Above 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 Glen Oaks Nursing Center during CMS and state inspections, most recent first.
Failure to provide required written transfer notice: A resident with respiratory failure and hypoxia was sent to a hospital with return anticipated, but the resident representative did not receive written notice with the reason for transfer, effective date, and destination. The BOM said she believed the resident was being discharged rather than transferred, and the Administrator confirmed the notice was not provided.
Failure to develop and implement comprehensive care plans: one resident with an active UTI had no care plan interventions for the new diagnosis despite a physician order for antibiotics, and another resident’s oxygen therapy care plan and physician order called for 3 L via NC, but staff observed and confirmed the resident was receiving only 2 L. RN and DON interviews confirmed care plans were expected to guide staff care and include interventions for new diagnoses.
A resident with CHF and COPD had a physician order for oxygen at 3 L/min via NC, but staff observed the resident receiving oxygen at 2 L/min on multiple occasions. An LPN confirmed the mismatch and stated there was no order authorizing the lower flow rate, while the MAR documented oxygen as being given at 3 L/min on those same dates.
Missing Separate Charge Nurse on Evening Shift: The facility failed to designate a separate charge nurse for the 3:00 PM to 11:00 PM shift, instead having the medication/treatment nurse also serve as charge nurse. The Staff Reporting Form showed no designated charge nurse for three reviewed shifts, and the DON and Administrator both confirmed this practice during interview, despite the state standard requiring a charge nurse to supervise total nursing activities on that shift.
Failure to Provide Required Written Transfer Notice
Penalty
Summary
The facility failed to provide the resident representative with written notice containing the required transfer information when a resident was transferred to the hospital with return anticipated. The facility policy, Transfer or Discharge Notice, required written notification to include the specific reason for the transfer or discharge, the effective date of the transfer, and the location to which the resident was being transferred or discharged. Resident #38 was admitted with diagnoses including respiratory failure with hypoxia and had a BIMS score of 15, indicating cognitive intactness. The record showed the resident was discharged to a short-term general hospital with return anticipated, and a physician order was written for discharge to a local hospital. However, the medical record did not contain documentation that the resident representative received the required written transfer notice for the hospitalization. During interviews, the BOM acknowledged she did not provide the written transfer notice because she believed the resident was being discharged rather than transferred with return anticipated, and the Administrator confirmed the resident representative did not receive the notice.
Failure to Develop and Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident with an active UTI. The resident was admitted with diagnoses including Type 2 Diabetes Mellitus and UTI, and after a hospital evaluation received instructions for a female UTI and a physician order for Cephalexin 500 mg four times daily for 10 days. Review of the comprehensive care plan showed no designated care plan with interventions related to the new diagnosis of UTI. An RN stated that floor nurses were responsible for entering care plans for new physician orders and confirmed that the resident returned from the hospital with antibiotics and a UTI diagnosis, but no care plan had been developed with a problem or focus for UTI. The DON stated that care plans were expected for residents with new diagnoses and should include interventions for staff to follow. The facility also failed to implement an existing comprehensive care plan for oxygen therapy for another resident. The care plan directed oxygen at 3 L via nasal cannula to maintain O2 greater than 92% and to obtain O2 saturation every shift, and the physician order also specified oxygen at 3 L per minute via nasal cannula. During two observations, the resident was receiving oxygen at 2 L per minute instead of the ordered 3 L per minute. An LPN confirmed the lower flow rate, reviewed the physician order, and acknowledged there was no order authorizing the discrepancy. An RN confirmed staff were expected to implement the interventions in the comprehensive care plan, and the Administrator confirmed staff were expected to verify oxygen flow rates, follow physician orders, notify the physician of discrepancies, monitor residents receiving oxygen therapy, and implement the resident's comprehensive care plan.
Oxygen Flow Rate Did Not Match Physician Order
Penalty
Summary
The facility failed to provide care and services in accordance with physician orders by administering oxygen at a flow rate different from the ordered therapy for one resident reviewed for oxygen use. Resident #28, who was admitted with diagnoses including congestive heart failure and chronic obstructive pulmonary disease, had a physician order dated 03/09/26 for oxygen at 3 liters per minute via nasal cannula. The resident’s quarterly MDS showed a BIMS score of 15, indicating the resident was cognitively intact. During observations on 07/28/26 and 07/29/26, Resident #28 was receiving oxygen via nasal cannula at 2 liters per minute. On 07/29/26, an LPN confirmed the resident was receiving oxygen at 2 liters per minute, reviewed the physician order, and verified that the prescribed flow rate was 3 liters per minute; the LPN stated there was no physician order authorizing the lower flow rate and could not explain the discrepancy. The MAR for July 2026 documented oxygen was administered at 3 liters per minute on the same dates the resident was observed receiving 2 liters per minute. The Administrator later confirmed staff were expected to verify oxygen flow rates, follow physician orders, notify the physician of discrepancies, and monitor residents receiving oxygen therapy.
Missing Separate Charge Nurse on Evening Shift
Penalty
Summary
The facility failed to comply with state nursing facility staffing requirements by not designating a charge nurse responsible for supervision of the total nursing activities during the 3:00 PM to 11:00 PM shift, separate from the medication/treatment nurse assignment, for three reviewed shifts. The facility policy titled, Staffing, stated that the facility maintains adequate staffing on each shift to ensure residents' needs and services are met. However, the Staff Reporting Form showed no designated charge nurse for the 3:00 PM to 11:00 PM shift on 07/28/26, 07/29/26, or 07/30/26. The Minimum Standards for Institutions for the Aged or Infirm for Rule 45.4.1 Nursing Facility required a registered nurse or licensed practical nurse to serve as charge nurse and be responsible for supervision of the total nursing activities during the 7:00 AM to 3:00 PM and 3:00 PM to 11:00 PM shifts. During interview, the DON stated he served as charge nurse until approximately 4:30 PM on some days and then the medication/treatment nurses also served as charge nurses after that time. The DON acknowledged the facility did not designate a separate charge nurse from the medication/treatment nurse role and was unaware the standard required a designated charge nurse separate from the medication/treatment nurse assignment for the 3:00 PM through 11:00 PM shift. The Administrator confirmed the medication/treatment nurses also served as charge nurses during that shift and stated the purpose of a separate charge nurse was to provide supervision of nursing services while allowing the medication/treatment nurse to focus on medication administration and treatments.
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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) |
|---|---|---|---|---|
| George Regional Health & Rehab Center | 0.8 mi | ★★★★★ | 8 | 0 |
| Leakesville Rehabilitation And Nursing Center, Inc | 16.6 mi | ★★★★★ | 5 | 0 |
| Greene County Health And Rehabilitation | 16.9 mi | ★★★★★ | 4 | 0 |
| Crowne Health Care Of Citronelle | 24.6 mi | ★★★★★ | 0 | 0 |
| Mobile Nursing And Rehabilitation Center | 28.3 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.