Below 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 Poplar Springs Nursing Ctr, Llc during CMS and state inspections, most recent first.
A resident's privacy was compromised when personal care instructions were posted on the outside of their door and next to their bed, detailing their care schedule. Multiple staff, including an LPN, Social Services Director, DON, and Administrator, acknowledged this as a violation of privacy. The resident had spastic quadriplegic cerebral palsy and intact cognition. Facility policy requires privacy and confidentiality, which was not maintained in this instance.
A resident with a history of Parkinson's Disease and Schizophrenia, who was confirmed by staff to be blind and observed bumping into objects, was inaccurately documented as having adequate vision on the MDS assessment. Despite staff awareness and supporting documentation of the resident's blindness, the MDS and care plan did not reflect the true vision status.
A resident with blindness was not provided with a comprehensive care plan addressing their visual impairment, despite staff awareness and facility policy requirements. Observations showed the resident bumping into objects and needing assistance, but the care plan and MDS did not reflect the resident's blindness.
A resident with Parkinson's Disease and Schizophrenia, who was blind, was not properly identified, assessed, or provided with care planning for his visual impairment. Staff and the DON were aware of his blindness and observed him bumping into walls and requiring assistance, but facility records did not reflect any formal assessment or interventions for his vision, contrary to facility policy.
A significant medication error occurred when a nurse incorrectly transcribed and administered Lasix at twice the prescribed daily dose for a resident with severe cognitive impairment and heart disease. The error resulted from a miscommunication of the order, which was sent via encrypted text and entered into the system without proper verification.
The facility failed to properly store food and maintain food quality, as observed by the presence of spoiled tomatoes with white biological growth in a refrigerator and open bottles of dry seasonings on the spice rack. Both the Kitchen Supervisor and Administrator acknowledged these lapses in food safety standards.
Staff failed to follow infection control policies by transporting clean linens uncovered, placing a dirty cup on the linen cart, and allowing clean linens to come into contact with worn clothing. These actions were observed during routine operations and confirmed by interviews with facility leadership, despite the staff member having received infection control training.
A resident with a history of atrial fibrillation and anxiety disorder, who was cognitively intact, was left waiting for assistance after requesting help to transfer to her recliner. A CNA turned off the call light without providing immediate help and later returned using an inappropriate tone, stating that staff were short and she had not had her break. The resident was found crying and reported feeling dismissed and disrespected by the CNA's actions and words. Staff interviews and surveillance confirmed the delay and the inappropriate interaction.
A resident with a history of Atrial Fibrillation and Anxiety Disorder, who was cognitively intact, alleged verbal abuse and neglect by a CNA. The facility's investigation did not include interviews with other cognitively intact residents assigned to the CNA, as required by policy, and surveillance video was not reviewed until after state agency involvement.
A facility failed to adhere to its policy of dating oxygen tubing for a resident with COPD, leading to a deficiency. The resident had a physician's order for oxygen therapy, but observations revealed the tubing was not dated as required. Interviews with an LPN and the DON confirmed the oversight, despite the policy being reviewed during staff orientation.
A facility failed to ensure proper hand hygiene during perineal care for a resident with severe cognitive impairment and hemiplegia. CNAs washed hands without soap due to an empty dispenser and did not sanitize between glove changes. An LPN entered and exited the room without changing gloves. Interviews confirmed the failure to follow infection control protocols, posing a risk of contamination and infection.
The facility failed to maintain a safe and homelike environment due to broken and missing floor tiles in the hallway leading to the therapy room. Staff interviews confirmed awareness of the hazard, although no resident falls were reported. The Administrator and Maintenance Director acknowledged the potential tripping hazard posed by the condition of the floor.
A resident with a mood disorder and dementia exhibited sexually inappropriate behavior, verbal aggression, and refusal of care, but the facility failed to develop a comprehensive care plan with specific interventions. Despite ongoing issues documented in psychiatric notes, the care plan only included medication administration and monitoring for behavior changes. Interviews with staff confirmed the lack of special interventions to manage the resident's behaviors.
A resident with a catheter and a history of a sacral pressure ulcer did not receive adequate perineal care from CNAs, leading to potential risks of infection and skin breakdown. The CNAs failed to thoroughly clean the resident, leaving feces in critical areas, which was only discovered after prompting by a State Agency. The resident was dependent on staff for toileting care, and the CNA admitted to not ensuring complete cleanliness.
A resident with multiple cardiac conditions received crushed extended-release and delayed-release medications, contrary to physician orders and facility policy, resulting in a medication error rate of 10.26%. An LPN crushed the medications due to perceived swallowing difficulties, but the DON confirmed that such medications should not be crushed without specific physician instructions.
A resident was sent on therapeutic leave without all prescribed medications, including insulin and other essential drugs, despite the leave being planned in advance. The DON and an LPN confirmed the oversight, acknowledging that the facility failed to follow procedures to ensure all active medications were provided, potentially impacting the resident's health.
A resident's Norco medication was misappropriated by an LPN, who signed out the medication 19 times without a prescription. The resident, who had Parkinson's Disease and was cognitively intact, tested negative for opioids, raising suspicion. An investigation revealed the LPN tested positive for opioids and morphine, leading to her termination and reporting to relevant authorities.
Resident Privacy Breach Due to Public Posting of Care Instructions
Penalty
Summary
The facility failed to maintain the privacy and confidentiality of a resident's personal and medical information by posting personal care instructions on the exterior of the resident's door and on the wall next to her bed. The posted sign included specific instructions regarding the resident's care schedule, such as getting the resident up three times per week on specified days prior to her bath, as requested by the resident and family. This action was observed during a facility survey, and the sign was acknowledged by multiple staff members, including an LPN, the Social Services Director, the DON, and the Administrator, as a violation of the resident's privacy. The resident involved had been admitted with diagnoses including Spastic Quadriplegic Cerebral Palsy and had intact cognition, as indicated by a BIMS score of 15. The facility's own policy on resident rights, dated 4/2012, requires employees to treat all residents with kindness, respect, and dignity, and specifically guarantees privacy and confidentiality. The posting of the care instructions in a public area accessible to anyone entering the room constituted a failure to uphold these rights.
Inaccurate MDS Assessment of Resident's Vision Status
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected a resident's vision status. Multiple staff members, including the Director of Nursing, an LPN, and the MDS Coordinator, confirmed that the resident was blind. Observations showed the resident required assistance to exit the room, bumped into walls, and relied on verbal directions from a roommate. Despite these clear indications of visual impairment, the most recent MDS assessment documented the resident's vision as adequate. A review of the resident's records revealed a history of Parkinson's Disease and Schizophrenia, and a fall assessment from earlier in the year indicated an inadequate vision pattern. The resident was cognitively intact, as evidenced by a BIMS score of 15. Staff interviews and documentation confirmed awareness of the resident's blindness, yet this was not accurately reflected in the MDS or care plan as required by facility policy and CMS protocol.
Failure to Address Blindness in Resident Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan that addressed the visual impairment of a resident who was blind. Despite the facility's policy requiring individualized, person-centered care plans based on thorough assessments, the resident's care plan did not include any focus area or interventions related to blindness or visual impairment. Observations showed the resident bumping into walls and requiring assistance from a roommate to exit the room. Interviews with staff, including the DON, LPN, and RN/MDS Coordinators, confirmed the resident was blind and that this status should have been reflected in the care plan. However, the care plan lacked any mention of the resident's vision status, and the most recent MDS inaccurately documented the resident's vision as adequate. The resident had been admitted to the facility with diagnoses including Parkinson's Disease and Schizophrenia and was cognitively intact according to the latest assessment. Staff interviews revealed that some were aware of the resident's blindness and had witnessed incidents where the resident bumped into objects, while others were unaware of the resident's visual impairment. The lack of documentation and care planning for the resident's blindness resulted in the deficiency cited by surveyors.
Failure to Identify and Address Resident's Visual Impairment
Penalty
Summary
The facility failed to identify, assess, or address the visual impairment of a resident, despite multiple observations and staff confirmations that the resident was blind. The resident was seen bumping into walls and objects while attempting to navigate the facility, and required verbal directions and physical guidance from staff and his roommate to move safely. Interviews with the DON, CNAs, and an LPN confirmed awareness of the resident's blindness and his frequent collisions with objects. However, the facility's records did not reflect any formal identification, assessment, or care planning for his visual impairment. A review of the resident's medical record showed a history of Parkinson's Disease and Schizophrenia, and a recent MDS assessment inaccurately documented his vision as adequate, despite a fall assessment indicating inadequate vision and nursing notes describing his difficulty seeing and running into walls. The facility's policy required comprehensive assessment and ongoing monitoring of vision, but there was no documentation that these steps were taken for this resident. The deficiency was identified through observation, interviews, and record review.
Significant Medication Error Due to Incorrect Transcription of Lasix Order
Penalty
Summary
A significant medication error occurred when a nurse incorrectly transcribed and administered Lasix at a higher dose than prescribed for a resident with a history of atherosclerotic heart disease and severe cognitive impairment. The nurse practitioner had ordered an increase in Lasix to 40 mg by mouth daily, communicated via encrypted text to the charge nurse. However, the registered nurse entered the order as Lasix 40 mg twice a day instead of the intended once daily dose. This discrepancy resulted in the resident receiving double the prescribed amount of Lasix. The error was identified when the nurse practitioner reviewed the resident's medication regimen and discovered the incorrect dosing. The Director of Nursing confirmed that the facility's process involved the nurse practitioner sending orders via encrypted text to the charge nurse, who then entered them into the system without additional oversight. The administrator acknowledged the transcription error and recognized the need for improved verification and communication of medication orders.
Failure to Maintain Food Safety Standards in Kitchen Storage and Handling
Penalty
Summary
During an observation and staff interview, the facility failed to store food and maintain food quality in accordance with professional standards for food safety. Specifically, refrigerator #1 in the kitchen contained 11 tomatoes with visible white biological growth, indicating spoilage. Additionally, three bottles of dry seasonings were found on the spice rack with their lids open, leaving the contents exposed. The Kitchen Supervisor acknowledged both the presence of overly ripe produce and the opened spice bottles, stating responsibility for maintaining safety and quality standards in the kitchen. The Administrator also acknowledged these issues and confirmed that the Kitchen Supervisor is expected to perform regular checks on food quality and standards. No information about residents or their medical conditions was provided in relation to this deficiency.
Failure to Properly Handle and Transport Clean Linens
Penalty
Summary
The facility failed to prevent the potential spread of infection by not adhering to established infection prevention and control policies regarding the handling and transport of clean linens. During observations, a laundry worker was seen transporting a cart of clean linens with the plastic covering flipped over, leaving the linens exposed, and an empty disposable beverage cup was placed on top of the cart near the linens. The same worker was also observed transferring a clean blanket by resting it against his upper body before refolding and placing it on the clean linen cart. The laundry worker stated he was unaware that linens should be covered during transport and that clean linens should not be placed against worn clothing. Interviews with facility staff, including the District Manager of Housekeeping, the Infection Preventionist nurse, and the DON, confirmed that these actions were not in compliance with facility policy, which requires clean linens to be covered during transport and not to be placed against staff clothing. Review of facility policies and onboarding documents indicated that the laundry worker had received training on infection control, but failed to follow the procedures as outlined.
Resident Left Waiting and Spoken to Disrespectfully by CNA
Penalty
Summary
A resident with a history of atrial fibrillation and anxiety disorder, who was cognitively intact, requested assistance transferring to her recliner by pressing her call light. A CNA entered the room, turned off the call light, acknowledged the request, but did not provide assistance at that time. The resident waited approximately two hours before receiving help, during which she pressed her call light again. When the CNA returned, she used an inappropriate tone and language, telling the resident that staff were short and she had not had her break, which left the resident feeling dismissed and disrespected. The incident was witnessed in part by another CNA, who confirmed that the first CNA complained about being short staffed in front of the resident and left the room to attend to other duties. Multiple staff interviews and a review of surveillance footage confirmed the timeline of the call light being activated, turned off, and the eventual use of the lift to assist the resident. The resident was found crying in her room by the Activities Director, who reported the situation to administration. Interviews with various staff, including the Administrator, DON, and RN/Unit Manager, confirmed that staffing was sufficient on the day of the incident and that the CNA had completed required training on abuse, neglect, and the Vulnerable Adult Act. The resident reported feeling very upset and cried as a result of the CNA's actions and words. Subsequent assessments by the Social Worker and Nurse Practitioner found no signs of psychological harm, but the resident expressed relief upon learning that the CNA was no longer employed at the facility.
Failure to Interview Other Cognitively Intact Residents During Abuse Investigation
Penalty
Summary
The facility failed to thoroughly investigate an allegation of abuse involving a cognitively intact resident who reported verbal abuse and neglect by a CNA. The resident, who had a history of Atrial Fibrillation and Anxiety Disorder and was assessed as cognitively intact with a BIMS score of 15, alleged that after returning to her room and activating her call light for assistance, the CNA turned off the call light without providing help and later made dismissive remarks about being short-staffed and needing a break. The incident was discovered when the Activities Director found the resident crying in her room. Despite the facility's abuse policy requiring resident statements as part of the investigation, the written investigation did not include interviews with other residents who received care from the same CNA, particularly those with a BIMS score of 13 or higher who could have provided relevant information. The Administrator, DON, and Social Services Director all confirmed that they did not interview other cognitively intact residents assigned to the CNA during the shift, and the Administrator also acknowledged that surveillance video was not reviewed until after the state agency's entrance.
Failure to Date Oxygen Tubing for Resident with COPD
Penalty
Summary
The facility failed to provide respiratory care in accordance with its policy, which led to a deficiency in the care of a resident with Chronic Obstructive Pulmonary Disease (COPD). The resident, who was admitted to the facility with a diagnosis of COPD, had a physician's order for oxygen therapy at 2 liters per minute via nasal cannula as needed. During observations on two consecutive days, it was noted that the oxygen tubing used by the resident was not dated, which is a requirement according to the facility's policy. This policy mandates that all respiratory tubing be replaced weekly and dated to ensure proper tracking and reduce the risk of infectious diseases and bacterial exposure. Interviews with facility staff, including a Licensed Practical Nurse (LPN) responsible for the resident's care and the Director of Nursing (DON), confirmed the oversight. The LPN admitted to being unaware of the requirement to date the oxygen tubing, while the DON acknowledged that the policy was reviewed with all staff during orientation. The DON also confirmed that the oxygen tubing is typically changed on Sunday nights by the night shift. Despite these procedures being in place, the failure to date the tubing as per policy was identified as a deficiency in the facility's respiratory care practices.
Inadequate Hand Hygiene During Perineal Care
Penalty
Summary
The facility failed to ensure proper hand hygiene during perineal care for a resident, leading to a deficiency in infection prevention and control. During an observation, two CNAs were seen preparing to provide perineal care for a resident with hemiplegia and severe cognitive impairment. The CNAs found the soap dispenser empty and proceeded to wash their hands without soap. One CNA left the room to get an LPN to pause a feeding pump but did not perform hand hygiene after removing gloves or before applying new ones. The LPN entered the room wearing gloves, paused the feeding pump, and exited without changing gloves. During the care, one CNA removed and reapplied her glove multiple times without performing hand hygiene between changes. Interviews with the CNAs, LPN, Infection Preventionist, ADON, and DON confirmed the failure to follow proper infection control protocols. The CNAs admitted to not using soap during handwashing and not sanitizing hands between glove changes, acknowledging the risk of bacteria remaining on their hands. The LPN admitted to not washing hands or removing gloves before exiting the room, which could spread infection. The Infection Preventionist and ADON confirmed the improper hand hygiene and glove handling, emphasizing the risk of contamination and infection. The DON acknowledged the failure to follow protocols, which could lead to cross-contamination and pose risks to the resident.
Facility Fails to Maintain Safe Environment Due to Broken Floor Tiles
Penalty
Summary
The facility failed to ensure a safe and homelike environment for its residents, as evidenced by broken and missing floor tiles in the hallway leading to the therapy room. During an observation, it was noted that several floor tiles were broken, and there was a section where tiles were missing, creating an indentation approximately six inches wide. This condition was identified in one of the eight hallways observed, specifically in the therapy room hallway. Interviews with facility staff, including the Rehabilitation Technician, Administrator, and Maintenance Director, confirmed awareness of the issue. The Rehabilitation Technician acknowledged the hazard posed by the broken and missing tiles, although no resident falls had been reported. The Administrator and Maintenance Director both recognized the potential tripping hazard due to the crack in the cement and tiles, which could affect both residents and staff accessing the therapy gym.
Failure to Develop Comprehensive Care Plan for Resident with Behavioral Issues
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for a resident with behaviors related to a mood disorder. The care plan lacked specific interventions to manage the resident's sexually inappropriate behaviors, verbal aggression, and refusal of care and medications. Despite the resident's history of such behaviors, the care plan only included administering medications as ordered and monitoring for signs and symptoms of behavior changes, without addressing the specific behavioral issues. The resident, who was admitted with diagnoses of Persistent Mood Disorder and Dementia with Behavioral Disturbance, exhibited symptoms such as agitation, verbal aggression, and sexually inappropriate behavior. These behaviors were documented in multiple psychiatric progress notes, indicating the resident's need for frequent redirection and difficulty in redirecting. The resident also refused care and medications, and these behaviors significantly interfered with the resident's care. Interviews with facility staff, including an LPN, the DON, and a Psychiatric NP, confirmed the resident's ongoing behavioral issues. The staff reported that the resident continued to exhibit sexually inappropriate behavior and verbal aggression, and there were no special interventions developed to address these behaviors. The Psychiatric NP noted that medication management was ineffective, and behavioral monitoring and documentation were deferred to nursing services.
Inadequate Perineal Care for Resident with Catheter
Penalty
Summary
The facility failed to provide adequate perineal care for a resident, leading to potential complications. During an observation, two CNAs were responsible for cleaning a resident with a catheter. They used pre-moistened disposable wipes to clean the resident's penis, catheter tubing, and buttocks. However, after claiming the perineal care was complete, it was discovered that the resident was not thoroughly cleaned. Upon further inspection prompted by the State Agency, feces were found below the resident's anus and underneath the scrotum, requiring additional cleaning. The resident involved had been admitted to the facility with a diagnosis of a pressure ulcer in the sacral region and was dependent on staff for toileting care, as indicated by a BIMS score of nine, showing moderate impairment. The CNA involved admitted to not thoroughly checking the resident's cleanliness, which could lead to skin breakdown and infection. The Director of Nursing confirmed that the CNA should have ensured the resident was completely clean to prevent such risks.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate below five percent, as evidenced by four errors observed out of 39 medication administration opportunities, resulting in a medication error rate of 10.26%. This deficiency affected one of the three residents observed during the medication pass. The facility's policy on medication administration, dated September 1, 2022, specifies that medications should be administered in accordance with professional standards, including not crushing medications that have 'do not crush' instructions, such as slow-release and enteric-coated medications. Resident #27, who was admitted on January 25, 2023, with diagnoses including Unspecified Atrial Fibrillation, Acute Systolic Congestive Heart Failure, Bradycardia, and Hypertensive Heart Disease with Heart Failure, was affected by this deficiency. The resident had active physician's orders for several extended-release and delayed-release medications, none of which included instructions to crush them. However, during an observation, an LPN crushed and administered these medications to the resident, believing the resident had difficulty swallowing. The DON confirmed that extended-release and delayed-release medications should not be crushed unless specified by a physician, as crushing them can alter their intended delivery and effectiveness.
Failure to Provide Medications for Resident on Therapeutic Leave
Penalty
Summary
The facility failed to provide services in an acceptable standard of practice when a resident was sent on therapeutic leave without all physician-prescribed medications. The resident's daughter reported that her mother was sent home without essential medications, including Aspirin, Basaglar Kwik Pen (insulin), Fiasp Injection insulin, Miralax Powder, Protonix, Silvadene Cream, and Zyrtec Allergy. This therapeutic leave was planned in advance, and the facility was aware of the resident's need for these medications during her out-of-state trip. Interviews with the Director of Nursing (DON) and a Licensed Practical Nurse (LPN) confirmed the oversight. The DON stated that the procedure for residents on therapeutic leave is to verify and send all active medications with the resident. The LPN, responsible for preparing the medications, admitted to the oversight, acknowledging that the resident's family received incomplete medication supplies. The record review showed active physician orders for the missing medications, highlighting the facility's failure to adhere to its procedures, potentially impacting the resident's health.
Misappropriation of Resident's Medication by LPN
Penalty
Summary
The facility failed to protect a resident from the misappropriation of a controlled medication, specifically Norco, by a Licensed Practical Nurse (LPN). The incident involved a resident who was prescribed Norco 10-325 milligrams to be taken as needed for pain. However, a urine drug screen requested by the Nurse Practitioner (NP) revealed that the resident tested negative for opioids, despite the medication being signed out 21 times over a period of 11 days. This discrepancy raised suspicion and led to an investigation by the Director of Nurses (DON). The investigation uncovered that LPN #1 had signed out the medication 19 times and tested positive for opioids and morphine, without having a valid prescription. LPN #1 admitted to taking pain medication at home without a current prescription. The resident, who was cognitively intact and had a history of Parkinson's Disease, confirmed receiving only a few pain pills and stated that he did not usually require pain medication. The NP and DON confirmed that the resident required very little pain medication, which further supported the suspicion of misappropriation. The facility's policy on abuse, including misappropriation of resident property, was reviewed, and it was determined that the facility failed to protect the resident's medication from being wrongfully used by LPN #1. The incident was reported to the State Agency, Attorney General Office, State Board of Nursing, and Board of Pharmacy. The facility conducted a thorough investigation, including testing all nurses who administered the medication and reviewing the narcotic administration log.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 26 citations issued within 25 miles in the last 12 months — 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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Meridian
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| North Pointe Health & Rehabilitation | 1.5 mi | ★★★★★ | 0 | 0 |
| Diversicare Of Meridian | 2 mi | ★★★★★ | 3 | 0 |
| The Oaks Rehabilitation And Healthcare Center | 2.6 mi | ★★★★★ | 4 | 0 |
| Trend Health & Rehab Of Meridian Llc | 2.7 mi | ★★★★★ | 2 | 0 |
| Bedford Care Center Of Marion | 3.2 mi | ★★★★★ | 9 | 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.