Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 James T Champion during CMS and state inspections, most recent first.
Call Light Left Out of Reach: A resident with dementia and severely impaired cognition was observed in bed with the call light on the floor beside the bed and not within reach. A CNA confirmed staff were trained to leave call lights within resident reach, and the DON stated the expectation was for staff to ensure the call light was within reach when leaving the room.
A resident with severely impaired cognition and diagnoses including brain degeneration and persistent mood disorder received a PRN Ativan order for air hunger or anxiety that did not include a specified duration or evidence of 14-day re-evaluation. The resident was also receiving antipsychotic, antianxiety, and antidepressant medications. An LPN reported the resident was receiving Ativan and Morphine, while the DON and NP stated they believed the 14-day PRN requirement did not apply to hospice residents.
A resident with Alzheimer's disease and severely impaired decision-making skills had a tube feeding bag in use that was not labeled with the date, time, type of feeding, or the initials of the nurse who prepared or hung it. The DON confirmed the missing information and stated the night nurse was responsible for labeling the bag so it could be changed within 24 hours of use.
Missing Oxygen Caution Signage: Oxygen caution signs were not posted outside the rooms of three residents who had active oxygen orders and oxygen concentrators in use. The DON confirmed the missing signage and stated that the signs are used to alert others that a possible combustible is present; the Administrator acknowledged the failure. The affected residents included one with a tracheostomy and continuous O2, one with Alzheimer’s disease and PRN O2, and one with esophageal cancer and continuous O2.
An LPN administered PEG tube medications to a resident on EBP without wearing an isolation gown, despite a green door indicator and staff training on PPE requirements. In a separate event, an LPN removed a full box of gloves from a clean linen cart, entered a resident’s room, and then returned the box to the clean supply area after giving nasal saline spray, even though the DON stated gloves taken into a room are considered contaminated.
A resident's dignity was compromised when a CNA refused to assist with changing clothes and getting into bed, despite the resident's care plan requiring such assistance. The CNA stated they were only there for toileting and left the resident without help. The resident, who was cognitively intact, described the CNA's behavior as dismissive and unprofessional. The facility's investigation confirmed the CNA's actions violated the resident's rights.
Call Light Left Out of Reach
Penalty
Summary
The facility failed to ensure a resident's call light was maintained within reach as a reasonable accommodation for Resident #27. During observation, the resident was lying in bed asleep, and the call light was observed on the floor beside the bed rather than within reach. Although the call light had a clip attached, it was not secured to the resident, the bed linens, or the bed, leaving it inaccessible while the resident was in bed. During a later observation and interview, the call light was again found on the floor beside the bed and out of the resident's reach, and a CNA confirmed staff were trained that call lights were to be left within resident reach. The resident's record showed diagnoses including dementia, and the quarterly MDS documented a BIMS score of 1, indicating severely impaired cognition. Facility policy stated residents would have access to a call bell/light apparatus and that nursing services would ensure it was within easy reach, and staff interviews confirmed the expectation that call lights be left within reach when exiting a resident's room.
PRN Psychotropic Order Lacked Required 14-Day Re-evaluation
Penalty
Summary
The facility failed to ensure that an as-needed (PRN) order for a psychotropic medication was limited to 14 days unless it was re-evaluated and a duration was specified for Resident #13. The resident was admitted with diagnoses including Senile Degeneration of Brain and Persistent Mood Disorder, and the Quarterly MDS showed a BIMS score of 4, indicating severely impaired cognition. Section N of the MDS documented that the resident was receiving antipsychotic, antianxiety, and antidepressant medications. A Physician Order Report showed an order for Lorazepam (Ativan) 2 mg/ml, give 0.5 ml sublingual every 3 hours PRN for air hunger or anxiety, with a start date of 8/1/25. The order did not include a specified duration or evidence of re-evaluation every 14 days. During interviews, an LPN stated the resident was receiving Ativan and Morphine and was monitored for decreased agitation and pain with Morphine and decreased agitation with Ativan. The DON stated she believed the 14-day PRN requirement did not apply to hospice residents, and the NP stated she continued Lorazepam per hospice recommendations for comfort measures and was not aware the 14-day PRN requirement applied to hospice residents.
Tube Feeding Bag Not Properly Labeled
Penalty
Summary
The facility failed to ensure a tube feeding bag was labeled with the required information, including the date, time, type of feeding, and the initials of the nurse preparing the tube feeding, for one resident reviewed for tube feeding. Resident #11 was admitted with a diagnosis of Alzheimer's Disease, and the admission MDS indicated severely impaired cognitive skills for daily decision making. The resident had a physician order for Isosource 1.5 at 20 mL/hr. During an observation of the resident and the room, the tube feeding bag in use did not contain a date, time, type of feeding, or the initials of the nurse who prepared or hung the tube feeding. The DON later reviewed the bag and confirmed that it was missing the required labeling and stated that the night nurse who changes the tube feeding bag is responsible for labeling it so the bag can be changed within 24 hours from the start of use.
Missing Oxygen Caution Signage
Penalty
Summary
The facility failed to post required cautionary signage indicating that oxygen was in use for three residents who had active oxygen orders. On 02/02/2026 at 2:17 PM, observation of the 200-hall rooms and doors showed oxygen concentrators in use in the rooms of Residents #1, #11, and #39, but no oxygen caution signs were posted on the doors. During an interview and observation at 3:09 PM, the DON confirmed that no oxygen signs were posted outside those rooms and stated that the purpose of the sign was to inform people that a possible combustible was in the room. Resident #1 was admitted with a diagnosis of tracheostomy and had an order for oxygen via trach collar at 5 L/min continuously; the resident’s BIMS score was 15, indicating intact cognition. Resident #11 was admitted with Alzheimer’s disease with late onset and had severely impaired cognitive skills for daily decision making, with an order for oxygen at 2 L via nasal cannula as needed. Resident #39 was admitted with malignant neoplasm of the esophagus, had a BIMS score of 15, and had an order for oxygen at 2 L via nasal cannula continuously. The DON stated that all nursing staff were responsible for assuring proper signage was posted on residents’ doors, and the Administrator acknowledged the failure to place oxygen signs on the three residents’ doors.
Infection Control Lapses During Medication Administration
Penalty
Summary
The facility failed to prevent the possible spread of infection during medication administration for two residents. For one resident with dysphagia who received medications via PEG tube and had enhanced barrier precautions indicated by a green door sticker, an LPN administered the medications without wearing an isolation gown. The LPN stated she believed gowns were only required for residents on contact isolation, while the RN and DON stated staff are trained and expected to wear gowns for residents identified with enhanced barrier precautions during PEG tube care. For another resident with diagnoses including allergic rhinitis and moderately impaired cognition, an LPN removed a full box of gloves from a clean linen cart, entered the resident’s room, administered nasal saline spray, and then returned the box of gloves to the clean linen cart. The LPN stated she placed the gloves back on the cart after use and did not believe they were contaminated once taken into the resident’s room. The DON stated gloves are considered contaminated once taken into a resident’s room and should not be returned to clean supply areas.
Resident's Dignity Compromised by CNA's Refusal to Assist
Penalty
Summary
The facility failed to ensure a resident's right to be treated with respect and dignity when a Certified Nurse Aide (CNA) refused to provide assistance requested by a resident. The incident involved a resident who had a physician's order for one-person assistance with transfers, dressing, and bathing to reduce fall risks. On the evening of the incident, the resident pressed the call bell to request help with changing clothes and getting into bed. CNA #2 responded but refused to assist with the requested tasks, stating that they were only there to assist with toileting. The CNA left the room without providing the necessary assistance, despite the resident's care plan indicating the need for such support. The resident, who was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15, expressed dissatisfaction with the CNA's behavior, describing it as dismissive and unprofessional. The facility's investigation confirmed the allegation, noting that the CNA's actions were supported by a preponderance of the evidence. The CNA, who was a contract worker, was removed from the schedule pending the investigation but resigned before its conclusion. The facility's policy emphasizes the importance of treating residents with respect and dignity, which was not upheld in this instance.
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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 Meridian
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Reginald P White Nursing Facility | 0.1 mi | ★★★★★ | 2 | 0 |
| Arabella Health & Wellness Of Meridian | 3.4 mi | ★★★★★ | 1 | 0 |
| Trend Health & Rehab Of Meridian Llc | 4.9 mi | ★★★★★ | 2 | 0 |
| The Oaks Rehabilitation And Healthcare Center | 5.3 mi | ★★★★★ | 4 | 0 |
| Poplar Springs Nursing Ctr, Llc | 5.5 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.