Average — CMS composite of the measures below.
The next survey window likely opens around June 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 George Regional Health & Rehab Center during CMS and state inspections, most recent first.
Food Storage and Produce Monitoring Deficiencies: Dietary staff failed to keep opened food items covered, labeled, dated, and discarded per policy, and moldy fresh produce was found in refrigerated storage. An opened pound cake was left exposed past the facility’s 7-day limit, and multiple containers of blueberries plus a container of strawberries had visible mold. The DM acknowledged the deteriorated food and stated staff were responsible for monitoring food storage and removing spoiled items.
Resident Council grievances about cold, undercooked, overcooked, and incorrect food items, along with unclean rooms and missed weekend housekeeping, were repeatedly raised over several council meetings but were not resolved or consistently followed up. The AD knew the concerns continued but could not show they were resolved, and the Dietary Mgr and Housekeeping Sup were unaware the complaints were ongoing. Several cognitively intact residents with BIMS scores of 11 to 15 reported that brief improvements after direct complaints did not last.
A resident's Quarterly MDS was coded to show tube feeding even though the resident had no feeding tube, received meals by mouth, and had an active order for a regular diet. The RD assessment, intake/output records, and clinical chart contained no evidence of enteral nutrition, and an LPN, DON, and Administrator all confirmed the MDS was coded incorrectly.
The facility failed to complete PASRR Level I screenings accurately and did not refer two residents with mental health diagnoses for PASRR Level II evaluation. One resident had diagnoses including major depressive disorder and schizoaffective disorder with active psychotropic medications, but the PASRR paperwork was inaccurate and no Level II review was found. Another resident had dementia and later schizoaffective disorder added to the record, yet no documentation showed the updated diagnosis was submitted for PASRR review. Staff and the DON confirmed the missing Level II evaluations.
Care plans were not individualized to fully address assessed needs and ordered treatments for three residents. One resident with frequent pain had a care plan that did not direct staff on pain management during ADLs, turning, or repositioning despite reports of pain and a PRN opioid order. Another resident with hemiplegia, dementia, epilepsy, and poor safety awareness had a call light left out of reach and no documentation of monitoring for adverse effects from psychotropic and anticoagulant medications. A third resident with Parkinson’s disease, anxiety, and depression also had no documentation of monitoring for side effects from psychotropic and anxiolytic medications.
A resident with hemiplegia, impaired cognition, and fall risk had the call light left wrapped around the overhead bed light fixture and out of reach during repeated observations. CNAs stated the call light should remain within reach except during brief room cleaning or bed making, and the Administrator said residents' call lights were expected to stay within reach at all times.
A resident receiving O2 via nasal cannula for dyspnea after pneumonia was observed multiple times with oxygen in use, but no oxygen cautionary sign was posted on the room door or door frame. Facility policy required warning signs whenever oxygen was in use, and an LPN and the DON both confirmed the sign should have been present.
The facility failed to document monitoring for adverse consequences for two residents receiving psychotropic and other high-risk medications. One resident with dementia, mood disturbance, anxiety, seizures, and an anticoagulant order had no documented monitoring while receiving an antidepressant, antipsychotic, and Xarelto. Another resident with Parkinson’s disease, anxiety, and depression also had no documented monitoring while receiving an antipsychotic, antidepressants, and PRN anxiolytic medication. RN and DON interviews confirmed the MARs had no designated area or documentation for this monitoring.
Food Storage and Produce Monitoring Deficiencies
Penalty
Summary
The facility failed to procure, store, and maintain food under sanitary conditions by not ensuring opened food items were properly covered, labeled, dated, and discarded in accordance with facility policy. During an initial kitchen tour with the Dietary Manager, one opened pound cake dated 06/19/2026 was found stored exposed, not repackaged or covered, and had not been discarded within the facility’s seven-day policy after opening. The Dietary Manager observed these findings and acknowledged the food storage issues. The same observation identified five containers of fresh blueberries with visible mold stored in a case that restricted adequate air circulation, along with one one-pound container of strawberries that also had visible mold. The Dietary Manager acknowledged the produce was deteriorated and stated dietary staff were responsible for monitoring opened food items and fresh produce to ensure items were properly covered, labeled, dated, and removed when spoiled. In a later interview, the Dietary Manager stated accountability had not been consistently maintained, and the Administrator stated the facility expected food items to be properly covered, labeled, dated, stored, and discarded in accordance with facility policy.
Resident Council Grievances Not Resolved
Penalty
Summary
The facility failed to resolve and provide follow-up on grievances raised through the Resident Council regarding food quality and cleanliness of resident rooms for multiple months of council meetings reviewed. The facility policy stated that grievances should be promptly investigated, resolved, and communicated back to residents, and that the facility should act on Resident Council concerns and communicate its decisions to the council. However, the meeting minutes showed repeated complaints about cold food, undercooked or overcooked chicken, incorrect food items being served, and room cleanliness concerns that continued over several meetings without documented resolution to the residents' satisfaction. Resident Council minutes documented that residents reported breakfast and supper were cold, chicken was not cooked properly, fried chicken was too hard, and residents were not receiving the items they ordered from the always available menu. The minutes also showed that dietary responses included staff education, replacement of a defective base heater, instructions to offer alternate menu items, and direction to choose from the regular or always available menu. Despite these responses, residents continued to report that the food remained overcooked, undercooked, cold, and incorrect, and that the issues were not resolved. The minutes also reflected ongoing complaints about housekeeping and room cleanliness, including rooms not being cleaned daily and trash not being removed on weekends. Residents stated that these concerns persisted over several meetings and that weekend housekeeping services were inconsistent. During interviews, residents reported that complaints made in council meetings had not been resolved, that improvements occurred only briefly after direct complaints to the Administrator, and that conditions then returned to the same routine. The Activity Director acknowledged awareness of the ongoing concerns but could not provide documentation showing they were resolved, while the Dietary Manager and Housekeeping Supervisor were unaware that the complaints continued. The resident council members identified in the record review were cognitively intact based on BIMS scores ranging from 11 to 15.
Incorrect MDS Coding for Tube Feeding
Penalty
Summary
The facility failed to ensure an accurate MDS assessment for one resident by coding the Quarterly MDS as if the resident had a feeding tube when the resident had no feeding tube, did not receive enteral nutrition during the assessment reference period, and had an active physician order for a regular diet. Resident #24 was admitted with a diagnosis including unspecified atrial fibrillation, and the resident's record showed a regular diet order with regular texture and regular/thin liquids that remained active during the assessment period. Record review showed the resident's RD assessment also reflected a regular diet, and the March 2026 intake and output documentation showed meals were consumed by mouth with no documentation of enteral nutrition or tube feeding. The clinical record contained no physician orders, assessments, progress notes, dietary documentation, or other records indicating the resident had a feeding tube during the assessment reference period. An LPN who completed MDS assessments stated that medical records are reviewed to determine coding and confirmed tube feeding should not have been coded. The DON and Administrator both confirmed the MDS was coded incorrectly and that the resident had never had a feeding tube or received enteral nutrition while at the facility.
PASRR Screening and Referral Failures
Penalty
Summary
The facility failed to ensure Preadmission Screening and Resident Review (PASRR) Level I screenings were completed accurately and failed to ensure residents with mental health diagnoses were referred for PASRR Level II evaluation. The deficiency involved two residents reviewed for PASRR requirements. Facility policy stated that individuals with a mental disorder, intellectual disability, or related condition must be screened using the State's Level I process and referred to the appropriate state-designated authority for Level II PASRR evaluation when indicated. One resident was admitted with diagnoses including major depressive disorder and schizoaffective disorder, depressive type, and had active orders for quetiapine and sertraline. The resident's record contained a PASRR Level I assessment, but no Level II evaluation was found. The PAS application marked no for major mental illness, and the LTSS Mississippi Screening Questionnaire listed an acute respiratory failure diagnosis and did not document the resident's psychiatric medications. The DON and Social Services Director both confirmed that a Level II evaluation had not been completed, and the DON acknowledged the Level I assessment contained inaccurate information in Sections I and J that could prevent a Level II evaluation from being initiated. The second resident was admitted with diagnoses including unspecified dementia with behavioral symptoms, psychotic disturbance, mood disturbance, and anxiety, and later had schizoaffective disorder added to the record. The PAS application marked yes for dementia and no for major mental illness, and no documentation was found showing the updated psychiatric diagnosis had been submitted for PASRR review. The resident's record included orders for donepezil and olanzapine, and the MDS documented moderately impaired cognition with a diagnosis of schizophrenia in Section I. Staff interviews confirmed that no PASRR Level II evaluation had been initiated after the schizoaffective disorder diagnosis was added, and the Administrator acknowledged the facility failed to submit the required PASRR referrals for both residents.
Care plans did not address assessed needs or medication monitoring
Penalty
Summary
The facility failed to develop and implement individualized comprehensive care plan interventions for three residents whose assessed needs and physician-ordered treatments were not fully addressed in their care plans. The facility policy stated that comprehensive care plans must include measurable objectives, time frames, and all services identified in the resident’s comprehensive assessment to meet medical, nursing, mental, and psychosocial needs. For one resident with frequent pain and a BIMS score of 11, the care plan included pain-related interventions and administration of prescribed pain medication, but it did not include individualized directions for staff on how to manage pain during activities of daily living, repositioning, or turning. The resident reported pain during turning, repositioning, movement, and dressing and stated pain medication was not routinely offered before bathing or ADL care. A CNA and RN both confirmed the resident experienced pain during repositioning, transfers, bathing, turning, and ADL care, and the MDS/Care Plan nurse confirmed the care plan did not include individualized interventions for those situations. The resident had an order for Hydrocodone-Acetaminophen every 8 hours as needed. For another resident with hemiplegia, dementia, epilepsy, muscle weakness, poor safety awareness, and a BIMS score of 12, the care plan addressed fall risk and abnormal bleeding risk, but the call light was observed wrapped around the overhead bed light fixture and out of the resident’s reach on multiple survey observations. The resident was receiving Duloxetine, Rexulti, Trazodone, and Xarelto, and the record showed no documentation of monitoring for potential adverse consequences of these medications. RN staff confirmed there was no documentation area on the MAR for such monitoring, and the DON confirmed there was no documentation showing monitoring for adverse consequences. For a third resident with Parkinson’s disease, anxiety, depression, and a BIMS score of 12, the care plan addressed altered level of comfort and included monitoring for adverse side effects such as lethargy, slurred speech, sedation, or confusion. The resident was receiving Aripiprazole, Fluoxetine, Hydroxyzine PRN, and Trazodone, but the MAR and medical record contained no documentation that the resident was monitored for medication side effects. RN staff and the DON confirmed there was no documentation demonstrating monitoring for adverse consequences, and the DON stated residents receiving psychotropic, anticoagulant, and anti-anxiety medications were expected to be monitored each shift.
Call Light Left Out of Resident’s Reach
Penalty
Summary
The facility failed to keep Resident #7's call light within reach, despite the resident's assessed fall risk, left-sided hemiplegia, need for assistance with mobility and toileting, and care plan intervention directing staff to keep the call light within reach. Resident #7's record showed diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side, and the quarterly MDS documented a BIMS score of 12 with impairment affecting one side of the body. The facility policy stated staff would ensure the call light was within reach and secured as needed. During multiple observations, the resident's call light was found wrapped around the overhead bed light fixture above the head of the bed, placing it beyond the resident's reach. This inaccessible placement was observed while the resident was in bed and again when the resident was out of the room on subsequent survey days. CNA interviews confirmed staff were expected to keep the call light within reach before leaving the room, and the Administrator stated residents' call lights were expected to remain within reach at all times.
Missing Oxygen Caution Sign for Resident Receiving O2
Penalty
Summary
The facility failed to ensure required oxygen cautionary signage was posted for a resident receiving oxygen therapy. Resident #12, who had been admitted with diagnoses including NSTEMI and had a BIMS score of 14 indicating cognitive intactness, was receiving oxygen via nasal cannula at 2 L/min for shortness of breath related to recovery from pneumonia. During multiple observations, the resident was seen in bed with oxygen in use, and later the oxygen remained connected at the wall outlet even when the resident was out of the room, but no oxygen cautionary sign was observed on the room door or door frame. The facility policy titled Oxygen Administration stated that oxygen warning signs must be placed on the door of the resident's room where oxygen is in use. During interview, a CNA stated the resident wore oxygen most of the time in the room after returning from the hospital for pneumonia. An LPN confirmed that residents receiving oxygen should have a caution sign posted on the door frame and stated no sign was present, adding that responsibility for placing the sign was not assigned to a specific staff member. The DON also confirmed that an oxygen cautionary sign should have been posted near the entrance of the room whenever oxygen was in use.
Failure to Monitor Residents Receiving Psychotropic and High-Risk Medications
Penalty
Summary
The facility failed to ensure that residents receiving psychotropic and high-risk medications were monitored for potential adverse consequences in accordance with professional standards of practice and facility policy. A review of the facility policy on unnecessary drugs stated that each resident’s drug regimen must be managed and monitored to promote the resident’s highest practicable well-being free from unnecessary drugs, including adequate monitoring for efficacy and adverse consequences and responding to adverse consequences. The deficiency affected two of five residents reviewed for unnecessary medications. Resident #7 was admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction, vascular dementia, psychotic disturbance, mood disturbance, anxiety, and seizures. The resident had active orders for duloxetine, Rexulti, trazodone, and Xarelto, and was receiving an antidepressant, antipsychotic, and anticoagulant. The quarterly MDS showed a BIMS score of 12, indicating moderate cognitive impairment, and Section N reflected administration of antipsychotic, antidepressant, and anticoagulant medications. Review of the MAR and medical record showed no documentation that the resident was monitored for side effects or potential adverse consequences, and RN #2 confirmed there was no documentation and no designated area on the MAR for such monitoring. Resident #55 was admitted with diagnoses including Parkinson’s disease, anxiety, and depression. The resident had active orders for aripiprazole, fluoxetine, hydroxyzine PRN, and trazodone, and was receiving an antipsychotic, antidepressants, and an anxiolytic. The admission MDS showed a BIMS score of 12, indicating moderate cognitive impairment, and Section N reflected administration of antipsychotic and antidepressant medications. Review of the MAR and medical record showed no documentation that the resident was monitored for side effects or adverse consequences. RN #2 stated the resident had received a PRN medication for increased anxiety after reporting seeing men in her bathroom, and the DON confirmed that residents receiving psychotropic medications and anticoagulants were expected to be monitored each shift, but there was no documentation demonstrating that monitoring for adverse consequences had occurred.
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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 Lucedale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Glen Oaks Nursing Center | 0.8 mi | ★★★★★ | 4 | 0 |
| Leakesville Rehabilitation And Nursing Center, Inc | 15.9 mi | ★★★★★ | 5 | 0 |
| Greene County Health And Rehabilitation | 16.2 mi | ★★★★★ | 4 | 0 |
| Crowne Health Care Of Citronelle | 23.9 mi | ★★★★★ | 0 | 0 |
| Mobile Nursing And Rehabilitation Center | 28.4 mi | ★★★★★ | 0 | 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 October 2026) and official state health department websites.