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 Mccomb Community Care Center during CMS and state inspections, most recent first.
A hospice resident with documented diagnoses including severe protein-calorie malnutrition, heart failure, and atherosclerotic heart disease was admitted as a full code, with signed consent indicating CPR should be performed in an extreme emergency and physician orders confirming full-code status. When the resident was found unresponsive without detectable vital signs, an LPN assessed the resident, noted absence of breathing and pulse, but did not initiate CPR, did not activate the emergency response system, and did not verify the resident’s code status in the chart or EMAR. Instead, the LPN contacted hospice and other parties, later stating she assumed hospice patients were DNR. The resident did not receive basic life support or emergency services and subsequently expired.
A resident with moderate cognitive impairment and COPD did not receive care plan interventions for hydration and ADL care. Staff failed to provide accessible fluids and perform nail care as required, with observations showing water was out of reach and nail hygiene was not maintained. Staff interviews confirmed inconsistent implementation of care plan interventions.
A resident dependent on staff for ADLs, with moderate cognitive impairment and COPD, was observed to have dirty fingernails with a grayish brown substance beneath them. Staff interviews confirmed that nail care was expected but had not been provided as required, resulting in a deficiency in personal hygiene care.
A resident with moderate cognitive impairment and dependent on staff for care did not have water or fluids accessible throughout the day, despite a physician's order to increase oral water intake. Observations showed water was out of reach or removed after meals, and staff interviews confirmed that hydration protocols were not consistently followed.
A facility failed to provide written notification of the bed-hold policy to a resident or their representative during a hospital transfer. The Business Office Manager did not send out bed-hold letters or document notifications, relying instead on verbal communication. The resident, who was cognitively intact and had diagnoses including Atrial Fibrillation and Heart Failure, was transferred to the hospital without the representative receiving any notification about the bed hold.
A resident with dementia and a history of falls did not have a Dycem non-slip mat in their wheelchair as required by their care plan. Despite the resident's potential for falls and ongoing physical therapy for muscle weakness, staff confirmed the absence of the mat during interviews and observations.
A resident dependent on staff for personal care did not receive timely incontinence and oral care. The resident's representative reported irregularities in brushing teeth and washing hair. Observations confirmed the resident's oily hair and the representative performing oral care. Staff interviews revealed inconsistencies, with a CNA admitting to not completing necessary ADL tasks. The resident's MDS assessment indicated dependency on staff for oral hygiene and hair care, highlighting a deficiency in care provision.
A resident with a urinary catheter received improper care from a CNA, who used incorrect cleaning techniques contrary to facility policy. The CNA admitted to using the same wipe for multiple strokes and cleaning in the wrong direction, which could lead to complications. The resident, who was cognitively intact, had a history of urinary issues. The facility's Infection Preventionist and DON confirmed the improper care and highlighted the potential risks.
A facility failed to maintain proper respiratory care for a resident by not dating oxygen tubing and neglecting to clean the oxygen concentrator filter. The resident, who had COPD and required supplemental oxygen, was observed with undated tubing and a filter with lint buildup. Staff interviews confirmed the weekly maintenance requirement, which was not adhered to, resulting in a deficiency.
A facility failed to ensure proper hand hygiene and enhanced barrier precautions during the care of a resident with an indwelling catheter. A CNA did not perform hand hygiene or wear a gown as required by facility policy, despite signage indicating the need for these precautions. The CNA admitted to the oversight, which was confirmed by the Infection Preventionist and DON. The resident had a history of urinary issues and was cognitively intact.
Failure to Initiate CPR and Verify Code Status for Full-Code Hospice Resident
Penalty
Summary
The deficiency involves the facility’s failure to provide emergency basic life support, including CPR, to a resident who was a documented full code, and to activate the emergency response system in accordance with physician orders and the resident’s advance directives. Facility policy titled “Emergency Procedure–Cardiopulmonary Resuscitation” stated that if an individual is found unresponsive and not breathing normally, a licensed staff member certified in CPR/BLS shall initiate CPR unless there is a known DNR order or obvious signs of irreversible death. The policy also directed staff to briefly assess for abnormal or absent breathing, instruct another staff member to activate the emergency response system and call 911, verify the individual’s DNR or code status, and then initiate the basic life support sequence of chest compressions, airway, and breathing. Record review showed that the resident had a “RESIDENT/FAMILY CONSENT FOR CARDIOPULMONARY RESUSCITATION” form dated and signed by the resident’s representative, indicating that CPR should be performed in case of extreme emergency. Additional documentation, including an Order Summary Report and a handwritten physician’s telephone order, confirmed a code status of “Full Code,” meaning the resident had chosen to receive CPR in the event of cardiac arrest or pulselessness. The resident had been admitted with diagnoses including severe protein-calorie malnutrition, heart failure, and atherosclerotic heart disease, was receiving hospice care, and was documented on the MDS as independent with decisions regarding tasks of daily life, with no noted memory problem. On the date of the incident at approximately 5:20 a.m., a CNA found the resident unresponsive and reported this to the nurse. LPN #1 went to the resident’s room, found the resident in bed unresponsive, attempted to obtain a pulse and blood pressure without success, and observed no rise or fall of the chest and no breath sounds. Progress notes documented that the LPN observed the resident was not breathing and was unable to obtain any vital signs, and that she notified the hospice nurse, the resident’s primary healthcare provider, the resident’s representative, the DON, and the Executive Director. There was no documentation of initiation of CPR or activation of the emergency response system. During interview, LPN #1 stated she did not “run a code” because the resident was on hospice and she assumed hospice patients were DNR. She acknowledged that she did not verify the resident’s code status in the chart or electronic record and that she accessed the binder only to obtain the hospice telephone number. The facility’s investigation confirmed that LPN #1 failed to check the resident’s code status and failed to initiate the emergency CPR procedure for a resident who was a full code, resulting in the resident not receiving CPR or emergency services and subsequently expiring at the facility.
Removal Plan
- Notify coroner, resident representative, Director of Nursing, Administrator and hospice of Resident #1's death
- Suspend Resident #1's assigned nurse pending the results of the investigation
- QA Committee to complete a root cause analysis to identify the cause of the failure to initiate CPR
- QA Committee to review Emergency Care, Resident Rights, Abuse-Neglect of Resident, Care Plans, and Comprehensive Person-Centered policies and determine whether updates are required
- Initiate nursing staff education on the Emergency Care policy prior to working until nursing staff education is achieved; do not allow nurses to work without in-servicing on the Emergency Care policy
- Provide training on Emergency Care/Code Status using a mock code with the clinical team
- Conduct post-training debriefing by the DON or Staff Development Nurse to evaluate learning
- Audit residents' medical records for accuracy of correct code status by the Medical Records Nurse
- Continue mock codes with debriefing to evaluate learning (conducted by DON, ADON or Staff Development Nurse)
- QA Committee to review results of mock code debriefings/evaluations and make recommendations/adjustments to the plan of correction as needed
- Conduct an Emergency QA Meeting with the interdisciplinary team members and the Medical Director to discuss findings and the plan of action
Failure to Implement Care Plan Interventions for Hydration and ADL Care
Penalty
Summary
The facility failed to implement care plan interventions related to activities of daily living (ADL) care and hydration for one resident with moderate cognitive impairment and a diagnosis of chronic obstructive pulmonary disease (COPD). The resident was dependent on staff for ADL care and had physician orders to increase water intake, as well as care plan interventions to encourage adequate fluid intake and assist with ADLs, including nail care and hygiene. Observations revealed that the resident did not have water, a water pitcher, or a glass within reach at multiple times throughout the day. Bottled water and a gallon of water were present in the room but were out of the resident's reach. The resident's fingernails were noted to have a thick, grayish brown substance beneath each nail, indicating a lack of proper nail care as outlined in the care plan. Interviews with staff confirmed that water and fluids were not consistently provided to the resident as required by the care plan and physician orders. The LPN acknowledged that fluids were not given during the morning and was unsure of the amount consumed by the resident. The DON and Administrator both stated the importance of following care plans and ensuring hydration, but observations and staff interviews indicated that these interventions were not consistently implemented. The failure to provide accessible fluids and perform necessary ADL care, such as nail hygiene, constituted a deficiency in meeting the resident's care needs as outlined in the care plan.
Failure to Provide Required Nail Care for Dependent Resident
Penalty
Summary
The facility failed to provide adequate activities of daily living (ADL) care, specifically nail care, for a dependent resident. According to the facility's policy, morning care should include nail care as needed. The resident in question was admitted with diagnoses including chronic obstructive pulmonary disease (COPD) and was assessed as having moderate cognitive impairment, requiring staff assistance for ADLs. On observation, the resident was found to have ten fingernails with a thick grayish brown substance beneath each nail, indicating a lack of proper nail hygiene. Further investigation included interviews with staff, who confirmed that personal hygiene, including nail care, was expected to be provided to all residents as needed. An LPN was observed removing debris from the resident's fingernails, and the resident expressed a preference for clean nails. The DON and other staff acknowledged that nail care was part of expected resident care, but the resident had not received this care as required, resulting in the deficiency.
Failure to Provide Adequate Hydration Care and Services
Penalty
Summary
The facility failed to provide adequate hydration care and services to one resident who was dependent on staff for activities of daily living and had moderate cognitive impairment. The resident had a physician's order to increase water intake by mouth, specifically eight ounces three times daily between meals. Observations revealed that the resident did not have water, a water pitcher, or a water glass within reach at multiple times throughout the day. Bottled water and a gallon of water were present in the room but were out of the resident's reach. After lunch, all fluids were removed from the room, and no water or fluids were left accessible to the resident. Interviews with facility staff, including the DON, Administrator, LPN, and CNA, confirmed that the expectation was for residents to have fresh water available at all times unless contraindicated. Staff acknowledged that water had not been provided to the resident during the morning and that the process for providing water was not consistently followed. The LPN admitted to not providing any fluids to the resident before lunch and was unsure of the amount consumed. The facility's policy required nursing assistants to provide water at the bedside, but this was not adhered to for the resident in question.
Failure to Provide Bed-Hold Notification During Hospital Transfer
Penalty
Summary
The facility failed to provide written notification of the bed-hold policy to a resident or their representative at the time of transfer to a hospital. This deficiency was identified for a resident who was transferred to the hospital and returned to the facility. The facility's administrator confirmed that there was no policy in place for notifying families about bed holds during hospital transfers, and the Business Office Manager (BOM) admitted that she did not send out bed-hold letters or document notifications in the system. The BOM stated that bed-hold information was given upon admission, and she typically called families after hospital transfers, but no written notification was provided. The resident involved was admitted to the facility with diagnoses including Atrial Fibrillation and Heart Failure and was cognitively intact, as indicated by a BIMS score of fourteen. The resident's representative reported not receiving any communication from the facility regarding the bed hold during the hospital transfer. The facility's lack of a documented policy and procedure for notifying residents or their representatives about bed holds during hospital transfers led to this deficiency.
Failure to Implement Fall Prevention Measures
Penalty
Summary
The facility failed to implement the care plan interventions for a resident with a history of falls, as outlined in the comprehensive care plan. The care plan specified the use of a Dycem non-slip mat in the resident's wheelchair to prevent falls. However, during interviews and observations, it was confirmed by both a CNA and an LPN that the Dycem mat was not present in the resident's wheelchair. This oversight occurred despite the resident having a documented potential for falls and a self-care deficit, which required such an intervention. The resident, who was admitted with diagnoses including unspecified dementia and musculoskeletal symptoms, had experienced two or more falls since admission. The resident's care plan also included skilled physical therapy sessions to address muscle weakness and difficulty walking. Despite these measures, the absence of the Dycem mat, a critical intervention to minimize fall risk, was noted during multiple observations and interviews, indicating a failure to adhere to the care plan designed to ensure the resident's safety.
Failure to Provide Timely ADL Care
Penalty
Summary
The facility failed to provide timely incontinence care and oral care for a resident who was unable to perform personal care independently. The resident's representative reported that the CNAs did not regularly brush the resident's teeth or wash her hair. Observations confirmed that the resident's hair appeared oily, and the representative was seen brushing and flossing the resident's teeth. Interviews with staff revealed inconsistencies in the provision of ADL care, with one CNA admitting to not having brushed the resident's teeth or washed her hair that day or week, despite acknowledging that these tasks should have been completed. The resident, who was admitted with diagnoses including hemiplegia and unspecified intellectual disabilities, was dependent on staff for oral hygiene, showering, and hair care, as indicated by the MDS assessment. The facility's policy required that A.M. care, including tooth cleaning and hair care, be performed daily by CNAs. However, interviews with the Unit Manager and the DON confirmed that the expected ADL care was not consistently provided, leading to the deficiency in care for the resident.
Improper Urinary Catheter Care Observed
Penalty
Summary
The facility failed to provide proper urinary catheter care for a resident, leading to potential complications. During an observation, a Certified Nursing Assistant (CNA) was seen using improper techniques while cleaning the resident's catheter. The CNA used the same area of a wipe for multiple strokes and cleaned the resident's penis from bottom to top, contrary to the facility's policy which requires using a clean wipe for each stroke and cleaning in a downward motion. This improper technique was acknowledged by the CNA during an interview, who admitted that his actions could potentially cause complications. The resident involved had a urinary catheter as per a physician's order and was cognitively intact with a Brief Interview for Mental Status (BIMS) score of fourteen. The resident's medical history included Benign Prostatic Hyperplasia with Lower Urinary Tract Symptoms, Retention of Urine, and a history of Urinary Tract Infection. The facility's Infection Preventionist and the Director of Nurses confirmed that the CNA's actions were incorrect and emphasized the risk of complications such as urinary tract infections or skin irritation due to improper cleaning techniques.
Failure to Maintain Proper Respiratory Care Procedures
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident, as evidenced by the lack of proper dating and maintenance of oxygen equipment. During an observation, it was noted that the oxygen tubing used by the resident was not dated, which is a requirement according to the facility's policy to ensure weekly changes for infection control. The Director of Nursing confirmed that the tubing should have been dated and stored in a clear plastic bag, which was also undated. Additionally, the oxygen concentrator filter was found to have a moderate amount of grey lint, indicating it had not been cleaned as required when the tubing was changed. The resident involved had been admitted to the facility with diagnoses including Chronic Obstructive Pulmonary Disease (COPD), Chronic Respiratory Failure with Hypoxia, and Dependence on Supplemental Oxygen. The resident was cognitively intact and receiving oxygen therapy as per the facility's records. Interviews with various staff members, including LPNs and the Infection Preventionist, confirmed that the oxygen tubing and filter should be changed and cleaned weekly to prevent bacterial buildup and reduce the risk of respiratory infections. However, these procedures were not followed, leading to the deficiency.
Failure to Follow Hand Hygiene and Barrier Precautions
Penalty
Summary
The facility failed to ensure proper hand hygiene and enhanced barrier precautions were followed during the care of a resident with an indwelling catheter. The facility's policies on Enhanced Barrier Precautions, Catheter Care, and Hand Washing were not adhered to by a Certified Nursing Aide (CNA) during the care of a resident. The resident, who was on Enhanced Barrier Precautions due to an indwelling urinary catheter, had signage on their door indicating the need for hand hygiene and the use of gloves and a gown during high-contact care activities. During an observation, CNA #2 entered the resident's room without performing hand hygiene and did not wear a gown as required. The CNA applied gloves before beginning perineal care but failed to remove soiled gloves before retrieving additional supplies, and did not perform hand hygiene before applying clean gloves. The CNA admitted to forgetting to wear a gown and acknowledged the failure to wash hands, which was confirmed by the Infection Preventionist and the Director of Nursing (DON). The resident involved had a history of Benign Prostatic Hyperplasia with Lower Urinary Tract Symptoms, Retention of Urine, and Urinary Tract Infection, and was cognitively intact as per their recent assessment.
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Illustrative
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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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mccomb
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Camellia Estates | 0.2 mi | ★★★★★ | 5 | 0 |
| Courtyard Health And Rehabilitation | 2.2 mi | ★★★★★ | 3 | 3 |
| Liberty Community Living Ctr | 20 mi | ★★★★★ | 10 | 0 |
| Diversicare Of Tylertown | 20.8 mi | ★★★★★ | 4 | 0 |
| Billdora Senior Care | 21.7 mi | ★★★★★ | 4 | 1 |
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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.