Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
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 Starkville Manor Health Care And Rehabilitation Ce during CMS and state inspections, most recent first.
Unresolved resident grievances about breakfast food preferences. Multiple residents repeatedly voiced concerns to the Activity Director, Dietary Manager, DON, and Administrator that breakfast menus no longer included meat daily, portions seemed smaller, and food choices did not match their preferences. Residents reported the issue in council meetings and during meals, but staff acknowledged the complaints were ongoing and not resolved. Meal tickets and menu review showed breakfast meat was only offered on limited days, and several residents with BIMS scores ranging from moderately impaired to cognitively intact continued to report dissatisfaction with the food service.
A resident was discharged home, but the facility did not send the required written notice to the Ombudsman or list the discharge on the Ombudsman transfer log. The Administrator confirmed the Ombudsman was not notified because the facility only notified for hospital discharges and was not aware of the regulatory changes. The resident’s record showed a diagnosis of fusion of the cervical spine.
Meal Tray Left in Resident Room Overnight: A meal tray containing perishable food was observed left in a resident's room overnight, with the food appearing untouched the next morning. A CNA, the Administrator, and an RN all confirmed the tray should have been removed after the meal was served. The resident had COPD and severe cognitive impairment per MDS/BIMS.
A resident with Parkinson’s disease, contractures, and severe dementia fell from bed while a CNA was turning and changing the resident. The resident was dependent for bed mobility and the Kardex indicated two staff were required, but the CNA was unaware of that requirement and usually provided care alone. The resident sustained a right eyebrow laceration that required ER evaluation and repair.
A resident with intact cognition and multiple medical conditions, including polyosteoarthritis, rhabdomyolysis, and morbid obesity, reported that a CNA became irritated after the resident asked another CNA to leave the room, then refused to speak to or answer the resident’s questions and provided care in a hurried, rude, and hateful manner. The CNA later admitted she was aggravated, did not communicate with the resident, and delivered care in an unprofessional way, despite prior in-service training on resident rights. The administrator confirmed that the resident was not treated with the dignity and respect required by the facility’s resident rights policy.
Incomplete PBJ Staffing Reporting: The facility failed to submit complete and accurate PBJ staffing data to CMS for several weekends in FY Q3 2025. The PBJ report showed low weekend staffing, and the hours submitted were lower than the staffing grid documented because on-call salaried administrative nursing staff hours were not included, as confirmed by the Administrator.
A facility failed to follow care plans for two residents. One resident with hemiplegia and severe cognitive impairment was observed without a prescribed resting hand splint, and an LPN confirmed the splint was not applied as directed. Another resident with dementia and Parkinson’s disease, who required total assistance with personal hygiene, was observed with dirty, matted hair and a thick crusty substance on the scalp; a CNA and the ADON confirmed the hair had not been washed or groomed as expected under the care plan.
The facility failed to provide needed ADL assistance for two residents. One resident with hemiplegia, impaired cognition, and limited upper-extremity function struggled to feed himself at mealtime, spilled food and drink, and left after eating only a few bites without staff assistance. Another resident with dementia and Parkinson's disease had severely matted hair with a thick crusty buildup on the scalp; the resident's representative and staff confirmed hair care had not been provided for an extended period, and the ADON acknowledged the grooming deficit.
Failure to Assist Resident During Meals: A resident with hemiplegia/hemiparesis, severely impaired cognition, and upper extremity impairment was observed at lunch struggling to feed himself with one hand. He repeatedly dropped utensils, spilled food and tea on his clothing and the floor, and had to use his fingers to eat while no staff in the dining room provided assistance, despite staff confirming residents who have trouble feeding should be supervised and helped.
Failure to apply an ordered resting hand splint for a resident with right-hand contracture. The resident, who had hemiplegia/hemiparesis after a CVA and severely impaired cognition, was observed without the splint despite a physician order for 4 hours daily. A CNA said she was not aware she was supposed to apply it, and an LPN acknowledged he did not apply it and said there was miscommunication about responsibility.
The facility failed to provide timely access to personal funds for two residents, as required by policy and regulations. Interviews revealed that the facility often did not have enough money available, particularly at the beginning of the month, causing residents to wait until the next day to access their funds. The Business Office Manager and Receptionist confirmed the facility's cash limitations, and the Administrator acknowledged the deficiency.
Unresolved resident grievances about breakfast food preferences
Penalty
Summary
The facility failed to ensure that resident grievances related to food preferences and concerns were promptly addressed and resolved for 14 of 29 sampled residents. The facility policy stated that residents and family members have the right to voice grievances without discrimination, reprisal, or fear of reprisal, and that prompt efforts to resolve include acknowledgment of the complaint and active work toward resolution. Instead, multiple residents reported that their concerns about breakfast menus, food choices, and portion sizes had been voiced repeatedly to dietary staff and in resident council meetings, but the concerns remained unresolved. During a resident council meeting, several residents stated that their grievances about food were being ignored. They reported that the menu had changed and that they were only getting meat for breakfast about twice a week, with yogurt or cold cereal served instead. Residents stated they had told the Dietary Manager they wanted meat for breakfast, but the concern had not been resolved. One resident stated that the residents were depending on the surveyor to help make a change. The Activity Director confirmed she knew residents had grievances about the menus and food choices, but she had not documented the concerns in resident council notes because residents were telling the Dietary Manager weekly or daily. The Dietary Manager confirmed residents had been stopping her weekly to complain about the menus and the lack of meat for breakfast, but said the company-selected menu did not call for meat every day. The Administrator stated she was aware of the grievances about the lack of meat for breakfast and had told the Dietary Manager to update food preferences, but she was not aware the residents were still not receiving their preferences because breakfast meats were not cooked every day. She confirmed the grievances were not resolved. Individual resident interviews showed the same pattern: residents described ongoing complaints about food quality, smaller portions, and not receiving meat at breakfast, while staff acknowledged the concerns but did not resolve them. Several residents had diagnoses including heart failure, blindness, major depressive disorder, diabetes, hemiplegia, respiratory failure, morbid obesity, chronic kidney disease, paraplegia, vascular dementia, and other conditions, and multiple MDS assessments showed BIMS scores ranging from moderately impaired to cognitively intact.
Failure to Notify Ombudsman of Resident Discharge
Penalty
Summary
The facility failed to ensure that a written notice of transfer or discharge was sent to the representative of the Office of the State Long-Term Care Ombudsman for one resident. Record review showed that Resident #11 was discharged home from the facility on 2/27/2026 at 9:50 AM, but the resident was not listed on the facility’s Emergency Transfer Log for the Ombudsman for February 2026. The facility policy titled Transfer and Discharge stated that the facility would maintain evidence that the notice was sent to the Ombudsman. During interview, the Administrator confirmed the Ombudsman was not notified of the discharge and stated this was not the facility’s practice, explaining that the facility only notified the Ombudsman of hospital discharges and was not aware of the regulatory changes. Resident #11’s admission record showed diagnoses including fusion of the cervical spine.
Meal Tray Left in Resident Room Overnight
Penalty
Summary
Provide and implement an infection prevention and control program was not maintained when a dinner tray containing perishable food was left in Resident #32's room overnight. On 03/05/2026 at approximately 8:53 AM, surveyors observed a meal tray from the previous evening still in the resident's room. The tray contained a full plate of food, including food-fortified mashed potatoes, turkey picadillo, shredded lettuce, cornbread, margarine, a peanut butter cookie, whole milk, and chocolate milk, and the food appeared untouched. During interviews, a day shift CNA stated meal trays are expected to be removed after the resident finishes eating and confirmed the tray should have been picked up by staff. The Administrator stated the tray should have been picked up the night it was served and should not have remained in the room overnight, and an RN also stated she did not know why the tray had not been removed and confirmed it should have been picked up. Resident #32's record showed diagnoses including COPD, and the MDS with an ARD of 12/03/2025 showed a BIMS score of 7, indicating severe cognitive impairment.
Failure to Provide Adequate Assistance During Bed Mobility
Penalty
Summary
The facility failed to ensure adequate supervision and assistance were provided to prevent an avoidable fall for one resident who was reviewed for falls. Resident #28 had Parkinson’s disease, bilateral knee contractures, unspecified dementia, and severe cognitive impairment with a BIMS score of 4. The resident was dependent on staff for rolling left and right and toileting hygiene, and the resident used a low air loss mattress with no side rails at the time of observation. On the evening of the incident, a CNA reported that while turning Resident #28 to change the resident’s diaper, the resident rolled out of bed and landed on the floor on the right side. The resident was found undressed with blood from the right eyebrow, and the nurse documented a laceration to the right eyebrow that was cleaned and dressed. The resident was then transferred to the ER, where the laceration was measured at 2 cm and repaired with sterile skin adhesive. Record review and staff interviews showed the resident’s care guidance was not clearly communicated before the fall. The Kardex indicated the resident was dependent for bed mobility and required two staff members for rolling left and right, and the care plan had previously identified total assistance by two staff for bed mobility. However, the later revised care plan did not specify the number of staff needed, and the CNA who provided care stated she usually turned and changed the resident by herself and was not aware of the Kardex requirement. The DON acknowledged the Kardex did not indicate the number of staff required before the fall, even though the air mattress shifted during turning and two staff should have been indicated for safety.
Failure to Honor Resident’s Right to Dignity and Respect During Care
Penalty
Summary
The facility failed to ensure a resident’s right to be treated with dignity and respect was honored when a CNA interacted with a cognitively intact resident in an aggravated and rude manner. The resident, who had diagnoses including polyosteoarthritis, rhabdomyolysis, and morbid obesity and a BIMS score of 15 indicating intact cognition, reported that during one care encounter the CNA became irritated after the resident asked another CNA to leave the room. Following this, the CNA would not speak to the resident or answer her questions, and the resident perceived that the care was performed quickly and in a hateful manner. The resident stated she felt she was not treated with dignity and respect during this interaction. In a subsequent phone interview, the CNA acknowledged that there was an incident in which she was aggravated and chose not to speak to or respond to the resident, and that she provided care in a hurried and rude manner. She admitted that this conduct failed to honor the resident’s right to dignity and respect, despite having previously received in-service training on resident rights. The administrator confirmed that the resident had reported not being treated with dignity and respect and acknowledged that the facility failed to ensure the resident’s right to be treated with dignity and respect was honored, as required by the facility’s Resident Rights policy.
Incomplete PBJ Staffing Reporting
Penalty
Summary
The facility failed to ensure complete and accurate direct care staffing information was electronically submitted to CMS through Payroll-Based Journal (PBJ) reporting for Quarter 3 of FY 2025. Review of the facility policy titled Payroll Based Journal showed the facility was required to submit timely, complete, and accurate staffing information, including agency and contract staff, based on payroll and other verifiable and auditable data. Review of the PBJ Staffing Data Report showed the facility triggered for low weekend staffing for the quarter, and review of PBJ hours submitted for four weekends showed fewer direct care staff hours were reported than were documented on the facility staffing grid: 301.98 versus 317 actual hours, 312 versus 327.75 actual hours, 315.80 versus 322.68 actual hours, and 317.45 versus 325.42 actual hours. During interview, the Administrator confirmed that on-call salaried administrative nursing staff worked on those dates but their hours were not included in the PBJ data submitted to CMS, and confirmed those hours should have been included.
Failure to Follow Care Plans for Splint Use and Personal Hygiene
Penalty
Summary
The facility failed to implement the care plan for a resident with right dominant side hemiplegia/hemiparesis related to CVA who had an intervention for a resting right hand splint to be applied for 4 hours daily by CNA staff and checked by nursing staff. On 9/08/25 and again on 9/09/25, the resident was observed sitting in a wheelchair without the hand splint in place. During interview, an LPN confirmed he did not apply the splint on either day and did not follow the plan of care. The MDS Nurse stated the purpose of the care plan was to ensure staff performed the care the resident needed and confirmed that if the splint was not applied, the care plan was not followed. The resident’s record also showed severely impaired cognition with a BIMS score of 6. The facility also failed to implement the ADL care plan for a resident with unspecified dementia and Parkinson’s disease who required total assistance with personal hygiene. The resident’s care plan indicated dependence on staff for emotional, intellectual, physical, and social needs and a deficit in ADL self-care performance. During observation, the resident’s representative reported it had been a while since staff had washed the resident’s hair, and the resident’s hair was dirty and matted with a large amount of thick light brown crusty substance on the scalp and throughout the hair. A CNA stated she had not washed the resident’s hair in about two weeks and confirmed it was matted and should be washed and brushed more often. The ADON also confirmed the hair was matted with a thick brown crusty substance and stated personal hygiene included hair washing and grooming on bath or shower days unless otherwise indicated; the MDS Nurse confirmed the expectation was for hair to be washed on scheduled shower days three times a week unless otherwise specified.
Failure to Assist With Meals and Personal Hygiene
Penalty
Summary
The facility failed to provide assistance with meals for Resident #4, who had a history of hemiplegia and hemiparesis following a cerebral infarction affecting the right dominant side, need for assistance with personal care, and severely impaired cognition with a BIMS score of 6. During an observation in the dining room, the resident sat in a wheelchair with no use of his right upper extremity and attempted to eat a meal using only his left hand. He repeatedly dropped his fork, had difficulty scooping food to his mouth, began using his fingers to eat, spilled food on his clothing and the floor, and spilled tea on his shirt and pants when his hand shook. No staff assisted him despite five staff members being present in the dining room, and he left the table after eating only a few bites. When asked if he got enough to eat, he shook his head no. Staff later acknowledged that residents who had trouble feeding themselves should be helped, and the Rehab Director and Administrator confirmed that staff should have intervened. The facility also failed to provide personal hygiene and grooming for Resident #29, who had diagnoses including unspecified dementia, Parkinson's disease, and need for assistance with personal care, with a BIMS score of 3 and dependence on staff for personal hygiene. During an observation, the resident was sitting in a wheelchair while her resident representative combed her hair with a pan of soapy water. The representative stated it had been a while since staff had brushed or washed the resident's hair and described the hair as dirty and matted. Observation confirmed a large amount of thick light brown crusty substance on the resident's scalp and throughout her hair, with matted knots. The representative stated this was not the first time this had happened and that staff had previously been given the opportunity to wash her hair but did not. A CNA confirmed that the resident's daughter would let staff know when hair care was wanted and admitted it had been two weeks since the resident's hair had been washed. The CNA also confirmed the hair was matted and had a large amount of brown crusty substance on the scalp and throughout the hair. The ADON observed the resident and confirmed the crusty buildup and matted hair, stating it was not okay and that the buildup could cause itching and skin breakdown. She also stated that hair washing should be completed during bath or shower time as part of grooming needs.
Failure to Assist Resident During Meals
Penalty
Summary
The facility failed to ensure the dignity of a resident who needed supervision and/or assistance with meals. During lunch tray pass in the dining room, the resident, who had no use of his right upper extremity, received his meal and attempted to feed himself with his left hand while seated in his wheelchair at the table. He repeatedly dropped his fork, had difficulty scooping food to his mouth, began using his left fingers to eat, spilled food onto his clothing and the floor, and spilled tea on his shirt and pants when his hand shook while holding the glass. He also had difficulty placing the tea glass back on the table and rested it on his leg instead. No assistance was observed from the five staff members present in the dining room, and the resident ate only a few bites before self-propelling away from the table. Staff interviews confirmed that residents were to be supervised during mealtimes and assisted if they had trouble feeding themselves. The CNA stated staff were responsible for mealtime supervision and should help if a resident had difficulty feeding. The Rehab Director confirmed staff should have stepped in and assisted if the resident had trouble feeding himself. The COTA stated that the resident having to eat with his hands was a dignity concern. Record review showed the resident was admitted with hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side and needed assistance with personal care. The MDS also showed severely impaired cognition with a BIMS score of 6 and upper extremity impairment on one side.
Failure to Apply Ordered Hand Splint
Penalty
Summary
The facility failed to ensure a resident with a contracture received the ordered treatment and services to maintain range of motion when it did not ensure a physician-ordered resting right hand splint was applied as directed. The resident had diagnoses including hemiplegia and hemiparesis following a cerebral infarction affecting the right dominant side, need for assistance with personal care, and severely impaired cognition with a BIMS score of 6. The treatment order required the resting right hand splint to be applied for 4 hours daily by the CNA, with the nurse to check and monitor the right hand daily for signs and symptoms of skin breakdown before and after splint removal. Record review showed the splint was documented as applied on two days, but observations on two separate days found the resident sitting in a wheelchair without the hand splint in place. A CNA stated the resident had not been wearing the splint and she was not aware she was supposed to apply it. The Rehab Director confirmed the splint had been ordered to prevent the right-hand contracture from worsening and that staff had been trained on how to apply it before therapy discharge. An LPN confirmed he did not apply the splint on the observed days and acknowledged signing the TAR, stating there was miscommunication about who was responsible for applying it.
Failure to Provide Timely Access to Resident Funds
Penalty
Summary
The facility failed to ensure that residents' personal funds were available for use on the same day as requested, as required by their policy and state and federal regulations. The policy stated that Medicare, HMO, or private residents should receive up to $100 on the same day requested, and Medicaid residents should receive up to $70 on the same day. However, interviews with residents and staff revealed that the facility often did not have enough money available to meet these requests, particularly at the beginning of the month when many residents requested their funds. This resulted in residents having to wait until the next day to access their money, which was a violation of their rights. Resident interviews indicated that they had experienced multiple instances where they could not access their funds on the day requested. One resident expressed concern about not being able to access funds for planned activities, while another resident reported having to wait several days for funds. The Business Office Manager and Receptionist confirmed that the facility kept $750 in a locked box for disbursements, but this amount was insufficient to meet all requests, especially when multiple residents requested funds simultaneously. The Administrator acknowledged the deficiency, confirming that the facility failed to maintain an adequate amount of money for residents' use, thus not honoring their right to manage their financial affairs as required by regulations.
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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 Starkville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Carrington, Llc D/b/a The Carrington | 5.6 mi | ★★★★★ | 5 | 0 |
| Dugan Memorial Home | 13.8 mi | ★★★★★ | 3 | 0 |
| West Point Community Living Center | 14.8 mi | ★★★★★ | 0 | 0 |
| Vineyard Court Nursing Center | 22.8 mi | ★★★★★ | 3 | 0 |
| Baptist Memorial Hospital Gt | 22.9 mi | — | 0 | 0 |
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