Above 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 Ms Care Center Of Dekalb during CMS and state inspections, most recent first.
A resident with severe dementia and Parkinson's Disease fell and sustained injuries after a CNA attempted a transfer using a full body lift alone, contrary to the care plan requiring two-person assistance. The CNA admitted to knowing the policy but proceeded alone, resulting in the resident hitting her head and requiring emergency medical care.
A resident with severe dementia and Parkinson's Disease fell from a full body mechanical lift, sustaining a head hematoma and skin tears, due to a CNA's failure to follow the facility's policy requiring two persons for lift operation. Despite being trained and aware of the procedures, the CNA attempted the transfer alone, leading to the resident's injury. The facility had adequate staffing, and other CNAs adhered to the proper lift usage protocol.
A resident with morbid obesity, chronic pain, and unspecified dementia was found to be using a wheelchair that was too small, causing discomfort and potential skin concerns. The resident expressed the issue, and the DON confirmed the need for a properly sized wheelchair due to the resident's weight gain since admission.
The facility failed to provide a safe environment by leaving chemical disinfectants, cleaning agents, and insecticide sprays unsecured on shelves in a hallway, accessible to residents and visitors. Despite the facility's policy requiring locked storage, these chemicals were left out since the COVID-19 pandemic, posing an accident hazard.
The facility failed to monitor a resident receiving anticoagulant medication for signs of bruising and bleeding. Despite a policy requiring systematic medication management, there was no monitoring tool for staff to check for adverse outcomes. Interviews with an LPN and the ADON confirmed this deficiency. The resident had diagnoses including schizophrenia and unspecified dementia.
Failure to Follow Care Plan Leads to Resident Injury
Penalty
Summary
The facility failed to follow the care plan for a resident requiring the use of a full body lift for transfers, resulting in the resident falling and sustaining injuries. The care plan specified that two staff members were needed to assist with the lift, but a CNA attempted the transfer alone. During the transfer, the resident slipped out of the lift sling and hit her head on the floor, leading to a fall that required emergency medical attention. The resident involved in the incident was an elderly female with severe dementia and Parkinson's Disease, among other medical conditions. She was assessed to need extensive assistance with activities of daily living, including transfers using a full body lift with two-person assistance. Despite this, the CNA proceeded with the transfer alone, contrary to the care plan and facility policy. The CNA admitted to being aware of the requirement for two-person assistance and had received training on the proper use of the lift. However, she chose to perform the transfer alone, which directly led to the resident's fall and subsequent injuries, including a hematoma and skin tears. The facility's investigation confirmed that the CNA did not adhere to the established care plan, resulting in the incident.
Failure to Follow Lift Procedures Results in Resident Injury
Penalty
Summary
The facility failed to prevent an injury to a resident by not adhering to the proper procedures for using a full body mechanical lift, which required two persons to operate. The incident involved a resident with severe dementia and Parkinson's Disease, who fell from the lift while being transferred by a single Certified Nursing Assistant (CNA). The resident sustained a hematoma to the back of her head, three skin tears, and required medical care in the emergency room. The CNA involved in the incident admitted to using the lift alone, despite being trained and aware of the facility's policy requiring two people for such transfers. The CNA had been employed at the facility for several years and had attended numerous in-services on the proper use of the full body mechanical lifts. On the day of the incident, the CNA attempted to transfer the resident from a recliner to a bed without assistance, resulting in the resident slipping out of the lift sling and hitting her head on the floor. Interviews with other staff members confirmed that the facility had adequate staffing on the day of the incident, and there were no shortages that would have prevented the CNA from obtaining assistance. The facility's policy and procedures for lift usage were well-documented, and other CNAs on the unit consistently followed the protocol of using two people for transfers. The incident was determined to be a result of the CNA's failure to follow established procedures, leading to the resident's injury.
Inadequate Wheelchair Sizing for Resident
Penalty
Summary
The facility failed to provide an appropriately sized wheelchair for a resident, leading to discomfort and potential skin concerns. The resident, who was admitted with diagnoses including morbid obesity, chronic pain, and unspecified dementia, was observed sitting in a wheelchair that was too small, causing her to slouch forward and experience tightness around her hips and outer thighs. The resident expressed that the wheelchair was too small. The Director of Nursing confirmed that the wheelchair, brought in by the family at the time of admission, no longer fit the resident due to weight gain and acknowledged the need for an appropriately sized chair to ensure the resident's comfort and prevent skin issues.
Unsecured Chemicals in Hallway
Penalty
Summary
The facility failed to provide a safe environment for residents by leaving various chemical disinfectants, cleaning agents, and insecticide sprays unsecured on two hanging shelves in the B hallway. During an initial tour, surveyors observed three chemical spray bottles labeled with 'HALT Danger' on one shelf and a can of chemical crawling insecticide spray along with four other chemical sprays labeled with 'HALT Danger' on another shelf. These chemicals were accessible to anyone, including residents, which was confirmed by both a housekeeper and the Environmental Manager. The housekeeper mentioned that these chemicals had been left on the shelves since the COVID-19 pandemic, and the Environmental Manager acknowledged that the supplies were accessible to residents and visitors. The Administrator confirmed that the unsecured chemicals posed an accident hazard and should be kept locked up and away from residents and visitors. Despite the facility's policy requiring chemicals to be stored in a locked area, the chemicals were left unsecured. A review of the accident and incident log for the past year revealed no incidents related to unsecured chemicals, but the potential risk remained due to the facility's failure to adhere to its own storage policy.
Failure to Monitor Anticoagulant Medication
Penalty
Summary
The facility failed to monitor a resident receiving anticoagulant medication for signs of bruising and bleeding. The facility's policy on medication monitoring, revised on 8/13/2023, mandates a systematic approach to medication management, including monitoring for adverse consequences. However, a review of the May 2024 Physician Orders for Resident #27, who was prescribed Eliquis (a blood thinner) since 12/16/2020, revealed no monitoring tool for staff to check for bruising and bleeding. Interviews with an LPN and the ADON confirmed the absence of a monitoring system for adverse outcomes associated with blood thinners. Resident #27 was admitted on 12/16/2020 with diagnoses including schizophrenia and unspecified dementia.
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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 De Kalb
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| North Pointe Health & Rehabilitation | 23.8 mi | ★★★★★ | 0 | 0 |
| Poplar Springs Nursing Ctr, Llc | 24.3 mi | ★★★★★ | 0 | 0 |
| Noxubee County Nursing Home | 24.6 mi | ★★★★★ | 2 | 2 |
| Neshoba County Nursing Home | 24.8 mi | ★★★★★ | 10 | 1 |
| Bedford Care Center Of Marion | 25 mi | ★★★★★ | 9 | 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.