Average — CMS composite of the measures below.
The next survey window likely opens around October 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 Leakesville Rehabilitation And Nursing Center, Inc during CMS and state inspections, most recent first.
A resident with hemiplegia, hemiparesis, contractures, and severe cognitive impairment was found yelling for help because the push-button call light in his room was not usable with his contracted hands. The resident stated he could not grasp the call light, and an LPN confirmed the device was not adequate because he was unable to press the button. The Administrator stated she was unaware of who determined which residents should receive alternative call lights and believed an assessment should have been completed on admission.
A resident had a PEG tube placed, but the facility did not complete a Significant Change MDS afterward. An RN confirmed the omission and said she believed two areas of decline were needed before a Significant Change assessment was required, while the Administrator stated staff were expected to follow RAI guidance for completing these assessments.
A resident had half bedrails on both sides of the bed and used them for turning and positioning, but the facility did not complete a bedrail assessment, entrapment assessment, or obtain informed consent because staff and the Administrator considered the rails to be positioning bars rather than bedrails. The resident was cognitively intact, had a lumbar compression fracture, impaired ROM, and needed max assist for turning and repositioning; staff confirmed the rails were being used for bed mobility and that no assessment had been done.
Food Storage and Labeling Deficiencies: Surveyors found multiple food safety issues in the dietary area, including opened and undated items, produce that was overly ripe or deteriorating, an exposed cut cucumber, frozen foods that were opened and not repackaged, and grape jelly stored on the shelf despite instructions to refrigerate after opening. The DM confirmed the findings and stated she was responsible for checking produce daily, while the Dietary Consultant and Administrator stated expectations that food items be dated, labeled, repackaged, and stored per policy and manufacturer instructions.
Contaminated PPE Returned to Clean Supply Bin: Four plastic-wrapped isolation gowns fell to the floor near a PPE box and were picked up by a housekeeper and placed back into the clean supply bin instead of being discarded. The housekeeper acknowledged the action, and the Administrator confirmed the expectation that contaminated PPE or other materials should be discarded immediately.
A resident's privacy was breached when a staff member posted a video on personal social media, showing the resident in the background without consent. The facility's policy prohibits such actions, emphasizing residents' rights to privacy and confidentiality. The resident, who is deaf and nonspeaking, had not given recent consent for social media postings and was unaware of the incident.
The facility experienced significant understaffing in its dietary department, leading to delayed and cold meal service for residents. The Dietary Manager often worked alone or with minimal help due to staff absences, resulting in meals being served late and cold. Residents and staff reported frequent complaints about the food temperature and timing, and the facility had several open positions for dietary staff.
The facility failed to serve meals at appetizing temperatures, affecting two residents who reported receiving cold food. Observations and interviews revealed delays in meal delivery due to understaffing and training issues in the kitchen. A test tray confirmed food temperatures were below required levels, and the Dietary Manager acknowledged the problem.
A resident was left to sleep on blood-stained sheets and in a blood-stained gown after an IV procedure, despite the facility's policy for clean linens. Staff interviews revealed a lack of communication and action to address the issue, which was only resolved the following day by an RN. The resident, who was cognitively intact, had requested clean linens but was ignored.
A facility inaccurately coded the MDS for a resident discharged to home, documenting it as a discharge to another facility. The resident, admitted with Altered Mental Status, was discharged with orders for home health and medication. The error was acknowledged by the MDS nurse and DON.
A deaf resident missed several medical appointments due to the facility's failure to provide a sign language interpreter. Despite being cognitively intact, the resident could not communicate with healthcare providers, leading to missed gastroenterology, dental, and cardiology appointments. Facility staff were unaware of their responsibility to arrange for an interpreter, assuming clinics would provide one or that the resident could use a phone app, which was not utilized.
A resident with cerebral palsy was not properly secured in a facility van, resulting in their wheelchair overturning during transport. The CNA responsible claimed the straps were secure, but upon the incident, it was found that some belts were not connected. The DON's investigation found no equipment faults and suggested the resident might have removed the straps themselves.
Call Light Not Accommodated for Resident With Contracted Hands
Penalty
Summary
The facility failed to ensure the call light system accommodated the needs and preferences of a resident with contracted hands. The resident was admitted with diagnoses including hemiplegia, hemiparesis, and contractures of both arms and legs. A skilled evaluation documented impairment on both sides with upper and lower extremity range of motion and contractures, and the quarterly MDS showed a BIMS score of 05 with severe cognitive impairment and impairment to the upper and lower extremities. During an observation, the resident was yelling for help and stated he needed a nurse. The call light in the room was a push-button type with the cord wrapped around the bed rail, and the resident stated he could not grasp it because of his contracted hands. An LPN confirmed the push-button call light was not adequate because the resident was unable to press the button. The Administrator stated she was unaware of who determined which residents should receive alternative call lights and believed an assessment should have been completed upon admission by clinical nursing staff.
Failure to Complete Significant Change MDS After PEG Tube Placement
Penalty
Summary
The facility failed to complete a Significant Change in Status MDS assessment after a resident had a PEG tube placed. The resident was admitted with a diagnosis including encounter for attention to gastrostomy, and the record showed a successful 18-French gastrostomy tube placement on 6/13/25. Review of the MDS submission data showed no Significant Change in Status MDS completed after the PEG tube placement. During interview, an RN confirmed that a Significant Change MDS was not submitted after the PEG tube placement. The RN stated that skilled MDS assessments were submitted, but a Significant Change assessment was not completed because she believed two areas of decline had to be present for it to be required. The Administrator stated her expectation was that staff follow the RAI User’s Manual guidance regarding completion of Significant Change MDS assessments.
Failure to Assess and Obtain Consent for Bedrail Use
Penalty
Summary
The facility failed to complete a bedrail assessment and obtain resident consent for the use of bedrails for one resident. The facility policy, dated 2/5/2025, stated that alternative approaches should be attempted before bedrails are used, that the resident should be assessed for entrapment risk and mobility needs, and that informed consent must be obtained before installation and use of bed rails. However, the Administrator stated the facility did not consider the rails in use to be bedrails and therefore did not complete consents or entrapment assessments, instead identifying them as positioning bars. Resident #34 was admitted on 7/15/25 with diagnoses including a wedge compression fracture of the first lumbar vertebra. The physician's order dated 07/21/25 stated the resident may have assist rail(s) for bed mobility. During observation, the resident had half bedrails on both sides of the bed and reported using them to help with turning and positioning in bed; she did not remember signing a consent form. Staff interviews confirmed she used the rails to assist with pulling herself up and turning, and RN #1 confirmed no bedrail or entrapment assessment had been completed. The admission MDS showed a BIMS score of 15, impaired range of motion on one side of both upper and lower extremities, and maximal assistance needed for turning and repositioning.
Food Storage and Labeling Deficiencies
Penalty
Summary
Food items were not dated, labeled, stored, and maintained in a sanitary manner in accordance with facility policy and manufacturer instructions. A review of the facility’s Food Receiving and Storage policy stated that foods should be received and stored in a manner that complies with safe food handling practices, and that foods stored in the refrigerator or freezer should be covered, labeled, and dated. The policy also stated that wrappers of frozen food must stay intact until thawing. During a kitchen observation with the Dietary Manager, surveyors found 1 gallon of Italian dressing in the refrigerator opened and undated. In the produce cooler, there were three overly ripe cucumbers, 1 overly ripe head of lettuce beginning to deteriorate, 1 cucumber cut in half and left exposed and unwrapped, and three green bell peppers that were overly ripe and beginning to dry. In Freezer #1, there was 1 opened, undated bag of mini corn dogs and 1 opened, undated bag of beef fried steaks that had not been repackaged. In the dry goods room, an opened container of grape jelly was stored on the shelf despite manufacturer instructions to refrigerate after opening, and a scoop was stored inside a container of cornmeal. The Dietary Manager confirmed the findings and stated she was responsible for checking produce daily.
Contaminated PPE Returned to Clean Supply Bin
Penalty
Summary
The facility failed to maintain infection prevention and control practices when isolation gowns that had fallen to the floor in the hallway were not discarded and were instead placed back into a clean PPE supply bin. The facility policy, Infection Prevention and Control Program revised 2/16/2024, states that the facility maintains an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, and that prepackaged sterile items are considered sterile until opened or damaged. On 09/25/2025 at 10:54 AM, four plastic-wrapped isolation gowns were observed lying on the floor beneath the PPE box adjacent to the conference room on F hall. At 10:56 AM, Housekeeper #1 was observed picking up the gowns from the floor and placing them back into the PPE box, and she acknowledged doing so. She stated she had been told that when an item is picked up from the floor, it should be thrown away. At 11:10 AM, the Administrator stated she was made aware that Housekeeper #1 picked up PPE from the floor and placed it back into the supply box, and confirmed her expectation that contaminated PPE or other materials should be discarded immediately.
Resident Privacy Breach on Social Media
Penalty
Summary
The facility failed to uphold a resident's right to privacy and confidentiality when a staff member posted a video on personal social media that included a resident without consent. The facility's policy, revised in February 2023, explicitly prohibits taking photographs or videos of residents without written authorization from the Administrator and forbids posting such content on social media. Despite this, a Business Office Manager (BOM) recorded a video during nursing home week featuring two staff members dancing, with a resident visible in the background. The BOM admitted to posting the video on social media, claiming she did not notice the resident in the background and was focused on the staff members. The resident involved, who was admitted to the facility in May 2022, had signed a release for activity photographs but had not given recent consent for social media postings. The resident, who communicates using a notepad due to being deaf and nonspeaking, confirmed she was unaware of any social media postings and expressed discomfort with the idea. The Administrator acknowledged the incident, stating it was accidental and against facility policy, which emphasizes residents' rights to privacy and confidentiality. The resident was cognitively intact, as indicated by a BIMS score of 15 on a recent assessment.
Staff Shortages Lead to Cold and Late Meals
Penalty
Summary
The facility failed to provide sufficient staff to ensure timely and warm meal service for residents, as observed over three of the four days of the survey. The facility's policy on dietary services staffing, revised in July 2023, mandates sufficient staff to carry out food and nutrition services, considering resident needs and facility assessments. However, observations revealed significant understaffing in the kitchen, with the Dietary Manager (DM) often working alone or with minimal assistance due to staff sickness and resignations. This resulted in delayed meal preparation and service, with meals being served late and cold. Residents and staff interviews corroborated these findings, with consistent complaints about cold food and late meal service. On multiple occasions, the DM was observed performing multiple roles, including cooking and dishwashing, due to the absence of scheduled staff. Additional help from nurses was required to complete meal preparations, yet residents still received cold meals. The facility had several vacancies for cooks and dietary aides, and the Administrator acknowledged the staffing shortage and ongoing recruitment efforts.
Failure to Serve Meals at Appetizing Temperatures
Penalty
Summary
The facility failed to provide meals at an appetizing temperature for two residents, which was identified through observations, interviews, and record reviews. Resident #32 reported that his meals were served cold daily, and during an observation, it was noted that his lunch tray was delivered late, resulting in cold food. The resident had to wait for a spoon, further delaying his meal, and he requested the food to be rewarmed. The facility's policy requires that food be served at a safe and appetizing temperature, but this was not adhered to, as confirmed by staff interviews and resident complaints. Resident #109 also complained about receiving cold food and frequently requested it to be reheated. Staff interviews revealed that the kitchen was understaffed, contributing to delays in meal delivery. A test tray observation confirmed that the food temperatures were below the required levels, and the Dietary Manager acknowledged the issue, citing staffing challenges and training of new kitchen staff as contributing factors. The Administrator confirmed awareness of the complaints and the expectation for food to be served at appropriate temperatures.
Failure to Maintain Clean Linens for Resident
Penalty
Summary
The facility failed to maintain a clean and comfortable environment for Resident #32, as evidenced by the resident having to sleep on blood-stained sheets and in a blood-stained gown following a procedure for an intravenous line. Despite the facility's policy requiring clean and good condition linens, the resident reported that his requests to have the soiled linens changed were ignored by the staff. Interviews with the staff, including a Licensed Practical Nurse (LPN) and a Certified Nurse Aide (CNA), revealed that they either did not notice the blood or failed to report it to the appropriate personnel. The issue was further confirmed by a Registered Nurse (RN) who observed the blood-stained linens the following morning and changed them. The Director of Nursing (DON) and the Administrator both expressed that they expected the staff to ensure linens were clean and not allow residents to remain in soiled conditions. Resident #32, who was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15, had been admitted to the facility with a diagnosis of Hemiplegia Following Cerebral Infarction Affecting the Left Nondominant Side.
Inaccurate MDS Coding for Resident Discharge
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for a resident who was discharged to home but was incorrectly documented as being discharged to another facility. This error was identified for one of the 17 sampled residents. The resident, who had been admitted with a diagnosis of Altered Mental Status, was discharged with a physician's order for home health and medication. However, the Discharge MDS inaccurately recorded the discharge as unplanned to an Intermediate Care Facility. Both the MDS nurse and the Director of Nursing acknowledged the coding error during interviews, confirming that the resident was indeed discharged to home.
Failure to Provide Interpreter for Deaf Resident
Penalty
Summary
The facility failed to provide a sign language interpreter for a deaf resident during clinical appointments, which led to missed medical and dental appointments. The resident, who was cognitively intact and had a diagnosis of being deaf and nonspeaking, was unable to communicate effectively with healthcare providers at these appointments. This lack of communication assistance resulted in the resident missing important medical consultations, including gastroenterology, dental, and cardiology appointments. Interviews with facility staff revealed a lack of awareness and understanding of the responsibility to provide an interpreter for the resident. The Speech Therapist indicated she could assist if informed in advance, but this was not arranged. The Director of Nursing and other staff members were unaware of the missed appointments and assumed that either the clinics would provide interpreters or that the resident could use a phone app for communication, which was not the case. The facility's failure to ensure the resident had an interpreter led to the resident's needs not being met, as evidenced by the missed appointments and the inability to proceed with necessary medical procedures, such as a tooth extraction. The facility's policy on providing communication aids was not effectively implemented, resulting in a deficiency in meeting the resident's rights and needs.
Failure to Secure Resident in Transport Van
Penalty
Summary
The facility failed to secure a resident properly during transport in the facility van, leading to an accident. The incident involved a resident with cerebral palsy who was being transported back from a doctor's appointment. The resident's wheelchair overturned in the van when the driver accelerated, causing the resident to hit his head. Interviews with the resident and staff revealed that the resident believed he was not strapped down properly, while the Certified Nursing Aide (CNA) responsible for securing the resident stated that she had checked the straps and ensured they were secure before departure. However, upon the incident, it was noted that the front right belt and seat belt were not connected. The Director of Nursing (DON) confirmed the incident and conducted an investigation, which included interviews with the CNA and the resident. The investigation found no injuries to the resident, and the maintenance check of the van's straps revealed no equipment faults. The DON and the previous Administrator did not suspect negligence, suggesting the possibility that the resident might have removed the straps himself. The resident had a Brief Interview for Mental Status (BIMS) score indicating cognitive intactness, which was considered during the investigation.
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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 Leakesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Greene County Health And Rehabilitation | 0.4 mi | ★★★★★ | 4 | 0 |
| George Regional Health & Rehab Center | 15.9 mi | ★★★★★ | 0 | 0 |
| Glen Oaks Nursing Center | 16.6 mi | ★★★★★ | 0 | 0 |
| Crowne Health Care Of Citronelle | 19.2 mi | ★★★★★ | 0 | 0 |
| Perry County Nursing Center | 26.2 mi | ★★★★★ | 6 | 0 |
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