Below average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Courtyards Comm Living Center during CMS and state inspections, most recent first.
Failure to Develop and Follow Nail Care ADL Care Plans: Two residents had unmet nail care needs. One resident with severe cognitive impairment had an ADL care plan that did not address nail care, and fingernails were observed long with jagged edges. Another resident with moderate cognitive impairment had a care plan directing staff to keep fingernails short, but fingernails were still observed about one inch long with jagged edges. The MDS Coordinator and DON confirmed the missing and unimplemented nail care interventions.
Failure to maintain fingernail hygiene for two residents was observed when their fingernails were found long and jagged, with staff confirming the nails should be kept clean and trimmed as needed. One resident had severe cognitive impairment and diagnoses including dementia, anxiety, and need for assistance with personal care, while the other had moderate cognitive impairment and hypertensive heart disease. Staff stated long, jagged nails can cause skin tears and infection, and the DON said CNAs trim nails on shower days unless the resident is diabetic, in which case RNs do so.
Infection control practices were not maintained when an RN administered nebulizer treatment to a resident using a mouthpiece that was not stored in a protective bag and was not cleaned before use. In a separate incident, a CNA placed soiled peri-care items on the floor in another resident’s room instead of properly discarding them; the IP and DON confirmed the practice was unsanitary and an infection control concern.
Failure to maintain resident privacy during care: A resident was observed lying in bed uncovered with an incontinent brief and legs exposed while the privacy curtain was not drawn and the room door remained open to the hallway. Hospice personnel and maintenance staff passed by while the resident remained exposed. An CNA later confirmed she left the door open, and an LPN, DON, and the Administrator all stated the situation was not acceptable and that the resident's dignity should have been maintained. The resident had Major Depressive Disorder, CHF, and severe cognitive impairment.
Failure to Maintain a Clean Resident Room: A resident reported that her room and bathroom were dusty and that she had to clean them herself, with housekeeping only removing trash. Surveyors observed heavy dust accumulation on multiple surfaces in the room and bathroom, and the Housekeeping Supervisor and Administrator confirmed the room was not consistent with the facility’s routine cleaning expectations. The resident had COPD, vascular dementia, and anxiety disorder, and was cognitively intact per BIMS.
A resident’s Significant Change MDS was coded to show a fall with major injury in Section J1900C, but the progress notes and Incident Log contained no record of such an event. The DON and MDS nurse both confirmed the coding was incorrect, and the resident’s record showed a diagnosis of hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side.
Two residents in a facility reported feeling disrespected by staff, violating their rights to dignity and respect. One resident, with Multiple Sclerosis and Systemic Lupus Erythematosus, felt scolded by an RN who rudely pushed her wheelchair. Another resident, with Cerebral Palsy, was denied a pillow by a CNA who expressed frustration in a rude manner. Both incidents were witnessed and reported, highlighting a failure to adhere to the facility's policy of treating residents with kindness and respect.
The facility failed to resolve and investigate grievances from Resident Council meetings, as outlined in their policy. Recurring issues included staff's use of cell phones, staff not providing care unless assigned, and unaddressed grievances about bed sheets. An incident involving a CNA being rude to a resident was not thoroughly investigated. Interviews confirmed that grievances were documented but not resolved, and the facility did not develop a plan to address these concerns.
A resident in a long-term care facility was subjected to physical, verbal, and mental abuse by a newly employed CNA. The CNA humiliated the resident by commenting on his inability to control urination and physically abused him by hitting and pinching him, causing pain and embarrassment. The incident was witnessed by another CNA, who reported it immediately. The resident, who was cognitively intact and had a history of cerebral palsy, expressed fear and embarrassment, considering leaving the facility. The facility's failure to protect the resident from abuse was acknowledged by the Corporate Interim Director of Nursing, and the incident was reported to the relevant authorities.
A resident with chronic pain conditions did not receive her prescribed Oxycodone due to unavailability, leading to intense pain. Despite being on a strict regimen, she missed two doses, resulting in a pain level of nine. The facility acknowledged the medication was unavailable, causing the resident's discomfort.
A resident with chronic pain conditions did not receive her prescribed Oxycodone due to unavailability, leading to missed doses and increased pain levels. The facility's process for reordering medication failed, and although an emergency kit was available, it did not contain the resident's specific medication. Staff interviews confirmed the medication shortage and the resident's resulting intense pain.
The facility failed to address grievances regarding untimely responses to call lights, as reported by two residents. Despite policies requiring prompt responses, interviews and logs revealed persistent issues with call light response times. The Social Service Director and Interim DON acknowledged the failure to resolve and communicate solutions for these grievances, which were repeatedly mentioned in Resident Council meetings.
A resident with severe cognitive impairment and multiple medical conditions was injured during transport when their wheelchair rolled into a van. The CNA responsible for transport left the resident unattended, and staff interviews suggest the wheelchair was not properly locked. The facility's policy on maintaining a hazard-free environment and providing supervision was not followed, resulting in a severe leg laceration for the resident.
Failure to Develop and Follow Nail Care ADL Care Plans
Penalty
Summary
Comprehensive ADL care plans were not developed and implemented for two residents reviewed. Facility policy stated each resident's care plan would remain current and inform staff of the resident's needs, strengths, goals, and approaches. For Resident #8, the ADL care plan dated 10/29/2024 did not include nail care. On 5/18/2026 at 11:46 AM, Resident #8's fingernails were observed to be approximately three-fourths of an inch long with jagged edges. Resident #8's record showed admission to the facility with diagnoses including mild vascular dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, and the MDS dated 4/22/2026 showed a BIMS score of 6, indicating severe cognitive impairment. For Resident #45, the skin integrity care plan dated 11/6/2025 included the intervention to keep fingernails short, but this intervention was not implemented. On 5/18/2026 at 3:15 PM, Resident #45's fingernails were observed to be approximately one inch long with jagged edges. Resident #45's record showed admission with hypertensive heart disease without heart failure, and the MDS dated 2/10/2026 showed a BIMS score of 9, indicating moderate cognitive impairment. During an interview on 5/20/2026 at 3:44 PM, the MDS Coordinator and DON confirmed Resident #8's ADL care plan had not been developed to address nail care needs and Resident #45's nail care intervention was not implemented by staff. They stated the care plan was intended to guide staff in providing appropriate care.
Failure to Maintain Fingernail Hygiene
Penalty
Summary
The facility failed to provide ADL care necessary to maintain personal hygiene for two residents by not keeping their fingernails clean and trimmed as needed. Facility policy stated that resident ADL care would be provided according to individualized resident needs. During observation, one resident’s fingernails were noted to be approximately 3/4 inch long with jagged edges, and another resident’s fingernails were observed to be approximately 1 inch long with jagged edges. Staff interviews confirmed that long, jagged fingernails could cause skin tears and infection, and the DON stated that fingernails should be kept clean and trimmed as needed. One resident had diagnoses including mild vascular dementia without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety, and need for assistance with personal care, and the MDS showed a BIMS score of 6, indicating severe cognitive impairment. The other resident had a diagnosis of hypertensive heart disease without heart failure, and the MDS showed a BIMS score of 9, indicating moderate cognitive impairment. One resident stated his fingernails had been cut that morning and were much longer the day before, while an RN confirmed the nails had been trimmed that day except for the thumbnails. The DON stated CNAs should trim fingernails on shower days as needed unless the resident is diabetic, in which case RNs trim diabetic nails.
Infection Control Lapses With Respiratory Equipment and Soiled Items
Penalty
Summary
Provide and implement an infection prevention and control program was deficient because staff did not maintain infection control practices for respiratory equipment and soiled items. The facility policy stated the infection prevention and control program was intended to provide a safe, sanitary, and comfortable environment and help prevent the development and transmission of communicable diseases and infections. The facility also stated it did not currently have a specific policy for the nebulizer mouthpiece to be covered in a bag. For Resident #30, who was admitted with diagnoses including mild persistent asthma and had a BIMS score of 9 indicating moderate cognitive impairment, an RN administered a nebulizer treatment while the nebulizer mouthpiece was not stored in a protective bag and was not cleaned prior to use. The RN confirmed the mouthpiece was not in a protective bag and acknowledged the improper storage presented an infection control concern. For Resident #55, who had diagnoses including major depressive disorder and systolic congestive heart failure and a BIMS score of 03 indicating severe cognitive impairment, soiled gloves, unidentified clothing articles, and a pile of white bath towels containing soiled incontinence wipes with a brown substance were observed on the floor in the resident's room. A CNA confirmed she had thrown the soiled items used during peri-care onto the floor instead of properly discarding them, and the IP and DON both confirmed this was unsanitary and posed an infection control concern.
Failure to Maintain Resident Privacy During Care
Penalty
Summary
The facility failed to ensure a resident was treated with dignity and respect by not maintaining privacy during care. An observation from the main hallway showed the resident lying in bed uncovered, with the incontinent brief and legs exposed, while the privacy curtain was not drawn and the room door remained open to the hallway. During this time, hospice personnel and maintenance staff passed by the room while the resident remained exposed. CNA #1 later entered the room carrying a disposable blue pad and stated she had to run and get a blue pad and that it had been "a day." She confirmed she had left the room door open and acknowledged the resident had been left exposed to individuals passing in the hallway, stating she should have closed the door. LPN #1 stated no resident should ever be left exposed in that manner and that the situation was totally not acceptable practice. The DON stated the exposure was a dignity concern and should not have occurred, and the Administrator stated the expectation was that all residents' dignity be maintained and room doors remain closed while care is being provided. The resident had diagnoses including Major Depressive Disorder and Systolic Congestive Heart Failure, and the MDS showed a BIMS score of 03, indicating severe cognitive impairment.
Failure to Maintain a Clean Resident Room
Penalty
Summary
The facility failed to ensure a clean, homelike environment for one resident room. Facility policy required horizontal surfaces to be wet dusted regularly using clean cloths moistened with an EPA-registered hospital disinfectant or detergent prepared per manufacturer instructions. Resident #2 stated that her room was dusty and that she had to clean it herself, including the bathroom, and said housekeeping staff only removed the trash. Observations of the room revealed heavy accumulations of dust on the chest of drawers, radio, photo frames, overbed light, wardrobe, television, bathroom sink, bathroom light fixture, and baseboards. The Housekeeping Supervisor confirmed the room appeared inconsistent with the facility’s routine cleaning schedule, and the Administrator confirmed the facility expected resident rooms to be cleaned thoroughly and regularly. Resident #2 was admitted with COPD, vascular dementia, and anxiety disorder, and her MDS showed a BIMS score of 13, indicating she was cognitively intact.
Incorrect MDS Coding for Fall With Major Injury
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected Resident #21’s status. Review of the facility’s Resident Assessment Policy and Procedure showed that resident assessments were to be completed via MDS 3.0 according to RAI guidelines. However, the Significant Change MDS assessment with an ARD of 7/21/2025 was coded in Section J1900C to indicate the resident had a fall with major injury during the look-back period. Review of the resident’s progress notes and the facility Incident Log found no record of a fall with major injury for Resident #21. The DON confirmed the resident did not have a fall with major injury and stated the MDS had been coded incorrectly, and the MDS Nurse also confirmed the assessment was incorrectly coded. The resident’s admission record showed a diagnosis of hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side.
Failure to Honor Resident Rights to Dignity and Respect
Penalty
Summary
The facility failed to honor the rights of two residents to be treated with dignity and respect. In the first incident, a resident reported feeling disrespected when a registered nurse (RN) spoke to her in a rude manner and pushed her wheelchair while she was returning a phone to the nurses' station. The resident, who has Multiple Sclerosis and Systemic Lupus Erythematosus, was upset by the interaction, feeling as though she was treated like a prisoner in her own home. Witnesses confirmed the RN's tone was blunt and stern, and the resident was visibly upset by the encounter. In the second incident, a resident was reportedly treated rudely by a certified nursing assistant (CNA) while watching a football game. The resident, who has Cerebral Palsy, was denied a pillow and was told by the CNA that she was tired of dealing with him. This interaction left the resident feeling upset and disrespected. Another resident witnessed the incident and reported it during a Resident Council meeting, where it was noted that the resident was teary-eyed while recounting the event. Both incidents highlight a failure by the facility to ensure that residents' rights to dignity and respect were upheld. The facility's policy mandates that all residents be treated with kindness, respect, and dignity, yet these interactions demonstrate a lapse in adherence to this policy. The residents involved were cognitively intact, as indicated by their Minimum Data Set (MDS) scores, and were able to articulate their feelings of being disrespected and upset by the staff's actions.
Failure to Address Resident Grievances
Penalty
Summary
The facility failed to promptly resolve and thoroughly investigate grievances from Resident Council meetings for eight of the last nine meetings. The facility's policy on grievances and complaints, dated February 14, 2023, outlines that Social Services should act as the grievance officer and oversee the grievance process. However, the facility did not adhere to this policy, as grievances were not addressed within the specified timeframes, and residents were not informed of the steps taken to resolve their concerns. During the Resident Council meetings, several recurring grievances were reported, including staff's use of cell phones, staff not providing care unless assigned to a specific resident, and bed sheets not being changed regularly. These issues were repeatedly mentioned in meetings, yet the facility did not take adequate steps to address them. For instance, a specific incident was reported where a CNA was rude to a resident during a football game, but the facility did not thoroughly investigate or resolve the issue. Interviews with residents and staff confirmed that grievances were not being effectively addressed. Residents expressed frustration over the lack of resolution to their concerns, and the Activity Director acknowledged that grievances were documented but not resolved. The Administrator admitted that the facility failed to develop a plan to correct the concerns and keep residents informed of the process towards a resolution, indicating a systemic issue in handling grievances effectively.
Resident Abuse by CNA in LTC Facility
Penalty
Summary
The facility failed to protect a resident from physical, verbal, and mental abuse by a staff member. The incident involved a Certified Nursing Assistant (CNA) who had been employed at the facility for approximately two weeks. During care, the CNA verbally humiliated the resident by repeatedly commenting on the resident's inability to control urination, which led to the resident's shirt becoming wet. The CNA then physically abused the resident by hitting him in the private area and pinching his nipples, causing the resident pain and embarrassment. This behavior was witnessed by another CNA, who reported the incident immediately. The resident involved in the incident was cognitively intact, as indicated by a Brief Interview for Mental Status (BIMS) score of 14. The resident had a medical history that included cerebral palsy and contractures of the extremities. During an interview, the resident expressed feelings of fear, embarrassment, and a desire to leave the facility due to the abuse. The resident described the physical pain experienced during the incident and the emotional distress caused by the CNA's actions. The facility's policies on abuse prevention and resident rights were not upheld in this case. The Corporate Interim Director of Nursing confirmed that the facility failed to protect the resident from abuse, and the incident was reported to the appropriate authorities, including the State Agency, Attorney General's Office, and local police. The resident's family was notified, and the facility took immediate action to remove the offending CNA from the premises.
Failure to Provide Prescribed Pain Medication
Penalty
Summary
The facility failed to adequately manage the pain of a resident who was experiencing moderate to intense pain due to missed doses of prescribed medication. The resident, who has a history of Multiple Sclerosis, Lupus, Arthritis, and Chronic Pain Syndrome, was on a pain medication regimen of Oxycodone 15 mg every four hours. However, on a specific occasion, the medication was unavailable, leading to the resident missing her 4:00 AM and 8:00 AM doses. This resulted in the resident experiencing a pain level of nine, indicating intense pain, when the medication was finally administered at noon. Interviews with the resident and staff, as well as a review of the facility's records, confirmed the deficiency. The resident reported that missing even one dose of her medication could set her back for a week, and the alternative medication provided did not alleviate her pain as effectively. The Director of Nurses acknowledged the unavailability of the medication, which led to the resident's increased pain levels. The facility's failure to provide the prescribed medication as ordered resulted in the resident experiencing significant discomfort.
Failure to Administer Ordered Pain Medication
Penalty
Summary
The facility failed to provide the ordered pain medication for a resident with chronic pain conditions, including Multiple Sclerosis, Lupus, and Arthritis. The resident was on a pain medication regimen of Oxycodone 15 mg every four hours, which was crucial for managing her chronic pain. However, there were instances in June and August when the medication was not available, leading to missed doses and increased pain levels. The resident reported that missing even one dose could set her back for a week, and during these times, she experienced moderate to intense pain. Interviews with staff revealed that the medication was not available for the resident's scheduled doses on specific occasions. A registered nurse confirmed that the resident missed her 4:00 AM and 8:00 AM doses, and the medication was only administered at noon after it was obtained from the pharmacy. The nurse noted that the resident's pain level was documented as nine, indicating intense pain, when the noon dose was given. The facility's process for reordering medication failed, as the medication card only lasted five days, and the facility did not reorder in time. The Director of Nursing acknowledged the issue, stating that the facility had previously implemented a new process to prevent medication shortages, but it failed on this occasion. The facility had an emergency medication kit, but the resident's specific medication was not stocked due to its strength. The resident had used an alternative medication from the emergency kit in June, but not in August, despite its availability. The facility's failure to ensure the availability of the ordered pain medication resulted in the resident experiencing significant pain.
Failure to Address Grievances on Call Light Response
Penalty
Summary
The facility failed to promptly address and resolve grievances related to call lights not being answered in a timely manner, as reported by two residents in the monthly Grievance/Concern Logs. The facility's policy mandates that call lights should be answered promptly to ensure residents can call for assistance when needed. However, interviews with a resident's representative and staff revealed that the call light for a resident was not being answered timely, despite the resident's inability to care for her own needs. This issue was repeatedly mentioned in Resident Council meetings and documented in the Grievance Log, indicating a persistent problem. The Social Service Director, responsible for overseeing the grievance process, acknowledged the failure to ensure the proper department was aware of the grievance and to communicate the steps being taken towards resolution. The Interim Director of Nursing also confirmed the grievance was expressed during Resident Council meetings and on the Monthly Grievance Log, but the facility did not resolve the issue or communicate the solution to the residents or their families. The facility's Performance Improvement Plan noted missing Resident Council Minutes for certain months, which further highlights the lack of proper documentation and follow-up on grievances.
Failure to Prevent Resident Injury During Transport
Penalty
Summary
The facility failed to ensure a resident was kept free from an accident during transport, resulting in an injury. The incident involved a resident with severe cognitive impairment, as indicated by a Brief Interview for Mental Status (BIMS) score of 04, and multiple medical conditions including chronic systolic heart failure, paroxysmal atrial fibrillation, type 2 diabetes mellitus, and chronic kidney disease. On the day of the incident, the resident was being transported for a medical appointment. A Certified Nurse Aide (CNA) responsible for the transport reported that she had locked the resident's wheelchair before leaving the resident unattended to give keys to an assistant. However, the resident's wheelchair rolled into a van, causing a severe laceration to the resident's left leg. Interviews with staff members, including a Psychiatric Nurse Practitioner and a Licensed Practical Nurse (LPN), revealed that the resident was seen rolling unassisted in the wheelchair and sustained a significant injury upon impact with the van. The Director of Nurses (DON) expressed doubt that the wheelchair was properly locked, as the resident likely lacked the strength to unlock it. The facility's policy on accidents and incidents emphasizes maintaining a hazard-free environment and providing adequate supervision, which was not adhered to in this case, leading to the resident's injury.
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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 Fulton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Meadows | 2 mi | ★★★★★ | 8 | 0 |
| Diversicare Of Tupelo | 15.5 mi | ★★★★★ | 10 | 0 |
| Tupelo Community Care Center | 15.8 mi | ★★★★★ | 10 | 0 |
| Redbay Nursing And Rehab Center | 19.6 mi | ★★★★★ | 0 | 0 |
| River Place Nursing Center | 20.2 mi | ★★★★★ | 6 | 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 August 2026) and official state health department websites.