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 Holmes County Long Term Care Center - Durant during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple health issues sustained a head injury due to a failure to follow the care plan requiring two-person assistance with a mechanical lift. CNA #1 attempted a transfer alone, resulting in the resident hitting their head on a door. The facility's policy was not adhered to, leading to the incident.
A resident in a long-term care facility sustained a head injury due to a CNA's failure to follow the facility's policy requiring two-person assistance for using a full body mechanical lift. The resident, who was severely cognitively impaired and dependent on the lift for transfers, hit her head on a door during an unassisted transfer, resulting in a laceration that required medical treatment.
The facility failed to maintain the dignity and privacy of three residents. One resident was observed in a wheelchair, dressed only in a brief, visible from the hallway. Another resident was found lying in bed without clothing or covers, with the door open for supervision. A third resident had a visible urinary catheter bag without a privacy cover, contrary to facility policy. These incidents highlight a lack of adherence to privacy and dignity standards for residents with cognitive impairments.
A resident with severe cognitive impairment and Acute Pulmonary Edema was unable to reach her call light, which was found behind a privacy curtain. Staff interviews confirmed the call light should have been accessible, as the resident sometimes needs assistance. The facility's policy requires call lights to be within reach.
Two residents in an LTC facility did not receive proper nail care due to failures in implementing comprehensive care plans. One resident, a diabetic with amputations, had a care plan incorrectly assigning nail care to a CNA instead of a nurse. Another resident, requiring ADL assistance, also had unmet nail care needs despite the care plan assigning this task to a CNA. Observations confirmed long, jagged nails for both residents, and staff interviews revealed discrepancies in care plan execution.
Two residents in the facility were found with long, jagged fingernails and a brown substance underneath, indicating a failure in personal hygiene care. One resident, who is diabetic and has moderate cognitive impairment, had not received proper nail care despite the facility's policy. Another resident, who is cognitively intact, also had neglected nails, with staff acknowledging the oversight. This neglect could lead to potential skin tears and infections.
The facility failed to secure chemicals and lock the shower room, posing potential hazards. An LPN found the shower room door unlocked, with a whirlpool tub full of water and accessible chemicals. The Administrator confirmed the danger and noted that the lock issue had not been reported.
A facility failed to document the administration of controlled substances accurately. A nurse did not sign out a Norco pain pill on the narcotic log immediately after administration, as required by policy. Additionally, a discrepancy was found in the Valium tablet count for another resident, with the nurse admitting to not recording the administration. The DON confirmed that narcotics should be signed out at the time of administration.
Failure to Follow Care Plan Results in Resident Injury
Penalty
Summary
The facility failed to implement the care plan for a two-person assist with the use of a full body mechanical lift for all transfers of Resident #4. This resident, who was dependent on the lift due to generalized muscle weakness, lack of coordination, impaired balance, and abnormalities of gait and mobility, sustained a head injury during a transfer. The care plan specified that transfers should be conducted with the assistance of two staff members, but this protocol was not followed. On the morning of the incident, CNA #1 attempted to transfer Resident #4 from her bed to a wheelchair using the mechanical lift without the assistance of a second staff member. During the transfer, the resident swung into the side of a door, resulting in a head laceration that required medical treatment at an emergency room. The resident was severely cognitively impaired, as indicated by a Brief Interview for Mental Status (BIMS) score of 3, and had multiple diagnoses, including end-stage renal disease and heart failure. Interviews with facility staff, including the Administrator and the Director of Nursing, confirmed that the care plan was not followed, leading to the resident's injury. The facility's policy required two staff members to assist with the mechanical lift, but CNA #1 proceeded alone, resulting in the accident. The facility's investigation revealed that CNA #1 had been trained on the proper use of the lift but did not adhere to the established procedures during the incident.
Failure to Follow Lift Policy Results in Resident Injury
Penalty
Summary
The facility failed to prevent an injury to a resident by not adhering to its established policies and procedures for using a full body mechanical lift. A Certified Nursing Assistant (CNA) used the lift without the required assistance of a second staff member, which resulted in the resident sustaining a head injury. The incident occurred when the CNA attempted to transfer the resident from her bed to a wheelchair alone, causing the resident to hit her head on a door, leading to a laceration that required medical attention. The resident involved in the incident was dependent on a full body mechanical lift for all transfers and had a medical history that included inflammatory polyps of the colon, end-stage renal disease, type 2 diabetes, heart failure, and cognitive communication deficit. At the time of the incident, the resident was severely cognitively impaired, as indicated by a Brief Interview for Mental Status (BIMS) score of 3. The resident was sent to the emergency room for treatment, where the laceration was closed with staples. Interviews with facility staff revealed that the CNA did not request assistance from other staff members, despite being trained and in-serviced on the requirement for two-person assistance with mechanical lifts. The CNA's written statement was inconsistent with those of other staff members, and it was confirmed that the CNA acted alone during the transfer, leading to the resident's injury.
Failure to Maintain Resident Dignity and Privacy
Penalty
Summary
The facility failed to ensure the dignity and privacy of its residents, as evidenced by several observations and interviews. Resident #5 was observed sitting in a wheelchair, dressed only in a brief, with the room door open, making him visible from the hallway. Despite attempts to close the door, the resident, who is severely cognitively impaired, would reopen it. The resident's representative confirmed that the resident would not have wanted to be seen in such a state if he were cognizant. Resident #55 was observed lying in bed without clothing or bed covers, with the door open for supervision due to his history of falls. The resident, who is also severely cognitively impaired, frequently removed any clothing or covers placed on him. The staff acknowledged this as a privacy issue, and the resident's representative expressed concern about his exposure, despite requesting the door remain open for safety reasons. Resident #228 was observed with a urinary catheter bag visible from the hallway, without a privacy cover, which is against the facility's policy. The resident, who has moderate cognitive impairment, was admitted with chronic kidney disease. The RN Nurse Supervisor confirmed that the catheter bag should have been covered to maintain the resident's dignity, highlighting a failure to adhere to the facility's policy on maintaining privacy and dignity for residents with urinary drainage bags.
Failure to Ensure Call Light Accessibility
Penalty
Summary
The facility failed to ensure that a resident's call light was within reach, which is a violation of their policy. During an observation and interview, it was noted that a resident, who was receiving oxygen via nasal cannula, attempted to go to the bathroom without assistance because she could not locate her call light. The call light was found out of reach, behind a privacy curtain on her roommate's side of the room. Interviews with staff, including an LPN and CNAs, confirmed that the call light should have been within the resident's reach, as she sometimes requires assistance to move. The resident involved was admitted with a diagnosis of Acute Pulmonary Edema and was assessed as severely cognitively impaired, requiring partial assistance for activities. The facility's policy mandates that call lights be within easy reach for residents, especially those who need help. The administrator acknowledged that all residents' call lights should be accessible at all times to ensure they can request help when needed.
Failure to Implement Comprehensive Care Plans for Nail Care
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for two residents, leading to deficiencies in their nail care. Resident #63, who has a history of Type 2 Diabetes Mellitus and bilateral below-knee amputation, was observed with long, jagged fingernails and a brown substance underneath them. Despite the care plan indicating that a CNA was responsible for nail care, the RN Supervisor confirmed that nurses should handle nail care for diabetic residents. The MDS nurse acknowledged that the care plan did not accurately reflect the need for nurses to perform the nail care, and the DON confirmed the care plan was not developed accurately. Similarly, Resident #65, who requires assistance with ADLs due to impaired balance and weakness, was found with long, jagged fingernails. The care plan indicated that a CNA should perform nail care, but this was not followed. The MDS Coordinator confirmed the care plan was not adhered to, and the DON stated that CNAs were responsible for the nail care since the resident was not diabetic. The failure to follow the care plans resulted in both residents having unmet nail care needs.
Neglect in Personal Hygiene Care for Residents
Penalty
Summary
The facility failed to provide adequate personal hygiene care for two residents, as evidenced by observations of long, jagged fingernails with a brown substance underneath. Resident #63, who has a moderate cognitive impairment and is diabetic, was observed multiple times with untrimmed and dirty nails. Despite the facility's policy that nurses are responsible for nail care for diabetic residents, both a CNA and an RN Supervisor confirmed the resident's nails were neglected, which could lead to potential skin tears and infections. Similarly, Resident #65, who is cognitively intact and requires assistance with personal care, was also observed with long, jagged fingernails. The CNA assigned to this resident acknowledged the need for nail trimming, and the RN Supervisor confirmed the neglect, noting the risk of self-inflicted scratches. The facility's policy mandates regular nail care, but this was not adhered to, resulting in the deficiency observed by surveyors.
Failure to Secure Chemicals and Lock Shower Room
Penalty
Summary
The facility failed to prevent potential accidents and hazards by not properly securing and storing chemicals in the whirlpool room. During an observation and interview, it was found that the shower room on the B-Hall had a coded lock on the door, but it was not functioning properly, allowing access without using the keyed lock. Inside the shower room, a whirlpool tub was full of water with soap suds, and an unlocked storage bin contained a can of bug spray, a spray bottle of bleach cleaner, and two large bottles of disinfectant. A Licensed Practical Nurse (LPN) confirmed that the door should be locked to prevent resident access to these chemicals. The Administrator confirmed that the shower room should always be locked and acknowledged the danger posed by the unlocked door and accessible chemicals. It was revealed that no one had reported the malfunctioning lock, indicating a lapse in communication and maintenance protocols.
Failure to Document Controlled Substance Administration
Penalty
Summary
The facility failed to ensure proper documentation and accountability of controlled substances during medication administration. During a medication pass, a registered nurse administered a Norco pain pill to a resident but did not immediately sign it out on the narcotic administration log, as required by the facility's policy. The nurse admitted to not having the narcotic logbook with her and confirmed that narcotics should be signed out at the time of administration to maintain accurate counts and accountability. Additionally, during a narcotic log reconciliation, a discrepancy was found in the count of Valium tablets for another resident. The registered nurse acknowledged administering the medication but failed to record it on the narcotic administration log. The Director of Nursing stated that the expectation was for narcotics to be signed out at the point of administration and that nurses had been trained to keep the narcotic book with them on the medication carts.
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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 Durant
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lexington Manor Senior Care, Llc | 10.6 mi | ★★★★★ | 0 | 0 |
| Attala County Nursing Center | 15.6 mi | ★★★★★ | 9 | 0 |
| Vaiden Community Living Center | 17.4 mi | ★★★★★ | 1 | 0 |
| Middleton Oaks Health And Rehabilitation | 28 mi | ★★★★★ | 4 | 0 |
| Carthage Senior Care | 31 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 July 2026) and official state health department websites.