Below average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Perry County Nursing Center during CMS and state inspections, most recent first.
A cognitively intact resident with multiple sclerosis, who had an order for monthly and PRN Foley catheter changes, reported bladder spasms and catheter-related burning and requested a catheter change. An LPN was informed of the complaint but did not assess the resident or evaluate catheter output, instead contacting the hospice RN and waiting for her return. The hospice RN did not return until later that afternoon, when she changed the catheter and noted blood in the tubing, a large amount of sediment, and a 600 ml urine return. The resident confirmed the delay, and leadership (DON, Administrator, NP) stated that nursing staff were expected to promptly assess and address such catheter-related symptoms rather than waiting for hospice.
The facility failed to follow its own staffing policy and facility assessment by not designating a licensed nurse as charge nurse on all shifts. Policy required a charge nurse for each tour of duty to supervise resident care, but staffing documents and interviews showed that only the day shift had a nurse functioning as charge/TX RN, while the evening and night shifts were staffed with LPNs and aides without a designated charge nurse. The DON and Staff Development Nurse confirmed that no charge nurse was scheduled after the day shift, and that the day-shift charge nurse also performed treatments. This practice had the potential to affect all 57 residents in the facility.
Two CNAs provided incontinence care to a resident with severe cognitive impairment without ensuring privacy, leaving the resident exposed to a roommate. Despite facility policies and staff training emphasizing the importance of privacy and dignity, the staff did not use the privacy curtain, and one CNA noted the curtain did not fully close. This resulted in a violation of the resident's right to respectful and dignified care.
An LPN administered medications to a resident without referencing the MAR, instead relying on memory and a 24-hour report, despite facility policy requiring verification of physician orders and the five rights of medication administration. The resident had active orders for Warfarin and Oxycodone/Acetaminophen and was cognitively intact. Staff interviews confirmed that referencing the MAR is a required step in the medication administration process.
A resident with severe cognitive impairment and requiring extensive assistance did not receive proper personal hygiene, including shaving, and incontinence care according to facility policy. Staff were observed providing incontinence care while the resident was suspended in a sit-to-stand lift, and there was confusion among CNAs regarding responsibility for shaving and proper care procedures. The DON and Staff Development Coordinator confirmed these practices were inconsistent with accepted standards.
A resident with COPD was given an inhaled corticosteroid by an LPN, who did not instruct the resident to rinse and spit after administration as required by the medication's manufacturer. The DON confirmed that staff are expected to follow these instructions, but there was no specific facility policy for oral inhalers.
The facility did not maintain comfortable hot water temperatures in resident rooms, with multiple residents and staff reporting that water remained lukewarm despite repeated complaints to management. Observations confirmed the deficiency across all resident halls, affecting all residents, including those with cognitive and physical impairments. Maintenance checks showed consistently low water temperatures, and the issue persisted for months without corrective action.
Staff did not consistently assist a cognitively impaired resident with attending scheduled smoking breaks, resulting in missed opportunities for her to smoke as per her care plan. Additionally, several residents reported not being informed of their bathing schedules, being awakened very early for showers regardless of preference, and experiencing a lack of privacy during bathing, with staff confirming that showers were only provided during limited morning hours and privacy measures were not always followed.
A resident who did not eat chicken repeatedly received meals containing chicken despite informing CNAs of this preference. Staff failed to offer a menu alternative, and the Dietary Manager did not update the meal ticket system to reflect the resident's food preference, resulting in the resident's choices not being honored as required by facility policy.
Failure to Promptly Assess and Manage Resident’s Indwelling Catheter Discomfort
Penalty
Summary
The deficiency involves the facility’s failure to ensure appropriate assessment and timely management of an indwelling urinary catheter for a cognitively intact resident with multiple sclerosis. Facility policy stated a commitment to quality of care and required that assessment and treatment be conducted by competent, qualified individuals, and standing orders directed staff to check catheter patency and notify a provider if there was no or decreased urine output over six hours. The resident had an order for monthly and PRN catheter and bag changes. On the day in question, documentation showed urine outputs of 400 ml in the early morning and 1000 ml early afternoon. That morning, the resident reported bladder spasms and catheter-related burning and requested a catheter change. According to interviews, an LPN was informed at approximately 8:50 AM that the resident was experiencing urinary spasms and requesting a catheter change but did not assess the resident or evaluate catheter output during the shift, and the catheter was not changed by facility staff. The hospice RN reported receiving a text from the LPN at 9:42 AM asking when she would return because of the resident’s complaints, and the hospice RN did not return until mid-afternoon, at which time she changed the catheter and noted blood in the tubing and a large amount of sediment, with 600 ml of urine obtained. The resident confirmed he reported bladder spasms and discomfort early in the day and that the catheter was not changed until the hospice nurse returned later that afternoon. The DON, Administrator, and NP each confirmed in interviews that nursing staff were expected to promptly assess residents reporting bladder spasms or catheter discomfort and that such assessment and intervention should have been carried out by facility staff without waiting for hospice.
Failure to Designate a Charge Nurse on All Shifts
Penalty
Summary
The deficiency involves the facility’s failure to designate a licensed nurse to serve as charge nurse for each tour of duty, as required by its own policy and facility assessment. The facility’s written policy on Nursing Services-Staffing, revised 11/17, states that each facility will designate a nurse as a charge nurse on each tour of duty, and that this charge nurse will supervise care to promote quality of life, resident rights, and ensure care is consistent with the comprehensive care plan. The facility assessment dated 11/17/25 outlines a staffing plan that includes a charge/treatment RN on the 7:00 AM–3:00 PM shift, but lists only LPNs and aides for the 3:00 PM–11:00 PM and 11:00 PM–7:00 AM shifts, with no explicit charge nurse role identified for those shifts. A review of the monthly staff schedule for February 2026 showed that on a reviewed date there were three nurses scheduled for the 7:00 AM–3:00 PM shift, two nurses for the 3:00 PM–11:00 PM shift, and one nurse for the 11:00 PM–7:00 AM shift, with no nurse designated as charge nurse on any shift. During interviews, the Staff Development Nurse confirmed that she does not schedule a designated charge nurse after 3:00 PM and described that the 7:00 AM–3:00 PM shift has two medication nurses and one treatment nurse, while the later shifts have only LPNs without a designated charge nurse. The DON, along with the Staff Development Nurse and Administrator, further confirmed that the facility does not have a designated charge nurse for the 3:00 PM–11:00 PM or 11:00 PM–7:00 AM shifts, and that the 7:00 AM–3:00 PM charge nurse also performs treatments. This failure to designate a charge nurse for two of three shifts had the potential to affect all 57 residents in the facility.
Failure to Ensure Resident Privacy During Incontinence Care
Penalty
Summary
Staff failed to ensure a resident's right to privacy and dignity during the provision of incontinence care. Two CNAs provided care to a resident with severe cognitive impairment, including vascular dementia, without pulling the privacy curtain or that of the roommate, leaving the resident exposed in full view of the roommate who was present and facing the resident. This action was observed directly by surveyors during the care procedure. Interviews with the CNAs involved revealed that one did not consider the privacy issue at the time, while the other acknowledged awareness of the privacy requirement but noted the curtain did not fully close. The facility's policies and training materials, as well as statements from the Staff Development Coordinator and DON, confirmed that staff were instructed and expected to ensure privacy for all residents during personal care, and that the failure to do so violated the resident's right to respectful and dignified care.
Failure to Reference MAR During Medication Administration
Penalty
Summary
A deficiency occurred when a Licensed Practical Nurse (LPN) prepared and administered medications to a resident without referencing the Medication Administration Record (MAR), as required by facility policy and professional standards. During the medication pass, the LPN relied on memory and the Twenty-Four-Hour Report for new or changed physician orders, rather than verifying the physician's orders and the five rights of medication administration against the MAR. The laptop on the medication cart displayed only the resident roster, not the individual MAR, during the preparation and administration of medications. The resident involved had a history of Type 2 Diabetes Mellitus and was cognitively intact, as indicated by a Brief Interview for Mental Status (BIMS) score of 15. The resident had active physician's orders for Warfarin Sodium and Oxycodone/Acetaminophen. The LPN documented the administration of these medications in the electronic MAR, but did not reference the MAR during the actual medication pass, contrary to facility policy and training requirements. Interviews with the Staff Development Coordinator and Director of Nursing confirmed that referencing the MAR is a required step in the medication administration process.
Failure to Provide Safe and Dignified ADL and Incontinence Care
Penalty
Summary
The facility failed to provide personal hygiene and incontinence care in a safe and dignified manner for a resident who was unable to perform activities of daily living (ADLs) independently. The resident, who was bedbound, severely cognitively impaired, and required substantial to maximal assistance for toileting hygiene, showering, and dressing, was observed with a short beard and mustache on multiple occasions, indicating that shaving, a component of personal hygiene, was not performed as required. Staff interviews revealed confusion among CNAs regarding responsibility for shaving, with some believing it was solely the shower aide's duty. The shower aide reported not shaving the resident during a recent shower due to the resident's jerking movements but did not communicate this to other staff or the nurse, despite knowing that uncompleted ADL tasks should be reported for follow-up. Additionally, the facility failed to ensure incontinence care was provided according to accepted standards of practice. Two CNAs were observed providing incontinence care to the resident while he was suspended in a sit-to-stand lift, rather than in bed as required by facility policy and standard procedures. Both CNAs were unaware that incontinence care should not be performed while the resident was in the lift. The DON and Staff Development Coordinator confirmed that the sit-to-stand lift is intended for transfers only and that incontinence care should be performed in bed for residents unable to stand unassisted. These actions and inactions resulted in the resident not receiving proper personal hygiene and incontinence care in a safe and dignified manner.
Failure to Instruct Resident to Rinse Mouth After Inhaled Corticosteroid Administration
Penalty
Summary
A deficiency occurred when a resident with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) was administered Symbicort, an inhaled corticosteroid, by an LPN who failed to instruct the resident to rinse his mouth after use. The resident was cognitively intact, as indicated by a BIMS score of 14, and had a physician's order for Symbicort to be administered twice daily. During a medication pass, the LPN administered the medication but did not provide water or instruct the resident to rinse and spit, as required by the manufacturer's instructions to reduce the risk of oral infections such as thrush. The facility's policy required medications to be administered in accordance with best practices, and the manufacturer's package insert specifically advised rinsing the mouth after inhalation. The DON confirmed that staff were expected to follow these instructions, although there was no specific facility policy for oral inhalers. The failure to instruct the resident to rinse his mouth was confirmed by both observation and staff interview.
Failure to Maintain Adequate Hot Water Temperatures in Resident Rooms
Penalty
Summary
The facility failed to maintain appropriate and comfortable hot water temperatures in resident rooms across all three resident halls, affecting all 57 residents. Multiple observations revealed that the hot water in resident bathrooms and sinks only reached lukewarm temperatures, even after running for several minutes. Residents consistently reported that the water never became hot, and this issue was observed in both private and common areas, including visitor bathrooms. Staff interviews confirmed that the problem had persisted for several months, with residents and staff repeatedly notifying nursing, maintenance, and administration without resolution. Several residents, including those with vascular dementia, hemiplegia, diabetes, atrial fibrillation, and Parkinson's disease, were directly affected. These residents were cognitively intact or moderately impaired, as indicated by their BIMS scores, and reported ongoing difficulties with daily hygiene due to the lack of hot water. Resident Council members also stated they had complained multiple times to various departments, but no corrective actions had been taken. Staff, including CNAs and an LPN, corroborated that the issue was facility-wide and had been reported to upper management repeatedly. Maintenance records and interviews indicated that hot water temperatures were checked weekly, but the highest recorded temperature was only around 110°F after ten minutes, with most readings much lower. The maintenance staff confirmed that complaints had been ongoing for months and that no improvements had been made since the issue was identified. The administrator acknowledged awareness of the problem and stated that external recommendations for system upgrades had been received months prior, but no action had been taken to address the deficiency.
Failure to Honor Resident Choices for Smoking and Bathing Schedules
Penalty
Summary
The facility failed to honor residents' rights to make choices regarding daily routines, specifically in the areas of scheduled smoking breaks and bathing times. For a cognitively impaired resident with Alzheimer's disease, staff did not consistently assist or remind her to attend scheduled smoking breaks, despite her care plan indicating she was a smoker and her severe cognitive impairment. Observations and interviews revealed that while other residents were taken out for smoke breaks, this resident was left in her room and was not informed of the smoking times. Staff confirmed that reminders and assistance were not provided daily, and there were no posted smoke break times to help guide residents who might forget. Additionally, the facility did not accommodate residents' preferences regarding bathing schedules and privacy. Multiple residents reported during a Resident Council meeting that they were not informed in advance of their scheduled shower days and were often awakened as early as 5:00 AM for bathing, regardless of their preferences for later times. Staff interviews confirmed that showers were only provided between 5:00 AM and 1:00 PM due to staffing schedules, and residents who did not shower during this window would not receive a shower that day. Residents also expressed concerns about a lack of privacy during bathing, as they were sometimes bathed simultaneously with another resident in the same room without privacy curtains drawn, and were exposed while being dried and dressed in the open area of the shower room. Facility policies reviewed indicated that residents should be offered choices regarding daily routines, including smoking and bathing, and that their dignity and privacy should be maintained. However, the practices observed and reported by residents and staff did not align with these policies, resulting in residents' preferences and rights not being respected in these areas.
Failure to Honor Resident Food Preferences and Provide Menu Alternatives
Penalty
Summary
A resident with a recent admission for a left humerus fracture, who was cognitively intact as indicated by a BIMS score of 15, repeatedly communicated a food preference of not eating chicken to Certified Nurse Aides (CNAs). Despite this, the resident continued to receive meals containing chicken. On one occasion, the resident informed CNA #1 that he did not eat chicken when his meal tray included chicken and dumplings, but no alternate meal was offered, and the CNA was unaware of the available menu alternative. The facility's policies required staff to elicit and respect residents' individual food preferences and to offer substitutes of similar nutritive value when a resident refused food served. The Dietary Manager acknowledged being informed of the resident's preference several days prior but failed to update the meal ticket system accordingly. As a result, the resident's food preference was not honored, and appropriate menu alternatives were not provided as required by facility policy.
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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 Richton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bedford Care Center Of Petal | 19.5 mi | ★★★★★ | 1 | 0 |
| Hattiesburg Health & Rehab Center | 20.7 mi | ★★★★★ | 3 | 0 |
| Bedford Care Ctr-monroe Hall | 22.9 mi | ★★★★★ | 2 | 0 |
| Bedford Alzheimer's Care Center | 22.9 mi | ★★★★★ | 0 | 0 |
| Bedford Care Center Of Hattiesburg | 23.3 mi | ★★★★★ | 5 | 0 |
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