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 Natchez Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple medical conditions was repeatedly observed in soiled clothing and a malodorous state, with urine and feces present on both the resident and bedding. Despite requiring supervision and reminders for hygiene and incontinence care, staff did not implement or attempt additional interventions to address the resident's refusals or behaviors, resulting in ongoing issues with personal hygiene and cleanliness.
Two residents were not reasonably accommodated for meal preference communication. A resident with macular degeneration and another resident with generalized weakness and fibromyalgia reported they could not access menu options in their room, had no posted menu available, and had not been asked for preferences in months. The assigned BOM/Neighbor confirmed she had not collected menu choices during her visits, despite facility policy stating department heads were responsible for informing residents of daily menu options and gathering preferences.
A resident receiving O2 therapy was observed with the nasal cannula under the chin instead of in place, and no oxygen-in-use sign was posted outside the room. The resident had severe cognitive impairment and was ordered O2 at 2 L/min via nasal cannula every shift; staff stated the resident was often noncompliant with wearing the cannula, and the DON and Administrator acknowledged the importance of oxygen signage.
The facility failed to accurately report staffing hours in their PBJ submission to CMS for the first quarter of the 2024 fiscal year, resulting in a deficiency finding for low weekend staffing. The HR Generalist, new to the role, did not submit additional staffing hours to the corporate office, leading to an inaccurate reflection of staffing levels.
The facility failed to provide an ongoing weekend activity program, affecting two residents who expressed dissatisfaction with the lack of engaging activities. One resident, cognitively intact, noted the inconsistency of weekday activities and the absence of Sunday services. Another resident, with moderate cognitive impairment, expressed boredom and a desire for more engaging activities. The Activity Director does not work weekends, and no other staff is assigned to conduct activities, leaving residents with limited options like puzzles and coloring sheets.
Failure to Provide Resident-Centered Hygiene Care for Cognitively Impaired Resident
Penalty
Summary
The facility failed to identify and provide needed resident-centered care for a resident with severe cognitive impairment and multiple medical diagnoses, including diabetes, schizophrenia, peripheral vascular disease, and a malignant neoplasm of the prostate. The resident was admitted with a history of declining cognition and, at the time of the deficiency, had a BIMS score indicating severely impaired cognition. Observations and interviews revealed that the resident was frequently found with wet and soiled clothing, a malodorous smell, and evidence of urine and feces on his person and in his room. The resident had a colostomy bag, was incontinent of bladder, and wore incontinence briefs, but insisted on changing them himself. Staff reported that the resident often refused care, including bathing and hygiene assistance, and that no interventions or incentives had been attempted to address his refusals or behaviors such as picking at his colostomy bag, which led to leakage. Despite the resident's inability to consistently perform activities of daily living and maintain personal hygiene, the facility did not implement or attempt additional interventions to ensure his needs were met. Staff confirmed that the resident required supervision, reminders, and encouragement for self-care, but care was only provided upon request or when the resident agreed, with no proactive strategies in place. The facility's lack of action resulted in repeated observations of the resident in soiled clothing, with wet spots on furniture and bedding, and a persistent foul odor in his room and on his person.
Failure to Accommodate Resident Meal Preference Communication Needs
Penalty
Summary
The facility failed to reasonably accommodate the food preference communication needs of two residents in a shared room. Facility policy stated that residents have the right to self-determination and communication with access to services, and that residents are encouraged and assisted in the exercise of those rights. The Social Services Director stated that department heads assigned as “Neighbors” were responsible for visiting residents daily before the morning meeting, informing them of menu options, and collecting meal preferences, especially for residents who did not or could not leave their rooms. However, during observation, no food menus were posted or visibly available in the room shared by the two residents, and the assigned Neighbor’s photo was the only visible identification noted. One resident had diagnoses including macular degeneration, bilateral, and muscle weakness, and had a BIMS score of 15, indicating cognitive intactness. She stated she usually remained in her room except to smoke, was unaware of the daily menu, could not see posted menus because of her eye condition, and needed either a large-print menu or someone to read it aloud. She also said staff had not come around to ask for her food preferences in months and that she was unaware of having a designated Neighbor. The other resident had diagnoses including generalized muscle weakness and fibromyalgia, with a BIMS score of 8 indicating moderate cognitive impairment. She stated she could not leave her room without staff assistance, frequently sent trays back because the food did not match her preferences, wanted to know meal options before trays were delivered, and reported that no menu was available in her room and that no one had recently come to help show residents the menu. The BOM, who was assigned as Neighbor for both residents, confirmed she had not entered the room on the survey date and had not discussed or collected menu choices during her visits.
Oxygen Therapy Not Properly Administered or Posted
Penalty
Summary
Safe and appropriate respiratory care was not provided for one resident receiving oxygen therapy. Resident #48, who had diagnoses including morbid obesity with alveolar hypoventilation and unspecified anxiety disorder and a BIMS score of 3 indicating severely impaired cognition, was ordered oxygen at 2 liters per minute via nasal cannula every shift. During observation, the resident was lying in bed, alert and talkative, but the nasal cannula was under the resident’s chin and not properly in use while oxygen was in progress. The facility also failed to post oxygen signage outside the resident’s room to indicate oxygen was in use. The facility policy stated that no smoking/oxygen in use signs shall be visible where oxygen is stored or administered. The DON was brought to the room and confirmed the absence of the sign, and an oxygen precaution sign was then placed on the door. Staff interviews confirmed the resident was often noncompliant with keeping the cannula in place and that staff frequently checked to ensure it was worn appropriately, and the Administrator and DON acknowledged the importance of oxygen signage for fire safety and staff awareness.
Inaccurate PBJ Submission Due to Unreported Staffing Hours
Penalty
Summary
The facility failed to ensure that their Payroll Based Journal (PBJ) data was corrected before submission to the Centers for Medicare and Medicaid Services (CMS) for the first quarter of the 2024 fiscal year. The report indicates that the facility triggered excessively low weekend staffing levels during this period. The Director of Nurses (DON) is responsible for creating monthly schedules for Certified Nurse Aides (CNAs) and nurses, with staffing levels varying across different shifts. Despite having a staffing grid and working schedule that indicated sufficient staffing, the facility's PBJ submission did not accurately reflect the additional staffing hours worked, particularly on weekends. The issue arose because the HR Generalist, who was new to the role, was unaware of the requirement to submit documentation of additional staffing hours to the corporate office. This documentation was necessary to adjust the reported hours before the corporate office submitted the PBJ to CMS. The Administrator and HR Generalist confirmed that the facility failed to report these additional hours, which would have been added by the corporate office to the system prior to submission. As a result, the PBJ inaccurately reflected low weekend staffing, leading to the deficiency finding.
Lack of Weekend Activities for Residents
Penalty
Summary
The facility failed to provide an ongoing weekend activity program to support residents in their choice of activities, affecting two of the seventeen sampled residents. The facility's policy on activities, dated 2001, requires that activities reflect the schedule, choices, and rights of the residents, and be offered at convenient hours, including weekends. However, during a resident council meeting, several residents expressed disappointment that the facility was not providing group activities on weekends, and they felt belittled by the provision of coloring books and puzzles, which they considered children's activities. Resident #18, who was admitted with diagnoses including malignant neoplasm and osteoporosis, was cognitively intact with a BIMS score of 15. She expressed that activities on weekdays were inconsistent and that there had been no Sunday services for several weeks, despite being listed on the calendar. She and others had repeatedly communicated to the Activities Director their offense at the childish activities provided. Resident #47, with moderate cognitive impairment and a BIMS score of 10, also expressed boredom on weekends and a desire for more engaging activities. He was observed alone in the activity area with no church services being held, although they were scheduled. The Activity Director confirmed that she does not work on weekends and no other staff is assigned to conduct activities during that time. A CNA corroborated that no activities are performed by nurses or CNAs on weekends. The Administrator acknowledged the importance of activities for residents but could not confirm when the Activities Director last reassessed the residents' preferences. The activity calendar for June showed limited activities on weekends, with only independent activities and puzzles or coloring sheets available.
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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 Natchez
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grand Trace Health And Rehabilitation | 1.1 mi | ★★★★★ | 5 | 0 |
| Trend Health And Rehab Of Natchez, Llc | 1.3 mi | ★★★★★ | 1 | 0 |
| Camelot Leisure Living | 11.6 mi | ★★★★★ | 11 | 0 |
| Jefferson County Nursing Home | 22 mi | ★★★★★ | 0 | 0 |
| The Columns Rehabilitation And Healthcare Center | 26.7 mi | ★★★★★ | 1 | 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.