Average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Jefferson County Nursing Home during CMS and state inspections, most recent first.
A resident with new diagnoses of bipolar disorder and Major Depressive Disorder, Recurrent, Severe with Psychotic Symptoms did not receive a required significant change assessment or a new Level II PASRR submission. Staff confirmed that these steps were not completed after the mental health diagnoses, despite the resident being severely cognitively impaired.
A resident with severe cognitive impairment and a history of chronic ulcers did not receive required weekly skin evaluations as outlined in their care plan. Facility staff, including the charge nurse, acknowledged that these assessments were not completed or documented, despite physician orders and facility policy mandating weekly monitoring and documentation for skin conditions.
A resident with severe cognitive impairment and a history of chronic ulcers did not receive weekly skin assessments as required by physician orders and facility policy. The DON and an RN confirmed that assessments were either not performed or not documented, resulting in missed monitoring of skin breakdown and incomplete records of skin conditions and treatments.
A resident with severe cognitive impairment and a history of acute kidney failure did not receive timely incontinence care, resulting in prolonged exposure to soiled briefs, clothing, and wheelchair. Staff interviews confirmed that required two-hour checks and changes were not performed, and the resident remained soiled for over four hours, contrary to facility policy and expectations.
Failure to Complete Significant Change Assessment and PASRR Submission After New Mental Health Diagnoses
Penalty
Summary
The facility failed to complete a significant change assessment and submit a required Level II Preadmission Screening and Resident Review (PASRR) for one resident after the individual was diagnosed with major mental illness, specifically bipolar disorder and Major Depressive Disorder, Recurrent, Severe with Psychotic Symptoms. The resident's initial pre-admission screening did not indicate a major mental illness, and a previous Level II PASRR had only been submitted for an intellectual developmental disability. However, after the new mental health diagnoses were made, the facility did not submit a new Level II PASRR or conduct a significant change assessment as required by policy. Interviews with facility staff, including a charge RN and a social services staff member, confirmed that the significant change assessment was not completed following the new diagnoses. The staff acknowledged that this assessment should have been performed to ensure the resident received appropriate services and that staff were informed of the resident's updated needs. Record review also indicated that the resident was severely cognitively impaired at the time of the deficiency.
Failure to Implement Weekly Skin Evaluations per Care Plan
Penalty
Summary
The facility failed to implement the comprehensive care plan as developed for a resident with skin impairment related to moisture-associated skin damage. The care plan, initiated in April 2025, required staff to monitor and document weekly skin evaluations, as well as to follow physician orders for weekly skin assessments every Wednesday. However, a review of the resident's records revealed that these weekly evaluations were not completed or documented during April 2025, with at least one scheduled assessment not initialed as completed. The facility's policy mandates the development and implementation of a comprehensive, person-centered care plan with measurable objectives and time frames, which was not adhered to in this case. Interviews with facility staff, including the DON, the charge nurse, and the MDS nurse, confirmed that the weekly skin evaluations were not performed as required by the care plan. The charge nurse acknowledged her responsibility for completing the evaluations and admitted to not following the care plan. The MDS nurse emphasized that the care plan is intended to guide staff in delivering care and confirmed that the resident could not receive quality care if the care plan was not followed. The resident in question was severely cognitively impaired and had a history of chronic ulcers and atherosclerosis with ulceration, further underscoring the need for consistent skin monitoring.
Failure to Complete and Document Weekly Skin Assessments
Penalty
Summary
The facility failed to ensure that weekly skin assessments were completed and documented as ordered by the physician and in accordance with facility policy for one resident with a history of skin conditions. Facility policy required a full body skin assessment by a licensed or registered nurse upon admission, re-admission, and weekly thereafter. However, a review of the resident's records revealed that weekly skin evaluations were not completed or documented during April, despite physician orders and facility policy. The resident, who was severely cognitively impaired and had a history of chronic ulcers and atherosclerosis, developed moisture-associated skin damage to the buttocks, which was not consistently documented in the weekly skin reports. Interviews with the DON and the responsible RN confirmed that the weekly skin evaluations were either not performed or not entered into the electronic record, with the RN admitting to recording results on scratch paper and failing to transfer them to the computer. The DON stated that lack of documentation indicates the task was not completed. Observations confirmed the presence of healed and open areas on the resident's buttocks, and treatment for the open area had been initiated, but the required weekly assessments were missing from the records for the specified period.
Failure to Provide Timely Incontinence Care and Maintain Cleanliness
Penalty
Summary
Staff failed to provide timely and appropriate incontinence care for a resident who was severely cognitively impaired and dependent on staff for care. During an observation, a CNA removed the resident's brief, which was heavily soiled with amber-colored urine and emitted a strong odor. The resident's wheelchair and pants were also soaked in urine. Interviews with the CNAs revealed that the resident had not been checked or changed for over four and a half hours, despite facility policy and staff expectations to provide peri-care every two hours. One CNA admitted she had not checked the resident as required because she was busy, and both CNAs confirmed the extent of soiling. The Director of Nursing confirmed that residents should be checked and changed every two hours, or more frequently if they are heavier wetters, to maintain cleanliness and prevent infection. The resident's medical record indicated diagnoses including acute kidney failure and mild intellectual disabilities, and the most recent assessment showed severe cognitive impairment. The failure to provide timely incontinence care and maintain cleanliness placed the resident at risk for skin breakdown and urinary tract infection, as acknowledged by staff during interviews.
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What surveyors actually found near you
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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 Fayette
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Claiborne County Senior Care | 18.2 mi | ★★★★★ | 0 | 0 |
| Meadville Convalescent Home | 20.6 mi | ★★★★★ | 7 | 0 |
| Natchez Rehabilitation And Healthcare Center | 22 mi | ★★★★★ | 4 | 1 |
| Trend Health And Rehab Of Natchez, Llc | 22.3 mi | ★★★★★ | 1 | 0 |
| Grand Trace Health And Rehabilitation | 22.3 mi | ★★★★★ | 5 | 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.