Below average — CMS composite of the measures below.
The next survey window likely opens around January 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 The Grove during CMS and state inspections, most recent first.
Two residents experienced falls when staff did not follow individualized care plan interventions. One resident with moderately impaired cognition and an order for a total mechanical lift with two-person assist was transferred using a sit-to-stand lift after a CNA relied on the resident’s verbal report instead of the documented transfer status, leading to a fall during the transfer. Another resident with dementia and severely impaired cognition, care planned for bed and chair alarms due to a history of falls, was found on the floor with the bed alarm not sounding, despite orders to check alarm operation and placement each shift. The DON stated that care plans are communicated via care profiles, and the QA nurse identified failure to follow these care plans as the cause of both incidents.
Two residents with cognitive impairment and documented fall risk experienced falls when staff did not follow established transfer and alarm orders. One resident, ordered for a total mechanical lift with two-person assist, was instead transferred by a CNA using a sit-to-stand lift after the resident stated she could stand, leading to a fall when the resident released the handles and slid to the floor. Another resident, ordered to have a bed/chair alarm checked each shift and with a care profile specifying a bed alarm, was found on the floor after an unwitnessed fall with head injury when the bed alarm was not engaged and did not sound.
Failure to Calibrate Thermometers and Sanitize Pots and Pans: A DM used a manual thermometer to check steam table food temps without calibrating it first, and a DA washed pots and pans in the 3-compartment sink while the sanitizer system was not dispensing sanitizer. The third sink contained warm water but no sanitizer concentration was detected, and the sanitation tubing was disconnected under the sink. The DM confirmed thermometers were not calibrated before each meal, and the Administrator stated staff are expected to follow manufacturer guidelines.
A resident with hemiplegia/hemiparesis and severely impaired cognition was fed by a CNA while the CNA stood over the resident and tilted food into the resident's mouth. The CNA said she knew she was expected to feed at eye level but did not sit because she believed nearby chairs were for family members, even though no family was present. The DON and Administrator both stated staff were expected to sit during assisted feedings, and the Administrator identified standing over a resident as a dignity concern.
Posted Personal Care Information in Resident Room: A resident with a PEG tube, NPO status, and continuous tube feeding had signs posted above the bed stating head-of-bed positioning, tube feeding details, and meds via PEG. An LPN confirmed the signs contained private health information, and the DON and Administrator stated such personal care information should not be posted in resident rooms.
Failure to Identify Lap Belt as a Restraint: A resident with unspecified dementia and severely impaired cognition was observed seated in a wheelchair with a soft lap belt secured across the lap. An LPN asked the resident multiple times to remove the belt, but the resident did not respond. The DON, QA nurse, and Administrator stated the belt should have been identified as a restraint, yet the medical record contained no documentation identifying the lap belt as a restraint.
Unlicensed CNA Applied Medicated Skin Product: A CNA applied zinc oxide during incontinent care for a resident after being instructed by the DON to use it for skin protection. Board of Nursing information stated only licensed nurses may receive delegation for medication administration, and the resident’s record showed zinc oxide was ordered for skin protection. The resident was cognitively intact, and both the DON and Administrator stated they were unaware zinc oxide was considered a medicated product.
A resident with a PEG tube and hypertension was given Toprol XL ER through the tube even though pharmacy review identified that the medication should not be crushed. An LPN crushed the tablet during administration and said she did not know it could not be crushed. The DON acknowledged the pharmacist’s recommendation was missed, and the resident’s medication remained on the MAR as a PEG-tube medication over multiple months.
Dietary staff failed to demonstrate competency with three-compartment sink sanitation procedures. A Dietary Aide washed pots and pans in the sink, but the sanitizer concentration was not registered on the test strip, so she added sanitizer by estimation directly from the container. The DM stated she had already washed pots and pans using what she believed was correct sanitation and confirmed the sanitation tubing had been disconnected, while the vendor later stated the equipment was functioning properly and sanitizer should not be manually poured into the sink.
An LPN failed to wear the required gown during PEG tube dressing care for a resident with EBP signage posted on the door. The resident had a feeding tube, NPO status, and PEG care orders, and the LPN later confirmed she forgot to put on the PPE despite prior training on EBP and PPE use. The RN/Infection Preventionist, DON, and Administrator stated staff are expected to follow EBP and infection control policies.
During a survey, hazardous cleaning chemicals were found unsecured in a shower room, contrary to facility policy. The DON and Administrator confirmed the chemicals should have been locked away, as exposure could be harmful. No incidents involving chemicals were reported in the past year.
The facility failed to maintain proper sanitation procedures as the low-temperature dishwasher did not reach the required temperature. Despite attempts to rectify the issue, the dishwasher's temperature remained below the recommended level. The facility's policy required the use of a three-compartment sink if the dishwasher was not functional, which was not initially followed. Eventually, the kitchen staff began using the three-compartment sink for dishwashing.
Failure to Implement Individualized Care Plan Interventions Resulting in Falls
Penalty
Summary
The deficiency involves the facility’s failure to implement individualized care plan interventions for two residents, resulting in falls. For one resident with COPD and moderately impaired cognition (BIMS score of 12), the physician’s order and care plan required a total mechanical lift with two-person assist for transfers, and the care profile specified “TOTAL LIFT X2 CNAs FOR TRANSFERS” and discontinuation of the sit-to-stand lift. Despite these directives, a CNA performed a chair-to-bed transfer using a sit-to-stand lift after asking the resident how she transferred and relying on the resident’s statement, “I can stand,” rather than checking the care profile and transfer status prior to the shift. During the transfer, the resident let go of the lift handles and slid to the floor, as documented in the nurse’s note and fall report, and the facility’s staffing disciplinary record noted the CNA did not follow the proper transfer status. For the second resident, who had dementia and severely impaired cognition (BIMS score of 5), the care plan identified a history of falls and required the use of bed and chair alarms due to fall risk, with a physician’s order to check the bed/chair alarm every shift for proper operation and placement. The care profile also included special instructions for use of a bed alarm. An unwitnessed fall occurred when this resident was found on the floor of her room and the bed alarm was not sounding to alert staff. Subsequent observation showed the resident seated at the nurses’ station with a chair alarm in place and unable to recall the fall. The DON confirmed that care plans are communicated to staff through Resident Care Profiles, and the QA nurse identified the root causes of the falls as failure to follow the care plan requirements for transfer assistance and failure to ensure the bed alarm was engaged to alert staff through the call light system.
Failure to Follow Transfer and Alarm Orders Resulting in Falls for Two Residents
Penalty
Summary
The facility failed to ensure a safe environment and implement fall-prevention interventions for two residents with known fall risk. For one resident with moderately impaired cognition (BIMS score 12) and a physician’s order and care profile specifying a total mechanical lift with two-person assist for transfers, a CNA conducted a chair-to-bed transfer using a sit-to-stand lift instead of the ordered full mechanical lift with two staff. The CNA reported that she asked the resident how she transferred, and the resident stated she could stand. During the transfer, the resident let go of the lift handles and slid to the floor. Documentation showed the resident had a physician’s order for “TOTAL LIFT X2” and care profile instructions for “TOTAL LIFT X2 CNAs FOR TRANSFERS,” which were not followed. For a second resident with severely impaired cognition (BIMS score 5) and dementia, the facility did not ensure that a required bed alarm was engaged. The resident had a physician’s order for a bed/chair alarm to be checked every shift for proper operation and placement, and the care profile specified a bed alarm to bed. The resident was found on the floor of her room after an unwitnessed fall with head injury, and the bed alarm was not sounding at the time, despite the resident having been lying in bed prior to the fall. Facility staff later reported that the fall occurred when the resident got out of bed without assistance and the bed alarm was not engaged, which prevented the alarm from alerting staff through the call light system and allowing for intervention.
Failure to Calibrate Thermometers and Sanitize Pots and Pans
Penalty
Summary
The facility failed to sanitize pots and pans according to manufacturer guidelines and failed to calibrate food thermometers before use. The facility’s Calibration of Thermometers Policy stated that all thermometers are to be calibrated before each use, after being dropped, and when experiencing an extreme change in temperature. The Manual Warewashing Policy stated that pots and pans that cannot fit in the dish machine are to be cleaned and sanitized in a three-compartment sink, with sanitizer mixed to the proper concentration and checked with an appropriate test kit when the sink is filled and again if used for an extended period of time. During an observation on 2/10/26 at 10:35 AM, the Dietary Manager used a manual thermometer to check food temperatures on the steam table and did not calibrate the thermometer before testing the food. During a separate observation at 10:48 AM, a Dietary Aide washed pots and pans in the three-compartment sink, and the pots and pans were observed air drying on a table next to the sink. The third sink contained warm water, but a test strip did not register sanitizer concentration. The Dietary Aide stated the sanitation equipment was not working, and the sanitation container was observed under the sink with the tubing disconnected. The Dietary Manager confirmed the thermometer had not been calibrated before each meal, and the Administrator stated staff are expected to calibrate thermometers and use sanitation equipment according to manufacturer guidelines.
Dignity Concern During Assisted Feeding
Penalty
Summary
The facility failed to ensure a resident's right to dignity when Certified Nursing Aide #1 assisted Resident #34 with feeding while standing over the resident during lunch. Resident #34 was admitted with diagnoses including hemiplegia and hemiparesis, and the most recent MDS showed a BIMS score of 2, indicating severely impaired cognition. During the observation, the CNA was seen tilting her arm downward to place food into the resident's mouth while standing, and two vacant chairs were present in the resident's room with three additional chairs in the hallway near the room. During interview, the CNA acknowledged she fed the resident while standing and stated she knew she was expected to feed residents while seated at eye level. She said she did not sit because she had been told the chairs were for family members, although no family members were present. The DON stated that sitting during feeding assistance was important to improve positioning and reduce the likelihood of aspiration, and the Administrator stated that standing over a resident during feeding was a dignity concern and disrespectful and that staff were expected to sit during assisted feedings.
Posted Personal Care Information in Resident Room
Penalty
Summary
The facility failed to ensure a resident’s right to privacy and confidentiality by posting personal care information in the resident’s room. Resident #8 was admitted with diagnoses including encounter for attention to gastrostomy, and active orders included all oral medications to be given via PEG tube, NPO status, continuous Nutren 2.0 tube feeding at 30 ml per hour, and keeping the head of bed elevated 30 degrees or greater at all times related to the PEG tube and aspiration risk. During observation, two signs were posted on the wall above the resident’s headboard stating to keep the head of bed elevated at 30-45 degrees to prevent aspiration, Nutren 2.0 at 30 ml/hr continuous via PEG tube, and all meds given via PEG tube. The LPN confirmed the signs reflected private health information contained in the resident’s medical record and care plan. The DON later confirmed signage containing resident personal care information should not be posted in resident rooms and stated she was not aware the signs were posted. The Administrator also stated staff were expected to honor resident privacy and not post personal care information in resident rooms.
Failure to Identify Lap Belt as a Restraint
Penalty
Summary
The facility failed to ensure a resident’s right to be free from physical restraints by not identifying and documenting the use of a lap belt as a restraint for one resident. The facility’s restraint policy defined physical restraints as manual methods or mechanical devices attached to a resident’s body that the individual cannot remove easily and that restrict freedom of movement or normal access to the body. During observation, the resident was seen seated in a wheelchair with a soft belt secured across the lap, and when an LPN asked the resident three times to remove the belt, the resident stared at the nurse and did not respond. The resident had been admitted with unspecified dementia, and the annual MDS showed a BIMS score of 0, indicating severely impaired cognition. The DON stated the facility failed to identify the lap belt as a restraint and noted that proper identification was important for required monitoring, including releasing it every 30 minutes and checking fit. The QA nurse reported he did not identify the lap belt as a restraint because he believed the resident could remove it, and the Administrator stated the belt should have been identified as a restraint and monitored for continued need. The medical record contained no documentation identifying the lap belt as a restraint.
Unlicensed CNA Applied Medicated Skin Product
Penalty
Summary
The facility failed to follow professional standards of quality by allowing an unlicensed CNA to apply zinc oxide during incontinent care for Resident #10. A review of the Mississippi Board of Nursing information stated that a registered nurse may assign duties of administration of patient medications to other licensed nurses only, and the facility record noted that zinc oxide was ordered on 2/2/26 for skin protection with a note that a CNA may apply it per nurse direction for skin protection only. During observation on 2/11/26 at 12:35 PM, CNA #2 provided catheter and incontinent care to Resident #10 and applied zinc oxide to the perineal folds. Resident #10 was admitted on 11/25/25 with diagnoses including heart failure, and the MDS with an ARD of 1/12/26 showed a BIMS score of 15, indicating the resident was cognitively intact. During interview, the resident stated staff routinely applied zinc oxide after catheter and incontinent care. CNA #2 reported she had been instructed by the DON to apply zinc oxide after incontinent episodes to prevent skin breakdown. The DON stated she had instructed CNAs to apply zinc oxide to incontinent residents for skin protection and was unaware zinc oxide was considered a medicated product; the Administrator also stated he was unaware zinc oxide was considered a medicated product and was seeking a non-medicated barrier cream alternative.
Failure to Act on Pharmacist Medication Irregularity for Extended-Release Drug
Penalty
Summary
The facility failed to act on a pharmacist-identified medication irregularity for Resident #8 involving Toprol XL (metoprolol succinate ER), an extended-release medication that should not be crushed. The facility’s Pharmacy Consultant Policy stated that a licensed pharmacist would provide consultation, that monthly irregularities would be reported to the resident’s physician and placed on the medical record, and that the DON would document action taken and maintain monthly reports. A pharmacy recommendation for Resident #8 identified a medication administration alert stating that medications that should not be crushed included Toprol XL ER, which could not be crushed or chewed. Resident #8 was admitted with diagnoses including essential hypertension and attention to gastrostomy, and the MDS indicated the resident had a feeding tube and memory problems. The resident had an order for Toprol XL 50 mg via PEG tube, and the MAR showed the medication was administered daily via PEG tube over multiple months. During observation, an LPN crushed Toprol XL ER 50 mg and administered it via PEG tube, and the LPN stated she was not aware it should not be crushed. The pharmacy consultant reported the recommendation had been issued to the DON for follow-up and correction, while the DON acknowledged the recommendation was missed and that the medication should have been changed to an appropriate formulation after PEG placement.
Dietary Staff Failed to Use Three-Compartment Sink Sanitizing Procedures
Penalty
Summary
The facility failed to ensure dietary staff demonstrated competency in sanitation procedures for the three-compartment sink during kitchen operations. A review of the facility’s Manual Warewashing Policy dated 10/17 showed that items not fitting in the dish machine were to be cleaned and sanitized in a three-compartment sink, with the third compartment filled with water and sanitizer at the correct concentration or hot water at the required temperature and time, and with sanitizer concentration checked using an appropriate test kit when the sink was filled and again if used for an extended period. During observation, a Dietary Aide washed pots and pans in the three-compartment sink and placed them air drying on a table next to the sink. The third sink contained warm water, but a test strip did not register sanitizer concentration. The aide then added sanitizing solution directly from the container into the sink without measuring the amount, and the test strip afterward registered between 200 and 400 PPM. The aide confirmed the sanitation equipment was not working and that she added sanitizer based on estimation. The Dietary Manager stated she had washed pots and pans earlier using what she believed was correct sanitation and confirmed the sanitation tubing had been disconnected, while the Maintenance Director stated she contacted the sanitation vendor after being notified the equipment was not working. The Sanitation Vendor Representative stated the equipment was functioning properly and that sanitizer should not be manually poured into sinks because the equipment is designed to dispense the correct concentration.
Failure to Use Required PPE During PEG Tube Care
Penalty
Summary
The facility failed to follow its Enhanced Barrier Precautions policy by not using the required PPE, specifically a gown, during PEG tube care for one resident. The facility policy, dated 4/30/25, stated that EBPs require targeted gown and glove use during high-contact resident care activities, including feeding tube care, and that staff are trained on EBP and PPE use. On 2/11/26 at 10:14 AM, an observation showed the resident had EBP signage on the door, including an orange sign and green dot, while an LPN performed PEG tube dressing care without wearing a gown. The resident involved was admitted on 2/7/24 with diagnoses including essential hypertension and encounter for attention to gastrostomy. The MDS indicated the resident had memory problems with short- and long-term memory and had a feeding tube. Active orders included NPO status and PEG care. During interview, the LPN confirmed she did not wear a gown during the PEG tube care and stated she forgot to put it on, despite having been trained to wear PPE when caring for residents with medical devices and EBP signage. The RN/Infection Preventionist, DON, and Administrator each stated staff are expected to follow EBP and infection control policies.
Failure to Secure Hazardous Chemicals in Shower Room
Penalty
Summary
The facility failed to adhere to its policy on the safe storage of hazardous materials, as observed during the annual survey. In one of the four shower rooms inspected, hazardous cleaning chemicals, specifically two spray containers of Clorox cleaner and one spray container of Medco Rinse Agent, were found sitting unsecured on a shelf. This was noted during two separate observations on the same day, indicating a lapse in the facility's protocol to keep such materials locked and secured from public access. Interviews with the Director of Nursing (DON) and the Administrator confirmed the oversight. The DON acknowledged that the chemicals should have been locked inside a cart, as they are considered biohazardous. The Administrator also confirmed that chemicals should not be left unattended and unsecured, recognizing the potential harm if accessed by residents. The safety data sheets for both chemicals indicated that exposure could cause irritation or require immediate medical attention, underscoring the importance of proper storage.
Dishwasher Temperature Deficiency in LTC Facility
Penalty
Summary
The facility failed to ensure proper sanitation procedures during dishwashing, as the low-temperature dishwasher did not reach the required minimum temperature. During two observations, the dishwasher's thermometer showed a temperature of only 60 degrees Fahrenheit, significantly below the suggested 120 degrees. Despite multiple attempts to run the machine, the temperature did not increase. A manual check by a dietary worker showed a temperature of 110.6 degrees Fahrenheit, still below the required level. The facility's policy stated that if the dishwasher could not be used, dishes should be washed in a three-compartment sink, a procedure that was not initially followed. The Dietary Supervisor continued to use the dishwasher, manually checking the temperature and pre-rinsing dishes, but did not adhere to the policy of using the three-compartment sink. The Maintenance Supervisor reported that the dishwasher servicing company was working on obtaining a necessary part to fix the temperature issue. Eventually, the kitchen staff began washing dishes in the three-compartment sink, as per the facility's policy. The deficiency was identified during dietary tours, highlighting the failure to maintain proper sanitation standards in dishwashing procedures.
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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 Columbia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Myrtles Nursing Center, Llc | 0.8 mi | ★★★★★ | 1 | 0 |
| Columbia Rehabilitation And Healthcare Center | 2.5 mi | ★★★★★ | 6 | 0 |
| Billdora Senior Care | 22.3 mi | ★★★★★ | 4 | 1 |
| Diversicare Of Tylertown | 22.7 mi | ★★★★★ | 4 | 0 |
| Jefferson Davis Community Hospital Ecf | 23.7 mi | ★★★★★ | 7 | 0 |
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