Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Diversicare Of Tylertown during CMS and state inspections, most recent first.
Failure to Inform Room-Dining Residents of Meal Choices: Two cognitively intact residents who ate in their rooms were not informed of daily menu options or given a chance to choose meals. One resident with CHF said staff never told her the choices and there was no menu in her room, while another resident with hemiplegia and hemiparesis reported the same issue and said she could not get to the dining room to see what was being served. The Dietary Manager, CNA, and Administrator confirmed there was no established process and no menus in resident rooms.
Failure to obtain a physician order for PEG tube flushes. An LPN administered PEG medications to a resident and flushed the tube before and after the meds, but the resident’s orders did not include a flush order or the amount of water to use. The DON stated the facility follows policy for PEG flushing, but confirmed no physician order was in place.
Unsecured Wound Care Cart and Supplies: The facility failed to keep a wound care cart locked and unattended on the unit, despite policy requiring medications to be accessible only to authorized staff. The cart was observed unlocked on multiple occasions, and unsecured items such as wound cleanser, topical medications, and gauze were readily accessible. An RN, the wound care nurse, and the DON all confirmed the cart should remain locked when not in use.
An infection control deficiency was cited after staff did not follow proper hand hygiene and glove-changing practices during PEG tube medication administration and wound care. An LPN used the same gloves while handling a bedside pump and accessing a PEG tube for one resident and did not perform hand hygiene or change gloves while administering liquid protein to another resident, while an RN used the same gloves to clean multiple separate necrotic foot wounds on a third resident. The DON and staff acknowledged the infection control lapses.
A LTC facility failed to protect residents from misappropriation of funds, affecting nine residents with trust fund accounts. The Business Office Manager was found to have engaged in fraudulent activity, adjusting numbers to make accounts appear balanced. Some residents, including those with cognitive impairments, did not receive the money indicated on receipts, and some signatures were not theirs. The facility's policies on resident trust accounts were not effectively implemented, leading to financial discrepancies.
A CNA in a long-term care facility failed to provide proper perineal care by wiping a resident from back to front, increasing the risk of urinary tract infection. The resident, who has Chronic Kidney Disease and Dementia, requires substantial assistance with toileting hygiene. The CNA admitted the mistake, and the DON confirmed the increased infection risk.
A facility failed to administer tube feedings as ordered for a resident with a PEG tube. Observations showed the resident receiving Jevity 1.5 at 70 ml/hr, but no orders were found in the electronic chart. The DON confirmed the absence of active orders due to a recent system update. The resident's corrected order specified Jevity 1.5 at 75 ml/hr for 18 hours daily, which had been in place since 2016. The resident had Dysphagia, Aphasia, and Intellectual Disabilities.
The facility failed to prevent disease transmission by storing clean oxygen concentrators in a biohazard room. Despite being bagged, the equipment was placed alongside a biohazard container and an unclean bedside commode, contradicting the facility's infection control policies. Staff acknowledged the room's biohazard status but believed the equipment was clean.
Failure to Inform Room-Dining Residents of Meal Choices
Penalty
Summary
The facility failed to ensure that residents who received meals in their rooms were informed of daily menu options and given the opportunity to choose their meals for two residents reviewed. Facility policy stated that menus would be planned in advance to meet residents’ nutritional needs and adjusted for individual requests, including cultural, religious, or ethnic preferences. However, interviews and record review showed that Resident #22, who was admitted with acute diastolic congestive heart failure and had a BIMS score of 15, reported that staff did not inform her of menu choices and that there was no menu in her room. She stated she believed she had to eat whatever was delivered and would sometimes skip meals if she did not like what was served. Resident #37, who was admitted with hemiplegia and hemiparesis following cerebrovascular disease affecting the left dominant side and had a BIMS score of 15, stated that she was dependent on staff to get in and out of her room by wheelchair and could not go to the dining hall to see what was being served. She reported that she was not aware of an alternate menu, that no one informed her or her roommate about meal choices, and that there was no menu in their room. The Dietary Manager confirmed that there were no menus in residents’ rooms and was unsure whether a system existed to honor day-to-day meal preferences. A CNA confirmed there was no established process to ensure residents were aware of their meal choices, and the Administrator stated the facility had identified the need for residents to know their meal options but had not yet identified a solution.
Failure to Obtain Physician Order for PEG Tube Flushes
Penalty
Summary
The facility failed to obtain a physician order to flush a PEG tube with water before and after medication administration for one resident with a PEG tube. On 01/13/2026, an LPN was observed administering Buspirone 10 mg, Hydroxyzine 25 mg, and Trazadone 50 mg via the resident’s PEG tube and flushed the tube with 30 cc of water before and after the medications. The facility policy on Enteral Tube Medication Administration, reviewed in 04/22, stated that crushed medications, opened capsule contents, and liquid medications are diluted with at least 5 ml of water when fluid is not restricted and that the tube is flushed with at least 30 ml of water following drug administration. A review of the resident’s order summary showed active physician orders for Buspirone HCI 10 mg, Hydroxyzine 25 mg, and Trazadone 50 mg via PEG tube, but no order to flush the tube or specify the amount of water to use before and after medication administration. The resident was admitted on 10/22/25 with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side and dysphagia following cerebral infarction. The MDS with ARD 10/29/25 showed a BIMS score of 99, indicating the resident was unable to complete the interview. During interview on 01/14/2026, the DON stated the facility follows its policy for flushing PEG tubes with water and confirmed there was no physician order for flushing PEG tubes when administering medications.
Unsecured Wound Care Cart and Supplies
Penalty
Summary
The facility failed to properly secure and store medications and wound care supplies on the resident care unit. Facility policy stated that medications are accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. On 1/13/26 at 3:07 PM, the wound care cart was observed unattended and unlocked, and it remained unsecured until 3:10 PM when an RN locked it. In interview, the RN stated the wound care nurse had last used the cart and must not have locked it, and confirmed the cart should remain locked when not in use to prevent resident access. On 1/14/26 at 9:04 AM, the wound care cart was again observed unlocked and unattended in the hallway and remained unsecured until 9:07 AM when an RN locked it. At 9:13 AM, the wound care nurse stated the cart should remain locked at all times when not in use because it contains chemicals that could pose a risk to residents if accessed, ingested, or if they came into contact with their eyes. At 9:14 AM, the cart was observed with unsecured and readily accessible items including a staple remover, wound cleanser, nystatin antifungal cream, aloe moisturizer, Bio freeze topical anesthetic, triple antibiotic ointment, and iodoform gauze. The RN and the DON both confirmed the cart should remain locked when unattended.
Infection control not followed during PEG tube medication administration and wound care
Penalty
Summary
Provide and implement an infection prevention and control program was cited after observations, interviews, and record review showed infection control practices were not followed during wound care and PEG tube medication administration. The facility policy stated infection control practices are intended to maintain a safe, sanitary, and comfortable environment and help prevent and manage transmission of disease and infection. For Resident #4, an LPN administered liquid protein supplement via PEG tube and repeatedly attempted to flush the tube while moving between the bedside and sink, but did not perform hand hygiene or change gloves throughout the process. The LPN later confirmed she did not wash her hands or change gloves and stated this left the resident vulnerable to bacteria and germs. Resident #4 had diagnoses including hemiplegia and hemiparesis following cerebral infarction and dysphagia, and the MDS showed a BIMS score of 3, indicating severe cognitive impairment. For Resident #32, an LPN wore the same gloves while touching the bedside pump, accessing the PEG tube to give medications, and then touching the pump again after medication administration; the LPN stated she should have used bare hands or changed gloves between those steps. For Resident #49, an RN performed wound care on an unstageable wound and four other necrotic foot wounds using the same gloves, reaching into a container of saline-soaked gauze and cleaning each separate wound without changing gloves between sites; the RN stated she believed the wounds were all one wound because they were on the same foot.
Misappropriation of Resident Funds in LTC Facility
Penalty
Summary
The facility failed to protect residents from the misappropriation of funds, affecting nine residents with trust fund accounts. The issue was identified during a routine reconciliation of trust accounts, which revealed suspicious activity involving receipts and resident signatures. The facility's investigation found fraudulent activity by the Business Office Manager (BOM), who was responsible for handling the trust accounts. Despite the BOM's denial of mishandling funds, she was suspended and later resigned. The investigation confirmed that some residents did not receive the money indicated on the receipts, and some signatures were not theirs. The investigation involved interviews with residents and a detailed audit of financial records. Residents with cognitive impairments, such as those with moderate cognitive impairment or traumatic brain injury, were among those affected. Some residents could not recall receiving money, while others confirmed that the signatures on the receipts were not theirs. The facility's investigation also revealed that the BOM had been adjusting numbers to make the accounts appear balanced, despite discrepancies in the actual cash. The facility's policies on resident trust accounts and the prevention of misappropriation were not effectively implemented, leading to the misappropriation of funds. The Administrator and Regional Business Office Consultant discovered the fraudulent activity when they noticed discrepancies during an audit. The facility's failure to ensure accurate handling of resident funds resulted in financial discrepancies and unauthorized cash withdrawals from residents' trust accounts.
Improper Perineal Care Leading to Increased Infection Risk
Penalty
Summary
The facility failed to provide proper perineal care to prevent urinary tract infections for one resident. During an observation, a CNA was seen wiping a resident from back to front instead of the correct front to back method, which was repeated five times. The CNA later acknowledged the mistake and admitted that her actions could lead to a urinary tract infection. The Director of Nursing confirmed that the CNA's actions were incorrect and could increase the risk of infection. The resident involved had been admitted to the facility with diagnoses including Chronic Kidney Disease and Dementia, and required substantial assistance with toileting hygiene due to severe cognitive impairment.
Failure to Administer Tube Feedings as Ordered
Penalty
Summary
The facility failed to ensure that tube feedings were administered as ordered for a resident receiving enteral feedings. During an observation, it was noted that the resident was receiving Jevity 1.5 formula at a rate of 70 ml/hr through a PEG tube. However, upon reviewing the resident's electronic chart, there were no available orders specifying the rate and type of feeding the resident was to receive. The Director of Nurses (DON) was unable to locate the necessary orders in the electronic system, which had recently been updated, and confirmed that there were no current active orders for the resident's tube feeding. Further investigation revealed that the resident's tube feeding order had been corrected to include the type and rate of feeding, which was supposed to be Jevity 1.5 at 75 ml/hr for 18 hours per day. The resident had been receiving this feeding since the initial order was written in 2016. The resident, admitted to the facility in 2008, had diagnoses including Dysphagia, Aphasia, and Unspecified Intellectual Disabilities. The deficiency was identified due to the lack of proper documentation and verification of the tube feeding orders in the facility's electronic system.
Improper Storage of Clean Equipment in Biohazard Room
Penalty
Summary
The facility failed to prevent the possible transmission of diseases and infections by improperly storing clean durable medical equipment (DME) in a room designated for biohazard materials. During the survey, it was observed that oxygen concentrators, which were covered in plastic bags and considered clean by the staff, were stored in a biohazard room alongside a biohazard container with a red bag. Maintenance staff and a registered nurse acknowledged the room's biohazard designation but believed the equipment was clean due to being bagged. Further observations revealed that an unclean bedside commode was placed on top of the bagged oxygen concentrators, further compromising the cleanliness of the equipment. The Director of Nursing confirmed that the facility's policy was to maintain a safe and sanitary environment to prevent disease transmission, yet the practice of storing cleaned equipment in a biohazard room was acknowledged. This practice was inconsistent with the facility's infection control policies and practices.
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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 Tylertown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Billdora Senior Care | 0.9 mi | ★★★★★ | 4 | 1 |
| Good Samaritan Living Center | 18.3 mi | ★★★★★ | 5 | 0 |
| Courtyard Health And Rehabilitation | 18.7 mi | ★★★★★ | 3 | 3 |
| Fair City Health And Rehab | 19.8 mi | ★★★★★ | 5 | 0 |
| Mccomb Community Care Center | 20.8 mi | ★★★★★ | 1 | 1 |
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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.