Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Nursing Home during CMS and state inspections, most recent first.
The facility did not follow established care plans for four residents, resulting in missed assistance with personal hygiene tasks such as shaving and nail care, as well as inadequate documentation and management of pressure ulcers. Observations and staff interviews confirmed that care plans for ADLs and wound care were not implemented as required, affecting both cognitively impaired and intact residents.
A resident with severe cognitive impairment returned from the hospital with a documented deep tissue injury to the left heel, but staff failed to assess, document, or implement interventions for the wound upon readmission. Subsequent body audits did not address the injury, and the wound progressed to an unstageable pressure ulcer. Later, when redness was observed on the resident's buttocks, no treatment or documentation was initiated, resulting in the development of a stage III sacral pressure ulcer.
A resident with diabetes and peripheral neuropathy used a wheelchair with torn and tattered armrests for about a month due to the facility's failure to document or address the needed repair. Despite the resident's cognitive intactness and clear discomfort, no work order was submitted, and maintenance was unaware of the issue until recently, resulting in prolonged use of unsafe equipment.
Surveyors found that three residents did not receive necessary ADL care, including nail trimming and shaving. One resident had long, jagged nails that had not been trimmed despite requests, while two others were observed with unshaven facial hair and expressed a desire to be shaved. Staff confirmed these tasks were their responsibility, but they had not been completed, and documentation was lacking.
The facility failed to submit accurate staffing data into the PBJ system for the first quarter of 2024, resulting in no RN hours recorded for four or more days and insufficient licensed nursing coverage. The issue was attributed to data entry errors by the Administrative Assistant, despite having adequate staffing levels.
Failure to Implement ADL and Pressure Ulcer Care Plans
Penalty
Summary
The facility failed to implement and follow care plans for activities of daily living (ADL) and pressure ulcer prevention and management for four residents. For one resident with severe cognitive impairment and dementia, the care plan specified assistance with personal hygiene, including shaving, but observations revealed the resident was unshaven and expressed a desire to be shaved, which was confirmed by staff interviews. Another resident with Parkinson's disease, who was cognitively intact but unable to shave independently, also had a care plan indicating assistance with shaving as desired. Observations and interviews confirmed the resident had significant facial hair and had not been shaved, with no documentation of refusal. A third resident, who was cognitively intact and had hemiplegia following a cerebrovascular accident, had a care plan requiring assistance with ADLs, including nail care. Observation showed the resident's nails were long and jagged, and the responsible nurse admitted the care plan had not been implemented. The MDS nurse confirmed that the care plan was not followed for nail care. For a fourth resident with dementia and anxiety, the facility failed to implement a pressure ulcer care plan. After returning from a hospital stay where a deep tissue injury to the left heel was documented, there was no facility documentation of the wound until eight days later. Additionally, when redness to the buttocks was observed, there was no documentation or initiation of wound care orders, despite the care plan requiring observation and documentation of skin breakdown. Staff interviews confirmed the care plan was not followed for both the heel wound and the buttocks skin concern.
Failure to Assess and Intervene for Pressure Ulcers
Penalty
Summary
The facility failed to properly assess and implement timely interventions for a resident with skin integrity concerns, resulting in the progression of a pressure injury and delayed wound healing. Upon the resident's return from the hospital, where a deep tissue injury to the left heel had been documented, there was no documentation of a skin assessment or any skin concerns. Body audits conducted in the days following readmission did not mention the left heel, and the pressure injury was not identified until eight days later, by which time it had progressed to an unstageable wound. The charge nurse confirmed that a body audit was not performed on readmission, and the DON acknowledged that no interventions were implemented to address the known skin concern at that time. Additionally, when redness was later observed on the resident's buttocks, no treatment was initiated, and the nurse who noted the redness admitted to not documenting or initiating wound care orders due to being busy. This lack of assessment and follow-through with treatment allowed both the left heel and sacral wounds to progress. The resident involved had a history of dementia with anxiety and was severely cognitively impaired at the time of the deficiency, further emphasizing the need for diligent assessment and intervention.
Failure to Repair Damaged Wheelchair Results in Prolonged Resident Discomfort
Penalty
Summary
The facility failed to address and repair a resident's wheelchair that was in disrepair, resulting in the resident using an unsafe and uncomfortable wheelchair for approximately one month. Observations revealed that the bilateral vinyl armrests of the wheelchair were torn and tattered, and the resident reported discomfort from using it. Record review showed no documentation of repair or replacement for the wheelchair in the facility's Biomed system, which is used for tracking medical equipment repairs. Staff interviews confirmed that no work order had been submitted for the wheelchair, and the maintenance worker was not aware of the issue until the day prior to the surveyor's inquiry. The resident involved was cognitively intact, as indicated by a BIMS score of 15, and had a medical history including Type 2 diabetes with peripheral neuropathy. Despite the facility's policy assigning responsibility for timely repair of medical equipment to the Biomedical-Clinical Services Department, the lack of communication and documentation resulted in the resident continuing to use the damaged wheelchair without intervention for an extended period.
Failure to Provide ADL Care: Deficiencies in Nail Care and Shaving
Penalty
Summary
Surveyors identified that the facility failed to provide adequate Activities of Daily Living (ADL) care for three residents, specifically related to personal hygiene tasks such as nail care and shaving. One resident was observed with long, jagged nails and reported not remembering the last time they were trimmed, despite expressing a desire for nail care. Both a CNA and a registered nurse confirmed the need for nail trimming, with the nurse acknowledging responsibility but stating the task had not been completed. Another resident, who required substantial assistance with personal hygiene due to severe cognitive impairment, was observed with unshaven facial hair and stated a preference to be shaved while keeping his mustache. Staff interviews confirmed that shaving should occur during bath times, but the resident remained unshaven, resulting in an untidy appearance. A third resident, diagnosed with Parkinson’s Disease and cognitively intact, was observed with significant facial hair and stated he could not shave himself but would like to be shaved. Staff interviews revealed that shaving was typically performed on shower days, but documentation showed no record of recent shaving or refusals. The MDS Coordinator confirmed that the resident had not been shaved in some time, and the CNA who usually performed this task was on leave. The facility lacked a personal hygiene policy but had a nail care policy requiring proper nail maintenance. These findings were based on direct observations, resident and staff interviews, and record reviews.
Inaccurate Staffing Data Submission in PBJ System
Penalty
Summary
The facility failed to submit accurate staffing data into the Payroll-Based Journal (PBJ) system for the first quarter of 2024. The CASPER Report 1705D for Fiscal Year Quarter 1 2024 revealed that there were no Registered Nurse (RN) hours recorded for four or more days within the quarter, and there was a failure to have licensed nursing coverage for 24 hours a day for four or more days. The facility did not have a written policy on the accurate submission of staffing data into the PBJ system, as confirmed by a document dated 4/24/24 and signed by the Administrative Assistant. Interviews with the Administrator and the Administrative Assistant revealed that the Administrative Assistant was responsible for manually entering the staffing data into the PBJ system. The Administrator stated that they could only review current PBJ data and were unable to look back on past quarters already submitted. The Administrative Assistant admitted that the triggers for low licensed nursing coverage were due to data entry errors, despite having more than the state-required number of staff working during that timeframe. The facility's Quality Assurance Performance and Improvement (QAPI) meetings did not identify any staffing issues, indicating a lack of oversight in the data entry process.
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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 Health & Rehab Center | 1 mi | ★★★★★ | 3 | 0 |
| Sunshine Health Care, Inc | 2.1 mi | ★★★★★ | 0 | 0 |
| Cedars Health Center | 13.8 mi | ★★★★★ | 5 | 1 |
| Union Co Health And Rehab Center, Inc | 16.7 mi | ★★★★★ | 1 | 0 |
| Tupelo Community Care Center | 18.4 mi | ★★★★★ | 9 | 0 |
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