Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Pontotoc Health & Rehab Center during CMS and state inspections, most recent first.
A resident with Cerebrovascular Disease, Tremor, and lack of coordination had an ADL self-care performance deficit, and staff did not implement the ADL care plan. Observation found visible facial hair on the upper lip and chin, and the MDS Coordinator confirmed the care plan was not implemented. The resident’s BIMS score was 14, indicating cognitive intactness.
Failure to Provide Daily Facial Grooming: A resident with cerebrovascular disease, tremor, and lack of coordination was observed with significant facial hair on the upper lip and chin, despite facility policy requiring ADL care for grooming and personal hygiene. Staff, including an LPN, CNA, and DON, confirmed that removing unwanted facial hair from female residents was part of daily ADL care unless refused, and that the resident was cognitively intact with a BIMS score of 14.
A resident with an indwelling catheter had the urinary leg bag and tubing secured incorrectly, including a Velcro strap around the ankle and later attachment to the bed’s upper positioning bar above bladder level. The DON confirmed the bag was improperly positioned and not securely anchored, and the nurse consultant stated the drainage bag must remain below the bladder with tubing properly secured.
A facility failed to implement a care plan for a resident requiring assistance with ADLs, specifically facial hair removal. Despite the care plan indicating the need for assistance, the resident was observed with facial hair, which was not removed due to a CNA being in a hurry. Interviews with the MDS/RN and DON confirmed the care plan was not fully implemented, as the resident was dependent on staff for personal hygiene tasks.
An LPN failed to instruct a resident to rinse and spit after using an inhaler, as per physician orders, during a medication administration opportunity. The resident, with mild intermittent asthma, was not reminded of the need to rinse and spit to prevent oral complications. The DON confirmed the oversight and the purpose of the instruction.
A resident with unspecified dementia, totally dependent on staff for personal hygiene, was observed with facial hair that should have been removed during bathing. The CNA admitted to overlooking this due to time constraints for a doctor's appointment. The DON confirmed the oversight, which was against the facility's ADL policy.
The facility failed to provide weekend activities for residents, as revealed during a resident council meeting. Several residents expressed dissatisfaction with the lack of organized activities on weekends, noting that they had nothing to do. The Activities Director acknowledged the deficiency, admitting that weekend activities were inconsistent and that residents had complained about the lack of things to do. The facility's Administrator confirmed the lack of weekend activities and mentioned an attempt to address the issue by adding an extra nurse, although this had not been fully implemented.
Failure to Implement ADL Care Plan
Penalty
Summary
The facility failed to implement the ADL care plan for one resident. Observation on 12/01/2025 at 10:43 AM found the resident with hair on the upper lip measuring approximately one-half inch in length and hair on the chin measuring approximately one to one and one-half inches in length. Review of the resident’s ADL care plan showed that the resident had an ADL self-care performance deficit. The resident was admitted with diagnoses including Cerebrovascular Disease, Tremor, and Unspecified Lack of Coordination, and the MDS assessment dated 11/26/25 showed a BIMS score of 14, indicating the resident was cognitively intact. During interview on 12/03/2025 at 12:15 PM, the MDS Coordinator confirmed that care plans are created as a guide for staff to ensure resident-specific care and confirmed that the ADL care plan was not implemented for the resident.
Failure to Provide Daily Facial Grooming
Penalty
Summary
The facility failed to provide ADL care to maintain personal hygiene for one resident. Facility policy stated that care and services would be provided for bathing, dressing, grooming, and oral care, and that a resident unable to carry out ADLs would receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. During observation, the resident was noted to have hair on the upper lip measuring approximately one-half inch in length and hair on the chin measuring approximately one to one and one-half inches in length. The resident was admitted with diagnoses including cerebrovascular disease, tremor, and unspecified lack of coordination. The MDS assessment showed a BIMS score of 14, indicating the resident was cognitively intact. Staff interviews confirmed that CNAs were responsible for removing facial hair from female residents as part of daily ADL care unless the resident or responsible party refused, and that the resident's family wanted her to be free from facial hair. The DON also confirmed that unwanted facial hair on female residents should be addressed on a daily basis.
Improper Catheter and Urinary Bag Positioning
Penalty
Summary
The facility failed to ensure that a urinary catheter and urinary leg bag were secured correctly and maintained below the level of the bladder for Resident #9, who was admitted with chronic kidney disease stage 3A and urinary retention and had a BIMS score of 13, indicating cognitive intactness. The facility policy titled Bladder and Bowel Habits, Urinary Incontinence and Catheter Care stated that the catheter bag must be kept below the level of the bladder. During observation, a Velcro strap was seen around the resident’s left ankle anchoring catheter tubing and a 600 cc urinary leg bag that was hanging off the lower left side of the bed with urine in it. The resident stated she had no idea why the strap was on her ankle. Later observations showed the emptied urinary leg bag attached to the upper left positioning bar, above bladder level, with no urinary tube securement device in place. On subsequent observations, the white catheter leg strap remained secured to the upper left positioning bar and the urinary leg bag continued to hang above bladder level, containing urine. The DON confirmed the bag was improperly positioned above the bladder and not securely anchored, and the nurse consultant stated the drainage bag must always be positioned below the bladder and the catheter tubing must be properly secured to ensure proper urine flow.
Failure to Implement Comprehensive Care Plan for Resident's ADL Needs
Penalty
Summary
The facility failed to implement a comprehensive care plan for a resident who required assistance with Activities of Daily Living (ADL), specifically in the area of personal hygiene. The care plan for the resident indicated a need for assistance with all ADLs, including bathing and personal hygiene tasks such as facial hair removal. However, during an observation, it was noted that the resident had visible facial hair, which had not been removed as per the care plan. This oversight was confirmed by a Certified Nurse Assistant (CNA) who admitted to not removing the facial hair during the resident's shower due to being in a hurry for a doctor's appointment. Further interviews with the Minimum Data Set/Registered Nurse (MDS/RN) and the Director of Nurses (DON) confirmed that the care plan was not fully implemented, as the resident was dependent on staff for personal hygiene tasks. The resident, who was admitted with a diagnosis of unspecified dementia, was noted to be totally dependent on staff for bathing and personal hygiene according to the Minimum Data Set (MDS) assessment. The failure to adhere to the care plan resulted in the resident not receiving the necessary assistance with facial hair removal, highlighting a deficiency in the facility's implementation of the care plan.
Failure to Follow Physician Orders for Inhaler Administration
Penalty
Summary
The facility failed to administer medication according to physician orders for one of the medication administration opportunities observed. During an observation and interview, an LPN allowed a resident to self-administer an inhaler without instructing them to rinse and spit afterward, as required by the physician's orders. The LPN admitted to not reminding the resident of the need to rinse and spit and was unaware of the purpose of this instruction, which was to prevent yeast and sores in the resident's mouth. The resident involved was admitted to the facility with medical diagnoses including mild intermittent asthma and an acute cough. The physician's order specifically required the resident to rinse their mouth with water and spit after using the BREO ELLIPTA inhaler. The Director of Nursing confirmed that the nurse did not follow the physician's orders and failed to instruct the resident appropriately, acknowledging the purpose of rinsing and spitting was to prevent oral complications.
Failure to Assist Resident with Personal Grooming
Penalty
Summary
The facility failed to provide necessary grooming assistance to a resident who was unable to perform activities of daily living independently. Specifically, the facility did not remove facial hair from a resident who was totally dependent on staff for bathing and personal hygiene. During an observation, it was noted that the resident had 6-8 white hairs on both sides of her chin, which were approximately 1/8-1/4 inch long. This observation was confirmed by a Certified Nurse Assistant (CNA) who admitted that the facial hair should have been removed during the resident's shower but was overlooked due to being in a hurry for the resident's doctor's appointment. The Director of Nurses (DON) also confirmed that the facial hair should have been removed as part of the resident's bathing routine and documented accordingly. The resident, who was admitted with a diagnosis of unspecified dementia, was recorded as being totally dependent on staff for personal hygiene according to her Minimum Data Set (MDS) assessment. The failure to remove the facial hair was a deviation from the facility's policy on activities of daily living, which mandates that residents unable to perform these activities receive necessary services to maintain grooming and personal hygiene.
Lack of Weekend Activities for Residents
Penalty
Summary
The facility failed to provide weekend activities for three of the eight residents reviewed during a resident council meeting. Residents expressed dissatisfaction with the lack of organized activities on weekends, noting that they had nothing to do. Resident #7, who is cognitively intact and serves as the resident council president, mentioned that apart from a preacher visiting on Sundays, there were no other activities. Resident #29 also expressed understanding of the Activities Director's need for personal time but wished for more weekend activities. Resident #40, who considers group activities very important, noted that while there were individual activities like coloring books and games, there were no group activities, leading to residents staying in their rooms. The Activities Director acknowledged the deficiency, admitting that weekend activities were inconsistent and that residents had complained about the lack of things to do. The Director of Nurses was aware of past complaints but was unsure if any activities were being left for weekends. The facility's Administrator confirmed the lack of weekend activities and mentioned an attempt to address the issue by adding an extra nurse, although this had not been fully implemented. The report highlights the facility's failure to meet the residents' needs for weekend activities, as outlined in their 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 Pontotoc
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pontotoc Nursing Home | 1 mi | ★★★★★ | 0 | 0 |
| Sunshine Health Care, Inc | 3 mi | ★★★★★ | 0 | 0 |
| Cedars Health Center | 14.7 mi | ★★★★★ | 5 | 1 |
| Union Co Health And Rehab Center, Inc | 17.1 mi | ★★★★★ | 1 | 0 |
| New Albany Health & Rehab Center | 19 mi | ★★★★★ | 0 | 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.