Below 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 Plaza Community Living Center during CMS and state inspections, most recent first.
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.
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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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 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 | ★★★★★ | 15 | 6 |
| Ocean Springs Health & Rehabilitation Center | 12 mi | ★★★★★ | 11 | 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.