked in the medication storage area or cart during a medication pass. An LPN confirmed that she had walked away from the cart and left it unlocked after being called away, acknowledging that this action allowed residents potential access to the medications. The facility administrator also confirmed that nurses are not permitted to leave medication carts unlocked and unattended, as this could allow residents to access the medications.
Failure to Maintain Safe, Clean, and Homelike Environment for Residents
Penalty
Summary
The facility failed to provide a safe, clean, and homelike environment for multiple residents on one hallway, as evidenced by several direct observations and staff and resident interviews. In one instance, a resident's room had a large section of wall with missing paint and a piece of plywood with splintered, uneven edges behind the bed, which the resident expressed a desire to have repaired. The administrator confirmed that the condition of the wall and plywood could cause injury and did not meet the standard for a safe and homelike environment. Another resident's room and the adjacent hallway were noted to have an overpowering and persistent urine odor. Staff interviews revealed that the resident frequently urinated on the floor while attempting to use the toilet, and despite frequent mopping, floor replacement, and other interventions, the smell remained strong and unpleasant. Staff, including CNAs, an LPN, and the DON, acknowledged the ongoing nature of the odor problem and confirmed that it had led to complaints from other residents and family members. The administrator also confirmed awareness of the issue and that it had not been resolved, resulting in an environment that was not clean or comfortable for residents in that area. Additionally, another resident's privacy curtain was observed to be dirty and stained with large, discolored splotches. The resident stated that the curtain had not been cleaned for a long time, and both an LPN and the administrator confirmed the curtain was extremely dirty and needed cleaning. The facility's own policies required regular checking and cleaning of room curtains, but this was not followed, contributing to the failure to maintain a homelike environment.
Failure to Provide Required Oral and Nail Care for Dependent Resident
Penalty
Summary
A resident who was totally dependent on staff for personal hygiene, due to medical diagnoses including cerebral infarction and hemiplegia affecting the left nondominant side, did not receive necessary oral and nail care. Observations revealed the resident had fingernails approximately one inch long with a brown substance on each nail, and one nail was broken and hanging inside the palm. The resident's upper and lower teeth and lower gum line were covered in a thick white substance. The resident was observed in this condition on multiple occasions, and reported having previously asked staff to brush his teeth. Interviews with staff confirmed that the resident required total assistance for personal hygiene and that aides were responsible for daily oral care. A registered nurse acknowledged the potential for skin breakdown due to the resident's contracted fingers and confirmed the need for nail trimming. The administrator stated that staff were expected to perform and document these care tasks. Documentation confirmed the resident's total dependence on staff for ADLs, but the required care was not provided as observed.
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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 Choctaw
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Neshoba County Nursing Home | 1.6 mi | ★★★★★ | 10 | 1 |
| Hilltop Manor Health And Rehabilitation Center | 13.6 mi | ★★★★★ | 1 | 0 |
| J G Alexander Nursing Center | 15.8 mi | ★★★★★ | 2 | 0 |
| Trend Health & Rehab Of Carthage Llc | 23.5 mi | ★★★★★ | 2 | 0 |
| Carthage Senior Care | 23.6 mi | ★★★★★ | 0 | 0 |
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