Below average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Noxubee County Nursing Home during CMS and state inspections, most recent first.
A resident with a documented aspiration/choking risk was not supervised while eating after ST recommended close supervision and swallow precautions. The resident choked during lunch when staff stepped away, required emergency airway intervention, and was transferred for a higher level of care. Surveyors found the care plan had not been updated to include the ST recommendations for meal supervision and swallowing precautions.
Failure to supervise a resident with swallowing precautions during meals. A resident with CVA, dysphagia, and severe cognitive impairment had ST recommendations for close supervision, small bites and sips, and upright posture while eating. Staff were aware of the resident’s choking risk and prior choking episode, but during lunch an LPN and CNAs stepped away and no one remained at the table with the resident. The resident began choking, required emergency intervention, was transferred to the hospital, and later died after being removed from the ventilator.
A dirty air conditioning unit was found in a resident's room, with mildew and food debris present on the front panel and thermostat section. Multiple staff, including an LPN, the DON, and the Maintenance Director, confirmed the presence of mildew and acknowledged the need for cleaning, noting that the unit had not been maintained according to facility policy.
A resident with multiple medical conditions reported waiting nearly three hours for incontinence care despite repeated use of the call light and direct communication with staff. The DON and Administrator confirmed that the resident's complaints were not formally documented or addressed as a grievance, contrary to facility policy requiring prompt grievance response and follow-up.
A resident with insomnia received a PRN order for Zolpidem, and although the pharmacist and provider approved a six-month extension, facility staff failed to document the required stop date in the medication orders. Both the RN/MDS and DON confirmed the omission, resulting in the absence of a mandated stop date for the psychotropic medication.
A resident with a history of acute kidney failure, heart failure, and depression, who is always incontinent and cognitively intact, was left in a soiled brief for nearly three hours despite a care plan requiring regular incontinence care and frequent assessments. The resident reported that staff did not follow through on her requests for assistance, and the RN MDS Coordinator confirmed the care plan was not implemented as written.
A resident who is always incontinent and cognitively intact was left in a soiled brief for nearly three hours, despite multiple requests for assistance using the call light. Staff acknowledged the resident's requests but did not provide timely incontinent care as required by facility policy, resulting in the resident remaining uncleaned for an extended period.
Two residents receiving anticoagulant medications were not monitored for side effects such as bleeding or bruising, as there was no policy, documentation prompt, or monitoring tool in place. Staff interviews confirmed awareness of the need for monitoring, but the absence of a system to ensure or record this placed residents at risk.
A medication card containing Lasix tablets was left unattended on top of a medication cart when an LPN walked away to assist a resident, leaving the medication unsecured and not in direct observation as required by facility policy. Both the LPN and the DON confirmed that this practice was unacceptable and posed a safety issue.
An LPN failed to use protective barriers when administering eye drops to two residents, placing medication bottles directly on unsanitized overbed tables in violation of facility policy. Both residents had physician orders for ophthalmic medications and significant medical histories. The DON confirmed this practice was an infection control issue.
Failure to Update Care Plan for Aspiration Risk
Penalty
Summary
The facility failed to timely revise and implement a comprehensive, person-centered care plan for a resident who had a documented aspiration and choking risk. Speech Therapy evaluated the resident and recommended close supervision while eating, along with cyclic ingestion techniques, small sips and bites, rate modification, general swallow precautions, and upright posture during meals. The resident’s existing care plan noted a swallowing study showing risk for choking and included meal and diet interventions, but it did not contain the Speech Therapy recommendations or any direction for close supervision during meals. At the time of the incident, the resident was served lunch and staff stepped away from the table, leaving the resident without supervision while eating. The resident began choking and was found with a panicked look, yelling for help and grabbing his chest. Staff initiated back blows and abdominal thrusts, but were unable to clear the airway. The resident was then transported to the emergency department, where he required airway intervention and was later transferred to another hospital for a higher level of care. The resident had a documented aspiration/choking risk, and the surveyor found that the care plan had not been revised after the Speech Therapy recommendation for close supervision. The MDS nurse stated that the nurse receiving recommendations or new orders is responsible for updating the care plan and verified that the resident’s care plan was not revised with the new Speech Therapy recommendations, although it should have been.
Failure to Supervise a Resident With Swallowing Precautions During Meals
Penalty
Summary
The facility failed to provide adequate supervision and assistance during meals for a resident who had a documented aspiration and choking risk. The resident had a history of cerebrovascular accident and difficulty swallowing, and Speech Therapy evaluated the resident on 4/27/26 and recommended close supervision while eating, including cyclic ingestion technique, small sips and bites, rate modification, general swallow precautions, and upright posture during meals. Speech Therapy also documented that the resident was severely cognitively impaired, with a score of 9 out of 30 on the SMMSE. The resident had already experienced a choking episode during dinner on 4/29/26, when he coughed and choked on food and then began eating again and choked again. Speech Therapy was notified of that incident and reiterated that the resident required close supervision precautions. Staff interviews later confirmed that the resident needed repetitive cues to follow swallowing recommendations and that he would take small bites when cued but then return to taking large bites because of poor short-term memory. On 5/4/26 at about 11:20 AM, staff served the resident his lunch tray and stepped away from the table. The resident was seated in a position where staff could not see his face, and no staff member was at the table with him. Moments later, he yelled for help, appeared panicked, and placed his hand on his chest while choking. Staff initiated back blows and abdominal thrusts, but were unable to clear his airway, and he was transferred to the emergency department. Hospital records showed he arrived cyanotic, unresponsive, not breathing, and without an obtainable pulse, was intubated, transferred by helicopter for a higher level of care, and later died after being removed from the ventilator.
Failure to Maintain Clean and Homelike Resident Environment Due to Dirty Air Conditioning Unit
Penalty
Summary
A deficiency was identified when a dirty air conditioning unit was observed in one of the resident rooms. The unit had a damp, black substance scattered on the plastic slats of the front panel, as well as scattered food particles and dried crumbs on the lower part of the thermostat section. These findings were confirmed during multiple observations on different days. The facility's policy on routine cleaning and disinfection requires maintaining a safe and sanitary environment to prevent infection, but this policy was not followed in this instance. Interviews with an LPN, the DON, and the Maintenance Director confirmed the presence of the black substance, which was identified as mildew, and the food debris on the air conditioning unit. Staff acknowledged that the condition of the unit could cause respiratory issues for the resident if not addressed and that the unit needed to be cleaned. The Maintenance Director stated that air conditioning units are typically cleaned three times a year and as needed, but confirmed that the unit in question had been left dirty.
Failure to Address Resident Grievance Regarding Delayed ADL Care
Penalty
Summary
The facility failed to address a resident's grievance regarding delayed response to call lights and untimely provision of Activities of Daily Living (ADL) care. The resident, who was admitted with acute kidney failure, heart failure, and depression, was observed to be visibly upset and reported having waited nearly three hours to have her soiled brief changed. She stated that she had activated her call light multiple times, staff would enter, turn off the call light after being told of her need, and then leave without providing the requested care. The resident also reported having previously discussed these concerns with the Director of Nursing (DON), who did not follow up or resolve the issue. Interviews with facility staff confirmed that the resident's complaints had not been formally documented as a grievance, nor had any follow-up been conducted to ensure resolution. The DON acknowledged awareness of the resident's complaints but admitted that no formal grievance process was initiated. The Administrator, who serves as the grievance officer, also confirmed that the complaint should have been documented and addressed as a grievance, but this was not done. Facility policy requires grievances to be documented and responded to within five working days, with immediate action for alleged violations of resident rights, but these procedures were not followed in this case.
Failure to Document Required Stop Date for PRN Psychotropic Medication
Penalty
Summary
The facility failed to ensure that an as-needed (PRN) psychotropic hypnotic medication for insomnia was limited to 14 days or to an appropriate time frame approved by the provider for one resident. Record review showed that the facility did not have a policy on stop dates for psychotropic drugs. A resident had an order for Zolpidem 5 mg PRN for insomnia, and the consultant pharmacist recommended extending the order for six months, which the physician approved. However, this approved stop date was not entered into the resident's orders by facility staff. Interviews with the RN/MDS Coordinator and the DON confirmed that PRN psychotropic medications should have a 14-day stop date or a longer period if approved by the physician. Both acknowledged that the pharmacist's recommendation and the provider's approval for a six-month extension were overlooked and not documented in the resident's orders. As a result, the required stop date for the PRN hypnotic psychotropic medication was missing for a resident admitted with a diagnosis that included insomnia.
Failure to Implement Person-Centered Incontinence Care Plan
Penalty
Summary
The facility failed to implement a person-centered care plan for incontinence care for one resident. The resident's care plan, updated on 4/9/25, specified that the resident should be kept clean and dry, with incontinence/peri-care provided after each incontinent episode and assessments every 2 to 3 hours and as needed. Despite these documented interventions, the resident reported being left in a soiled brief for almost three hours, stating that her requests for assistance were not addressed by staff. She indicated that although staff responded to her call light, they did not return to provide the necessary care. The RN MDS Coordinator confirmed that the care plan was not followed for this resident. The resident, who is always incontinent of both bowel and bladder and is cognitively intact, was admitted with diagnoses including acute kidney failure, heart failure, and depression. Facility policy requires that each resident receive optimal care as defined by their comprehensive assessment and care plan, but this was not adhered to in this instance.
Failure to Provide Timely Incontinent Care for Cognitively Intact Resident
Penalty
Summary
A deficiency occurred when a resident who is always incontinent of bowel and bladder, and is cognitively intact, was not provided timely incontinent care as required by facility policy. The policy states that incontinent residents are to be checked and changed every two hours and as needed. On the morning in question, the resident reported having been left in a soiled brief for almost three hours, despite using the call light multiple times to request assistance. Staff members entered the room, acknowledged the request, but did not provide the necessary care or ensure that another aide responded promptly. Observations confirmed that the call light was turned off without care being provided, and staff continued with other tasks. Interviews with CNAs revealed that the assigned aide did not change the resident during morning rounds because the resident did not indicate a need at that time, and other aides, though aware of the resident's request, did not provide care themselves or ensure it was completed. The DON and Administrator both confirmed that the expectation is for incontinent care to be provided at least every two hours and as needed, and acknowledged that the care provided did not meet this standard. The resident's medical record indicates diagnoses including acute kidney failure, heart failure, and depression, and confirms total incontinence, further underscoring the need for regular and timely care.
Failure to Monitor for Anticoagulant Side Effects
Penalty
Summary
The facility failed to monitor residents for side effects of anticoagulant medication use for two of five medication reviews. Specifically, there was no policy in place for anticoagulant monitoring, as confirmed by a facility letterhead signed by the Administrator. For one resident with a diagnosis of venous thrombosis and embolism, staff interviews revealed that although nurses were aware of the risks associated with anticoagulant use, there was no area in the electronic documentation system to prompt or record monitoring for bleeding or bruising. The RN/MDS and DON both confirmed that monitoring for side effects was not documented, and the DON acknowledged that this monitoring was necessary to ensure prompt evaluation and treatment of complications. For another resident with diagnoses including peripheral vascular disease and atrial fibrillation, staff interviews and record reviews showed that while nurses were expected to monitor for side effects such as bleeding or bruising, there was no documentation or monitoring tool in place to ensure this was done. The MAR confirmed that the resident received anticoagulant medication, but there was no order or documentation for monitoring side effects. Staff confirmed that the lack of monitoring placed the resident at risk, and there was no system in place to prompt or verify that monitoring occurred.
Unattended Medication Card Left on Medication Cart
Penalty
Summary
A deficiency occurred when a medication card containing Lasix tablets was left unattended on top of a medication cart during a medication pass. The LPN responsible for administering medications walked away from the cart to assist a resident in a wheelchair to her room, leaving the medication card exposed and unsecured. Facility policy requires that medications be either under the direct observation of the person administering them or locked in the medication storage area or cart at all times. During interviews, the LPN acknowledged that medications should be locked up when unattended and confirmed that she left the Lasix medication card on the cart while she was away. The Director of Nursing also confirmed that leaving medications unattended on top of the cart was unacceptable and a safety issue, as it could allow someone to access medications they were not supposed to have. These findings were based on direct observation, staff interviews, and a review of facility policy.
Failure to Use Protective Barriers During Eye Drop Administration
Penalty
Summary
During medication administration observations, a Licensed Practical Nurse (LPN) failed to utilize protective barriers as required by facility policy when administering eye drops to two residents. The LPN placed eye drop bottles directly on unsanitized overbed tables without using a clean, dry surface such as a tissue or paper towel, as specified in the facility's Administration of Eye Drops or Ointments Policy. The LPN acknowledged during interviews that not using a barrier could lead to the spread of germs and cross-contamination, and confirmed that the eye drop bottles were placed on potentially contaminated surfaces during the medication pass. The residents involved had significant medical histories, including one with cerebral palsy, ocular hypertension, and keratoconus, and another with Alzheimer's disease and major depressive disorder. Both residents had active physician orders for ophthalmic medications. The Director of Nursing confirmed that the nurses were expected to use protective barriers during medication administration and agreed that the observed practice constituted an infection control issue.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the citations issued around you in the last 12 months — including the immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Macon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aliceville Manor Nursing Home | 22.6 mi | ★★★★★ | 0 | 0 |
| Ms Care Center Of Dekalb | 24.6 mi | ★★★★★ | 0 | 0 |
| Trinity Healthcare Center | 27.6 mi | ★★★★★ | 2 | 0 |
| Winston County Nursing Home | 27.7 mi | ★★★★★ | 0 | 0 |
| Aurora Health And Rehabilitation | 28.1 mi | ★★★★★ | 12 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Noxubee County Nursing Home.
100% money-back within 48 hours.
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.