Below average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Plaza Community Living Center during CMS and state inspections, most recent first.
A facility failed to maintain a clean, comfortable, and homelike environment when dark staining and residue were observed on hallway vents and wall surfaces, and damaged wall surfaces were seen in a resident room. Interviews with a housekeeper, residents, family, the Activity Director, an LPN, the Maintenance Director, the Administrator, and a roofing contractor confirmed recurring roof leaks, barrels placed in hallways to collect water, ceiling material falling, and repeated patch repairs that did not stop water intrusion.
A resident with metabolic encephalopathy was unplanned discharged to a hospital, but the facility did not provide written transfer notification to the resident or RR and did not include the resident on the monthly Ombudsman emergency transfer log. Staff interviews confirmed the facility was not using the transfer form to document the reason for hospitalization, and the ADM acknowledged that written communication and ombudsman reporting were not completed.
MDS inaccurately coded dialysis as not received. A resident with ESRD and dependence on renal dialysis had a physician order for dialysis on Monday, Wednesday, and Friday, and records showed dialysis treatments occurred during the MDS look-back period. CNA and LPN interviews confirmed the resident received dialysis, and the MDS nurse, DON, and Administrator all acknowledged the assessment should have been coded Yes rather than No.
Failure to implement shaving care plan interventions for two residents. One resident with stroke-related deficits and severe cognitive impairment had facial hair left on her chin despite a care plan task for facial hair removal, and she stated she wanted it shaved. Another resident with hemiplegia and hemiparesis was observed dry shaving himself with a razor despite a care plan requiring staff assistance with personal hygiene, including shaving; an LPN confirmed staff were expected to shave residents and that residents were not permitted to shave themselves.
Failure to provide ADL assistance with grooming and shaving affected two residents. One resident with severe cognitive impairment and dependent personal hygiene needs had facial hair left on her chin despite documentation and staff acknowledgment that it should be removed on shower days, and the resident and her RR stated she did not want facial hair. Another cognitively intact resident with hemiplegia was observed dry shaving himself with a razor and no staff assistance, even though staff stated residents were not permitted to shave themselves and shaving was to be completed by staff.
Controlled substances were not stored as required when two of four medication carts contained removable narcotic storage boxes instead of permanently affixed compartments. An LPN on each wing confirmed the boxes could be removed, and the DON also verified the carts were not affixed. The pharmacist, Administrator, and an RN stated they were unaware the storage boxes were not permanently affixed.
QAPI failed to sustain oversight after a prior F584 citation for a homelike environment issue, and the facility was cited again for the same deficiency. Surveyors observed stained hallway vents and wall surfaces, damaged walls with exposed underlying material, and recurring roof leaks in multiple halls, along with prior findings of holes in resident room walls and leaks in the dining room and hallways.
A resident with Type 2 DM and moderately impaired cognition had two unstageable heel DTIs documented on the MDS and physician orders for treatment to both heels, but the comprehensive care plan did not include any problem, goals, or interventions related to these pressure injuries. LPNs responsible for MDS and care plan completion acknowledged the omission and stated that although they periodically audit by comparing orders to the care plan, this situation was missed. The DON reported she expected the wound care nurse to update the care plan with new wound treatment orders, while an RN stated she could update interventions but had not been trained to create a new focused care plan and was unaware it was her responsibility to add the DTI treatment orders to the care plan.
The facility failed to maintain a clean and homelike environment, with structural issues such as roof leaks in the dining room and hallways, and a hole in a resident's room. Residents confirmed persistent leaks despite previous repairs, and concerns were raised about potential animal entry through gaps. The Maintenance Director and Administrator were aware of some issues but cited budget constraints for limited repairs.
The facility failed to protect residents from physical abuse, resulting in altercations. One incident involved a resident with severe cognitive impairment and another resident with expressive aphasia, leading to scratches on the former. Another incident involved two residents with severe cognitive impairment, resulting in a hematoma for one. Both incidents occurred in unsupervised areas, highlighting a deficiency in resident protection.
The facility failed to provide adequate supervision, resulting in two separate resident-on-resident altercations. In one incident, a resident with severe cognitive impairment was punched by another resident in the dining room, leading to a physical altercation. In another incident, two residents with severe cognitive impairments engaged in a physical altercation near the smoking exit, resulting in one resident sustaining a head injury. Both incidents occurred without staff present, highlighting a lack of supervision.
The facility failed to discard expired food items and ensure proper labeling and dating of opened food in the dietary department. Additionally, a kitchen aide was observed plating food without a hair restraint on his beard, despite receiving in-service training on personal hygiene. The Dietary Manager confirmed these issues, and the Administrator emphasized the importance of adhering to guidelines for food safety.
A CNA in an LTC facility failed to follow infection control protocols by placing soiled linens on the floor and against her clothing, contrary to the facility's policy. The incident was observed in a resident's room, where a strong urine odor was present. The facility's policy requires soiled linens to be handled in a way that prevents microbial contamination, which the CNA did not initially adhere to.
The facility failed to follow its policy on reporting and investigating abuse allegations. An altercation between two residents was not thoroughly investigated, lacking comprehensive witness interviews. Additionally, a resident's abuse allegation against a CNA was not reported within the required timeframe, and the accused CNA continued to work during the investigation, contrary to policy. The administrator and DON were unaware of the requirement to report all allegations, leading to deficiencies in handling and reporting abuse allegations.
The facility failed to accurately code MDS assessments for three residents, leading to a deficiency. Bedrails used as enablers were incorrectly coded as physical restraints. An LPN acknowledged the miscoding, and both the DON and Administrator recognized the error, emphasizing the importance of accurate MDS coding for billing and data representation.
Unsafe and Unclean Environmental Conditions
Penalty
Summary
The facility failed to ensure residents’ right to reside in a clean, comfortable, and homelike environment. During observation, dark-colored staining and residue were seen on hallway vents and wall surfaces in the Northeast, North Central, and South Central hallways, and damaged wall surfaces with paint scraped away exposing the underlying wall material were observed in a resident room. The facility policy stated it would make every effort to provide a homelike environment, but the observed conditions showed ongoing environmental deterioration in multiple areas of the building. Interviews described recurring roof leaks affecting several halls over an extended period. A housekeeper reported the roof had leaked intermittently for three years and that repairs in one area were followed by leaks in another. A resident reported ceiling leaks during rain, barrels placed throughout the facility to collect water, and water entering from the floor level causing flooring to buckle. Another resident reported repeated roof leaks near nurses’ stations and dark staining on ceiling and wall surfaces for months, while a family member reported rain entering through roof leaks, barrels in hallways, and ceiling material falling to the floor. The Activity Director, an LPN, the Maintenance Director, the Administrator, and the roofing contractor all confirmed ongoing leaks, repeated patch repairs, and continued water intrusion in different locations.
Failure to Provide Written Transfer Notice and Ombudsman Notification
Penalty
Summary
The facility failed to provide written notification of transfer to the resident or the resident representative and failed to notify the ombudsman for one resident who was transferred to a short-term general hospital. The facility policy stated that residents and/or representatives are to be notified in writing, in a language and format they understand, and that the notice should include the specific reason for the transfer or discharge when an immediate transfer is required by urgent medical needs. Resident #93 was admitted with diagnoses including metabolic encephalopathy and later had an unplanned discharge with return anticipated to a short-term general hospital. The medical record contained no written transfer notification documenting the details of the hospital transfer, and the resident was not listed on the facility’s Emergency Transfer Log submitted to the Office of the State Long-Term Care Ombudsman for the month of the transfer. During interviews, the Social Services Director stated residents were not provided written transfer notifications and that staff usually called the resident representative, while the Business Office Manager confirmed there was no transfer notification with the details of the transfer. The Administrator also confirmed that written transfer notification was not being provided and that the ombudsman log for that month did not include the resident’s name.
MDS inaccurately coded dialysis as not received
Penalty
Summary
The facility failed to ensure an MDS assessment accurately reflected services received by a resident by coding dialysis as not received when the resident had received dialysis during the assessment reference period. Resident #2 was admitted with diagnoses including Type 2 Diabetes Mellitus with Diabetic Chronic Kidney Disease, End Stage Renal Disease, and dependence on renal dialysis, and had a physician's order for dialysis on Monday, Wednesday, and Friday. The CMS RAI Manual states that information used for the RAI should cover the same observation period as the MDS items and be validated for accuracy. The Significant Change In Status MDS with an ARD of 5/1/26 coded Section O0110, Item J1 (Dialysis) as No, indicating dialysis had not been received during the look-back period. However, dialysis transfer assessment forms showed the resident attended scheduled dialysis treatments on 4/22/26, 4/24/26, and 4/29/26, which fell within the assessment reference period. CNA #1 and LPN #2 both reported the resident received dialysis on Monday, Wednesday, and Friday. LPN #3, who completed MDS assessments, confirmed the resident received dialysis during the look-back period and stated the assessment should have been coded Yes. The DON and Administrator also confirmed the MDS should have been coded Yes because the resident received dialysis during the assessment period.
Failure to Implement Shaving Care Plan Interventions
Penalty
Summary
The facility failed to implement care plan interventions related to shaving for two residents. One resident was admitted with diagnoses including cerebral infarction due to embolism of the left middle cerebral artery, contracture of the right hand, and need for assistance with personal care. Her MDS showed dependent personal hygiene and severe cognitive impairment. Her care plan included bathing and facial hair removal, and the task record for June 2026 documented bathing with the intervention to remove facial hair. However, observations on 6/1/26 and 6/2/26 showed facial hair on her chin, and on 6/3/26 facial hair was still present after her scheduled bath day. The resident stated she did not want facial hair and wanted it shaved. Another resident was admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction. His MDS showed a BIMS score of 15, indicating he was cognitively intact. His care plan identified an ADL self-care performance deficit and included personal hygiene requiring substantial assistance, including shaving. During observation, he was seen dry shaving his face and head with a blue razor, with no soap, shaving cream, or water present and no staff assisting him. He stated he shaved himself because it was the only way he would get shaved and said the Activity Director had given him the razor. An LPN confirmed he was dry shaving and stated staff were expected to shave residents and residents were not permitted to shave themselves. The DON later stated staff were expected to follow the resident care plan at all times.
Failure to Provide Assistance With Grooming and Shaving
Penalty
Summary
The facility failed to provide necessary assistance with ADLs to maintain personal hygiene and grooming in accordance with resident needs and preferences by not removing facial hair for two sampled residents. The facility’s ADL Care of a Resident policy stated resident ADL care would be provided according to individualized resident needs. The deficiency was identified through observation, interview, record review, and policy review. Resident #32 was admitted with diagnoses including cerebral infarction due to embolism of the left middle cerebral artery, contracture of the right hand, and need for assistance with personal care. Her MDS showed personal hygiene, including shaving, was dependent and her BIMS score was 3, indicating severe cognitive impairment. Although the task record documented bathing with facial hair removal as an intervention, facial hair was observed on her chin on multiple occasions. The resident stated she did not want facial hair and wanted it shaved. Staff interviews confirmed facial hair should be removed on shower days, that her shower day was 6/2/26, and that the facial hair had not been removed. The resident representative also stated the resident did not want facial hair and that staff should be removing it. Resident #26 was admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction. His MDS showed a BIMS score of 15, indicating he was cognitively intact. During observation, he was seen dry shaving his face and head with a razor without soap, shaving cream, water, or staff assistance present. He stated he shaved himself because it was the only way he would get shaved and said the Activity Director had given him the razor. Staff, including an LPN, CNA, ADON, DON, and Administrator, confirmed residents were expected to be shaved by staff and were not permitted to shave themselves without assistance.
Controlled Substance Storage Not Permanently Affixed
Penalty
Summary
The facility failed to ensure Schedule II controlled substances were maintained in permanently affixed compartments when two of four medication carts contained removable narcotic storage boxes. The facility’s Medications Storage Policy and Procedure stated that Schedule II controlled medications would be maintained within a permanently affixed compartment, but the observed narcotic storage boxes in the medication carts could be removed from the carts. During observation and interview, one medication cart on the south wing and one medication cart on the north wing each contained a narcotic storage box that was not permanently affixed within the medication cart drawer. An LPN on each wing confirmed the boxes were not affixed and could be removed. The DON also confirmed that two of the four medication carts contained narcotic storage boxes that were not permanently affixed. The pharmacist stated he completed monthly pharmacy visits and random controlled substance reconciliations, but was unaware the narcotic storage boxes were not permanently affixed within the medication carts. The Administrator and an RN also stated they were unaware the boxes were not permanently affixed.
QAPI Failed to Prevent Repeat Homelike Environment Deficiency
Penalty
Summary
The facility's QAPI Committee failed to sustain corrective actions after a prior citation for F584, Safe/Clean/Comfortable/Homelike Environment, was issued during the previous recertification survey. The facility was cited again for the same deficiency during the current survey, showing that ongoing monitoring and oversight did not prevent recurrence of the environmental concerns identified previously. Surveyors found that the facility did not ensure residents' right to a clean, comfortable, and homelike environment. Observations and interviews identified dark-colored staining and residue on hallway vents and wall surfaces, damaged wall surfaces with paint scraped away exposing underlying wall material, and recurring roof leaks affecting three of six halls, specifically the Northeast, North Central, and South Central halls. The prior survey had also identified resident rooms with holes in the walls and leaks in the ceilings in the dining room and hallways.
Failure to Care Plan for Pressure Injuries and Treatment Orders
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident with pressure injuries. The facility’s undated Care Plan Policy and Procedure stated that each resident’s care plan would remain current and inform staff of needs, strengths, goals, and approaches, and that a comprehensive person-centered care plan would be completed as needed. Record review showed that the resident was admitted with Type 2 Diabetes Mellitus with ketoacidosis without coma and, per the Discharge MDS with an ARD of 1/19/26, had a BIMS score of 12 indicating moderately impaired cognition. Section M of the MDS documented two unstageable pressure injuries presenting as deep tissue injuries (DTIs). Physician orders dated 12/10/25 directed treatment to right and left DTI pressure ulcers. Despite these documented DTIs and treatment orders, review of the resident’s comprehensive care plan revealed no care plan addressing the DTIs on the left and right heels, which was inconsistent with the physician orders. During interviews, two LPNs responsible for MDS and care plan completion confirmed that the care plan did not include the DTIs and stated that care plans are developed based on the MDS and physician orders, and that audits comparing orders to care plans are done periodically but this had been missed. The DON stated her expectation that the wound care nurse update the care plan with new wound care treatment orders. An RN reported she could update care plan interventions but had not been trained to develop a new focused care plan and had not added the physician’s DTI treatment orders to the care plan, and she was not aware it was her responsibility to do so.
Facility Fails to Maintain Homelike Environment Due to Structural Issues
Penalty
Summary
The facility failed to ensure a clean, sanitary, and homelike environment for its residents, as evidenced by multiple structural deficiencies observed during the survey. On the first day of the survey, water was observed dripping from the roof in the main dining room, creating a large puddle on the floor. Additionally, a hole the size of a large ball was noted in the sheetrock of a resident's room, filled with pieces of cardboard. Interviews with residents confirmed that leaks occurred in various parts of the facility, particularly in the hallways near the nurses' station on both the north and south wings, and that staff typically placed barrels to catch the water. Residents expressed frustration over the persistent leaks despite previous repair attempts. Further observations revealed a large open area around a wall-mounted air conditioning unit in another resident's room, allowing visibility to the outside. This raised concerns about potential animal entry, as expressed by a resident. Interviews with the Maintenance Director and the Administrator confirmed awareness of the roof leaks in the north and south halls, but they were unaware of the dining room leak. The Maintenance Director acknowledged that patches and silicone coatings had been applied to the roof, but the flat design caused water to shift to other areas. The Administrator noted that repairs were limited to specific areas due to budget constraints.
Failure to Protect Residents from Physical Abuse
Penalty
Summary
The facility failed to protect residents from physical abuse, resulting in altercations between residents. In one incident, Resident #62, who has severe cognitive impairment, was involved in an altercation with Resident #48, who is cognitively intact but has expressive aphasia. The altercation occurred in the dining room when Resident #62 attempted to place a clothing protector on Resident #48, leading to Resident #48 punching Resident #62. This resulted in both residents falling to the floor, with Resident #62 sustaining scratches to his face and neck. The incident was witnessed by a dietary aide, who reported it to the nursing staff. Another incident involved Resident #41, who has severe cognitive impairment, and Resident #78, who also has severe cognitive impairment. This altercation occurred in the hallway near the main dining room, where several residents were unsupervised. Resident #78 was observed hitting Resident #41 with her walker, causing Resident #41 to fall and sustain a hematoma to the back of her head. Resident #41 was subsequently sent to the emergency room for evaluation. Resident #78 denied hitting Resident #41 and reported no injuries. The facility's failure to provide adequate supervision and prevent these altercations highlights a deficiency in protecting residents from abuse. The incidents occurred in areas where residents were left unsupervised, allowing for physical altercations to take place. The lack of staff presence in the dining room and hallway contributed to the inability to prevent or quickly intervene in these situations, resulting in injuries to the residents involved.
Lack of Supervision Leads to Resident Altercations
Penalty
Summary
The facility failed to provide adequate supervision to prevent resident-on-resident altercations, resulting in two separate incidents involving four residents. In the first incident, Resident #62, who has severe cognitive impairment, was involved in an altercation with Resident #48, who is cognitively intact, in the dining room. Resident #62 was assisting with handing out clothing protectors when Resident #48 punched him, leading to a physical altercation where both residents fell to the floor. The incident was witnessed by a dietary aide from the kitchen window, who reported that no staff were present in the dining room at the time. This lack of supervision allowed the altercation to occur, resulting in Resident #62 sustaining scratches to his face and neck. In the second incident, Resident #41, who has severe cognitive impairment, and Resident #78, also with severe cognitive impairment, were involved in an altercation near the exit door for smoking. The altercation began with verbal insults and escalated to physical violence, with Resident #78 pushing Resident #41 with her wheelchair, causing Resident #41 to fall and hit her head. No staff were present at the time of the incident, and the altercation was only stopped when staff intervened after the fact. Resident #41 sustained a hematoma to the back of her head and required evaluation at a local emergency room. The absence of staff supervision in both incidents directly contributed to the altercations and subsequent injuries.
Deficiencies in Food Storage and Personal Hygiene in Dietary Department
Penalty
Summary
The facility failed to adhere to its policies regarding food storage and personal hygiene in the dietary department. During an observation, expired food items, including a container of mayonnaise and a bag of shredded lettuce, were found in the refrigerator. Additionally, several opened, exposed, and unlabeled food items were discovered in the freezer, such as a pie shell, corn on the cob, biscuits, and cinnamon rolls. The Dietary Manager confirmed these findings and acknowledged that reminders had been given to the kitchen staff about labeling and dating opened food items. Furthermore, a kitchen aide was observed plating food without wearing a hair restraint on his beard, contrary to the facility's personal hygiene policy. Despite receiving in-service training on hair restraints, the kitchen aide did not comply with the requirement while preparing food. The Dietary Manager and the Registered Dietitian both confirmed that in-service training sessions had been conducted, covering topics such as labeling, dating, and wearing hair restraints. The Administrator was aware of these deficiencies and emphasized the importance of following guidelines to ensure food safety and appeal.
Improper Handling of Soiled Linens by CNA
Penalty
Summary
The facility failed to prevent the possible spread of infection when a Certified Nurse Aide (CNA) improperly handled soiled linens in a resident's room. During an observation, soiled linens were found placed on the floor beside the bed in Room S7, emitting a strong urine odor. The CNA acknowledged that the linens should not have been placed on the floor and admitted to knowing better. Despite this, she picked up the soiled linens and placed them directly against her clothing before putting them on the bare mattress of the resident's bed. The CNA later retrieved a plastic bag to properly dispose of the linens, but her initial actions were contrary to the facility's infection control policy. The facility's policy, dated October 22, 2008, requires that soiled laundry and bedding be handled in a manner that prevents microbial contamination. Interviews with the Registered Nurse (RN) and the Director of Nursing (DON) confirmed that staff are expected to use bags to transport soiled linens and avoid placing them on the floor or against their bodies. The DON emphasized that staff are educated to follow these guidelines to prevent infections, highlighting a lapse in adherence to established protocols by the CNA involved.
Failure to Report and Investigate Abuse Allegations
Penalty
Summary
The facility failed to implement its policy on abuse, neglect, exploitation, or misappropriation reporting and investigation. An incident involving an altercation between two residents in the dining room was not thoroughly investigated. The investigation lacked comprehensive interviews with all potential witnesses, including those who separated the residents and other residents who may have witnessed the altercation. The facility's policy required thorough documentation and interviews, which were not fully conducted, leading to an incomplete investigation. In another incident, a resident reported an allegation of abuse by a CNA, which was not reported in a timely manner as per the facility's policy. The resident alleged that the CNA refused to assist her back to bed and handled her roughly, causing distress. The allegation was not reported to the appropriate authorities within the required two-hour timeframe, and the accused CNA continued to work during the investigation, contrary to the facility's policy that mandates suspension of the accused staff member pending investigation. The facility's failure to adhere to its own policies resulted in deficiencies in handling and reporting allegations of abuse. The administrator and DON were unaware of the requirement to report all allegations, regardless of substantiation, and did not suspend the accused CNA as required. This oversight led to a delay in addressing the resident's complaint and a lack of compliance with regulatory requirements for reporting and investigating abuse allegations.
MDS Coding Error: Bedrails Misclassified as Restraints
Penalty
Summary
The facility failed to accurately code Minimum Data Set (MDS) assessments for three residents, leading to a deficiency. The issue arose when bedrails used as enablers were incorrectly coded as physical restraints on the MDS. Resident #14, admitted with diagnoses including Epilepsy and Hemiplegia, had bedrails for safety and comfort, which were used as enablers to promote independence. Similarly, Resident #73, with a BIMS score indicating cognitive intactness, and Resident #43, with moderate cognitive impairment, both had bedrails used as enablers, yet their MDS assessments incorrectly indicated the use of physical restraints. The deficiency was identified through observations, staff interviews, and record reviews. The facility lacked a policy addressing MDS discrepancies, and the Licensed Practical Nurse (LPN) responsible for MDS accuracy acknowledged the miscoding. The Director of Nursing (DON) and the Administrator also recognized the error, emphasizing the importance of accurate MDS coding for billing and data representation. The MDS nurse was expected to verify information before submission, but the miscoding of bedrails as physical restraints was not corrected prior to the survey.
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Illustrative
What surveyors actually found near you
We read the 32 citations issued within 25 miles in the last 12 months — including the 5 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Pascagoula
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Singing River Skilled Nursing Facility | 0.2 mi | ★★★★★ | 0 | 0 |
| Diversicare Of Moss Point | 1.1 mi | ★★★★★ | 12 | 0 |
| River Chase Village | 7.6 mi | ★★★★★ | 0 | 0 |
| Sunplex Sub-acute Center | 11.4 mi | ★★★★★ | 14 | 5 |
| Ocean Springs Health & Rehabilitation Center | 12 mi | ★★★★★ | 2 | 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 August 2026) and official state health department websites.