Above average — CMS composite of the measures below.
The next survey window likely opens around September 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 Tallahatchie General Hosp Ecf during CMS and state inspections, most recent first.
Call Light Kept Out of Resident's Reach: A resident's call light was observed hanging behind the bed and out of reach, despite facility policy stating it should be within reach at all times. The resident said it did not work half the time. An LPN stated the call light was intentionally kept out of reach because the resident would push it repeatedly, and staff usually responded when the resident yelled loudly. The DON stated the call light should always be in reach. The resident had Crohn's disease and a BIMS score indicating moderate cognitive impairment.
A resident with a diagnosis of pain and intact cognition repeatedly had PRN pain medication fall off the active order list when the order expired. When he requested pain relief, staff told him the medication could not be given until the NP renewed it, and he became angry and disruptive, including knocking over filing cabinets and pushing items off carts. The DON, NP, and LPN confirmed the medication was available in the cart but could not be administered until the expired order was renewed.
Infection control practices were not maintained for two residents. A yanker suction catheter was left out of its protective packaging on a bedside table, and a suction canister contained white liquid, while an LPN confirmed the items should have been stored and handled per policy. In a separate observation, an LPN administered PEG medications to a resident with a gastrostomy tube without using EBP, despite an order for EBP related to PEG care; the LPN and DON both confirmed EBP was expected for tube care.
A resident's personal and medical information was exposed during medication administration when an LPN left the EMAR visible on an unattended medication cart. The facility's policy requires privacy screens to be activated, which was not done, leading to a breach of confidentiality. Staff interviews confirmed the oversight and the importance of maintaining resident privacy.
A resident with dementia and heart failure experienced significant weight loss, but the MDS section addressing weight loss was inaccurately completed. The Dietary Manager failed to review the resident's weight history, leading to an incorrect MDS entry. The MDS Nurse and DON confirmed the error, emphasizing the need for accurate documentation.
The facility failed to develop comprehensive ADL care plans for two residents, omitting essential components like hygiene, grooming, and nail care. One resident had long, jagged nails with a brown substance underneath, while another expressed a preference for short nails but had long, jagged nails. Interviews with staff confirmed the absence of necessary care plan elements for these residents.
The facility failed to maintain personal hygiene for two residents by not providing adequate nail care. One resident was observed with long, jagged fingernails and a brown substance under them, while another resident expressed a preference for short nails but was found with long, jagged nails. Staff interviews confirmed the responsibility for nail care and the need for adherence to residents' preferences.
A medication cart was left unlocked and unattended by an LPN during medication administration, contrary to the facility's policy requiring secure storage of medications. The LPN admitted to not locking the cart, and both the LPN Supervisor and DON confirmed that carts should always be locked when unattended to ensure medication security.
Call Light Kept Out of Resident's Reach
Penalty
Summary
The facility failed to ensure the call light was within reach for Resident #10. The facility policy titled "Call Light" stated, "Be sure call light is within reach at all times." On 10/27/25 at 12:30 PM, the surveyor observed the resident's call light hanging behind the bed and out of reach, and the resident stated, "It doesn't work half the time." On 10/28/25 at 1:15 PM, the surveyor again observed the call light behind the bed and out of reach. An LPN stated that the call light was intentionally kept out of reach because the resident would push it repeatedly, and staff usually heard the resident yell loudly and would come in and check on her. The DON later stated that the call light should always be in reach of the resident. Resident #10 was admitted on 3/11/2013 with Crohn's Disease, and the MDS dated 7/18/25 showed a BIMS score of 7, indicating moderate cognitive impairment.
Expired PRN Pain Medication Order
Penalty
Summary
The facility failed to ensure an active order was available for a resident’s as-needed pain medication when it was needed. Resident #96 had a diagnosis of pain and reported generalized pain, most frequent in his legs and knees, with pain scores usually 4 to 5 and sometimes 6 to 7 on a 1-to-10 scale. Facility policy stated that pain management was intended to identify pain, develop interventions consistent with the resident’s goals and needs, and implement the medication regimen as ordered. Resident #96 stated there were times he did not receive his pain medicine because the prescription expired and the NP had to reorder it. He described a recent incident in which he requested pain medication and was told it had expired, and he became angry after being told staff would contact the NP. He reported that he knocked filing cabinets over and knocked items off carts while stating he would continue the behavior until he received his medication. Staff interviews confirmed that the PRN pain medication had dropped off the active order list and could not be administered until the NP renewed it. The DON stated PRN pain medication orders were set to stop after 30 days in the computer system, and there was no way to trigger a notification when a medication was expiring. She acknowledged the order had slipped through and that, although the medication was available in the cart, it could not be given because the order had expired. The NP and LPN also confirmed the resident waited about 20 to 30 minutes for the renewed order before receiving the medication. Record review showed repeated orders for tramadol and later hydrocodone-acetaminophen with 30-day end dates, and progress notes documented that the resident became angry when PRN pain medication was not available because the order had expired.
Infection Control Practices Not Maintained for Resident Equipment and PEG Care
Penalty
Summary
The facility failed to maintain infection control practices for two residents during observations, staff interviews, record review, and policy review. Facility policy stated that resident-specific equipment such as suction supplies should be stored in a covered container such as a clean bag in the resident's room, and that Enhanced Barrier Precautions (EBP) require gown and gloves only for high-contact resident care activities, including indwelling medical device care and use. For one resident with dementia and severe cognitive impairment, a yanker suction catheter was observed out of its protective packaging on the bedside table, and a suction canister was approximately one-fourth full of white liquid. An LPN confirmed the yanker should have been in its packaging and that the fluid in the canister could be an infection control issue and should have been disposed of. For another resident with spastic quadriplegic cerebral palsy and gastrostomy status, an LPN was observed administering PEG medications without using EBP, even though the resident had an order for EBP related to PEG care. The LPN confirmed EBP should have been used during medication administration for residents with PEG tubes, and the DON stated EBP should be used with any tubes or wounds to prevent possible cross contamination.
Resident Privacy Breach During Medication Administration
Penalty
Summary
The facility failed to maintain the confidentiality of a resident's personal and medical information during medication administration. During an observation, it was noted that a medication cart on the A-Hall had an open computer screen displaying the Electronic Medication Administration Record (EMAR) of a resident. This information, which included the resident's name, medications, and room number, was visible to anyone passing by the cart. The facility's policy requires that medication administration records be kept covered to ensure privacy, which was not adhered to in this instance. Interviews with staff, including an LPN, LPN Supervisor, and the Director of Nursing (DON), confirmed the breach of privacy. The LPN assigned to the medication cart acknowledged that the EMAR was visible and admitted to not activating the privacy screen before leaving the cart unattended. The LPN Supervisor and DON both emphasized the importance of locking the computer screen to prevent unauthorized access to residents' personal health information. The incident highlights a lapse in following established procedures to protect resident confidentiality.
Inaccurate MDS Completion for Resident with Significant Weight Loss
Penalty
Summary
The facility failed to accurately complete a section of the Minimum Data Set (MDS) for a resident who experienced significant weight loss. The resident, admitted with medical diagnoses including unspecified dementia and heart failure, showed a pattern of weight loss over several months. Despite this, the MDS section K0300, which addresses weight loss, was incorrectly marked as 'No' for a loss of 5% or more in the last month or 10% or more in the last six months. This error was confirmed during an interview with the MDS Nurse, who stated that the Dietary Manager was responsible for completing that section and acknowledged the oversight. The Dietary Manager admitted to making a mistake by not reviewing the resident's weight history as required. This oversight resulted in the MDS not accurately reflecting the resident's health status and needs. The Director of Nursing expressed that her expectation was for all sections of the MDS to be completed accurately, highlighting the importance of precise documentation in assessing and planning resident care.
Failure to Develop Comprehensive ADL Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement a comprehensive Activities of Daily Living (ADL) care plan for two residents, focusing on hygiene, grooming, and nail care. For Resident #38, the care plan was revised to address ADLs, falls, and pain management due to chronic pain and right-sided hemiplegia, but it lacked specific interventions for personal hygiene, grooming, or nail care. Observations revealed that Resident #38 had long, jagged fingernails with a brown substance underneath, indicating a lack of proper nail care. Interviews with the CNA and the Director of Nurses confirmed that the care plan did not reflect the resident's hygiene or grooming needs, including nail care. Similarly, Resident #147's care plan, initiated to address impaired physical functioning and assistance with ADLs, did not include provisions for bathing, hygiene, grooming, or nail care. The resident expressed a preference for short nails, yet observations showed long, jagged nails. Interviews with the DON and the MDS Coordinator confirmed the absence of a care plan addressing the resident's nail care needs. Both residents had medical conditions that necessitated comprehensive care planning, yet the facility failed to include essential ADL components in their care plans.
Failure to Maintain Personal Hygiene Through Nail Care
Penalty
Summary
The facility failed to provide adequate nail care for two residents, leading to deficiencies in personal hygiene maintenance. Resident #38 was observed on multiple occasions with long, jagged fingernails and a brown substance under them, indicating a lack of regular cleaning and trimming. Certified Nurse Aide (CNA) #1 acknowledged the responsibility for nail care and confirmed the need for cleaning and trimming. The Director of Nurses (DON) also confirmed the necessity of nail care to prevent potential skin concerns. Resident #38 was admitted with medical conditions including Vascular Dementia, Depressive disorders, and Hemiplegia and Hemiparesis following a cerebral infarction. Resident #147 expressed a preference for short nails, yet was observed with long, jagged nails. During an interview, the resident reiterated her preference for short nails, which was confirmed by Registered Nurse (RN) #1. The DON stated that residents' nails should be maintained according to their preferences, which was not adhered to in this case. Resident #147 was admitted with a diagnosis of a stress fracture to the right ankle and had a moderate cognitive impairment as indicated by a BIMS score of 10.
Medication Cart Left Unlocked and Unattended
Penalty
Summary
The facility failed to properly secure medications as evidenced by an unlocked medication cart left unattended during one of four medication administration observations. The facility's policy, revised on 09/08, mandates that medications be stored in a safe, secure, and orderly manner, with compartments containing medications locked when not in use. During an observation on 12/03/24 at 9:45 AM, an LPN was seen leaving a medication cart unlocked and unattended on A-Hall while administering a resident's medications. The LPN admitted to not locking the cart and acknowledged that it should have been locked to prevent unauthorized access. Interviews with the LPN Supervisor and the Director of Nursing confirmed that medication carts should always be locked when unattended to ensure the security and safety of the medications. The LPN Supervisor stated that it is a standard practice for all staff to lock the carts, and the Director of Nursing reiterated that the LPN should have locked the cart before leaving it unattended. This incident highlights a deviation from the facility's policy regarding the secure storage of medications.
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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 Charleston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Quitman County Health & Rehab Llc | 20.9 mi | ★★★★★ | 0 | 0 |
| Grenada Living Center | 21.6 mi | ★★★★★ | 0 | 0 |
| Grenada Rehabilitation And Healthcare Center | 21.8 mi | ★★★★★ | 5 | 0 |
| Diversicare Of Batesville | 22.2 mi | ★★★★★ | 0 | 0 |
| Yalobusha County Nursing Home | 25.4 mi | ★★★★★ | 4 | 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.