Above 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 Tippah County Nursing Home during CMS and state inspections, most recent first.
Dietary Manager Not Qualified by CDM Certification: The facility failed to ensure the Dietary Manager obtained or enrolled in a CDM program. Staff could not provide a policy on dietary staff qualifications, the Dietary Manager stated he had not completed a CDM program and was unaware it was required, and personnel records showed he had been hired about two years earlier without completing or enrolling in certification. The Administrator stated she was unaware the Dietary Manager was required to have CDM certification.
Failure to Follow Infection Control Practices During Wound and Catheter Care: An LPN did not perform hand hygiene after removing a soiled dressing and before donning clean gloves during wound care for a resident with a Stage 2 pressure injury and moderate cognitive impairment. In a separate observation, a CNA did not use EBP, including wearing a gown, during catheter care for another resident with an indwelling Foley catheter and moderate cognitive impairment. The DON confirmed EBP should have been used during catheter care and hand hygiene should have been performed before donning gloves.
Failure to resolve a grievance about incontinence care during meals: a resident's caregiver reported the resident was left in a soiled brief for hours while staff said briefs were not to be changed during meal times and tray passes. Resident Council minutes showed admin instructed staff not to provide incontinence care during mealtimes, and CNAs and an LPN confirmed this practice, despite the Administrator stating residents should be checked every 2 hours and changed as needed, including during meals. The resident had Cerebral Infarction and severely impaired cognition.
Broken Window Blinds in Resident Rooms: The facility failed to keep window coverings intact and in good repair in two resident rooms. Surveyors observed blinds with broken and missing slats, leaving a large gap at the bottom and exposing the outside elements. A CNA confirmed the issue had been reported, and the Administrator stated the blinds were unsightly and did not meet the facility's homelike environment expectation. The Maintenance Director said repairs depend on a work order and was only notified about one room.
Failure to implement individualized care plans for a resident with DM and ADL needs. The resident’s care plans included diabetic nail care and personal hygiene assistance with cueing and supervision, but staff observed long, jagged fingernails and long chin hairs that had not been addressed. An LPN confirmed the nail care and facial hair care were not completed as expected, and the MDS nurse confirmed the ADL and DM care plans were not implemented.
Failure to provide ADL hygiene care for a resident with DM and intact cognition. The resident was observed with long, jagged fingernails and long chin hairs, and stated both needed to be trimmed. An LPN confirmed the nails could cause a skin tear and said RN-only diabetic nail care was scheduled on the TAR, while the shower aide should have addressed the facial hair during the shower.
Medication labels did not match MAR orders for a resident during med pass. An LPN removed pharmacy-prepared blister packs labeled Gabapentin 300 mg and Propranolol HCl ER 80 mg from the locked narcotic box and administered two tablets/capsules of each because the MAR ordered Gabapentin 600 mg and Propranolol HCl ER 160 mg. The LPN said the discrepancy had been present since admission, and the DON and Administrator said staff had not reported it; the resident was cognitively intact with a BIMS score of 13.
The facility failed to maintain a safe and sanitary environment in two shower rooms, with significant damage to walls and ceilings, including missing plaster and exposed metal. The Administrator and DON acknowledged the potential for injury, and the Maintenance Director confirmed awareness of the issues but had not completed repairs.
A facility failed to develop a hospice care plan for a resident receiving hospice services, despite an order to admit the resident to hospice care. The MDS Coordinator and Administrator acknowledged the oversight, noting the resident had been on and off hospice care, which contributed to the lapse. The absence of a care plan was confirmed during a review of the resident's records.
A facility failed to properly store a nebulizer mask and tubing, leaving them exposed on a nightstand without protective covering, contrary to their policy. This was confirmed by an LPN and the Administrator, who acknowledged the potential for contamination and respiratory infections. The resident involved had a history of respiratory issues and was receiving albuterol treatments.
Dietary Manager Not Qualified by CDM Certification
Penalty
Summary
The facility failed to ensure that the Dietary Manager was qualified by obtaining or enrolling in a Certified Dietary Manager (CDM) program for 3 of 3 days of survey. Surveyors requested a facility policy related to dietary staff qualifications, but staff were unable to provide a policy outlining requirements for CDM certification. During an interview, the Dietary Manager stated that he had not completed a CDM program and was unaware that he was required to obtain certification. Review of personnel records showed that the Dietary Manager had been hired approximately two years earlier and had not completed or enrolled in a CDM program. During an interview, the Administrator stated she was unaware that the Dietary Manager was required to obtain CDM certification.
Failure to Follow Infection Control Practices During Wound and Catheter Care
Penalty
Summary
The facility failed to implement infection prevention and control practices during resident care observations. During wound care for Resident #3, an LPN removed the soiled dressing and then did not perform hand hygiene before putting on clean gloves. The LPN later stated she forgot to perform hand hygiene during the procedure and acknowledged that hand hygiene should be performed before donning gloves to help prevent the possible spread of infection. Resident #3 had a Stage 2 pressure injury to the coccyx and a BIMS score of 9, indicating moderate cognitive impairment. During catheter care for Resident #6, a CNA was observed not using Enhanced Barrier Precautions because she did not wear a gown during the procedure. The CNA stated she was aware EBP should have been used during catheter care but forgot, and confirmed that EBP are used to prevent the spread of infection between staff and residents and between residents. Resident #6 had an indwelling Foley catheter ordered for daily cleansing and a BIMS score of 8, indicating moderate cognitive impairment. The Administrator and DON confirmed that EBP should have been used during catheter care and that hand hygiene should be performed before donning gloves.
Failure to Resolve Grievance About Incontinence Care During Meals
Penalty
Summary
The facility failed to honor the resident's right to organize and participate in resident/family groups by not acting on and resolving a grievance related to incontinent care for Resident #27. The facility policy titled Activities of Daily Living (ADL) Care stated that ADL care is to be provided daily as needed, residents are to be checked every two hours on each shift, and adult briefs are to be changed if needed. However, the resident's caregiver reported that Resident #27 had been left in a soiled brief on more than one occasion while visiting daily, and said staff told her residents were not to be changed during meal times and meal tray passes. Resident Council meeting minutes showed administration instructed staff not to provide incontinence care during mealtimes. CNA #1, CNA #2, and LPN #1 confirmed that staff were expected to complete tray pass and feeding before providing incontinence care during meal service. The Administrator stated the expectation was for staff to provide incontinence care every two hours and as needed, including during mealtimes, and said residents should not remain in soiled briefs. Resident #27 had diagnoses including Cerebral Infarction and a BIMS score of 07, indicating severely impaired cognition.
Broken Window Blinds in Resident Rooms
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment by not ensuring window coverings were intact and in good repair in two resident rooms. During observation, the window blinds in rooms 230 and [ROOM NUMBER] were found to have broken and missing slats, leaving an approximate 30-inch gap at the bottom and exposing the outside elements. A CNA stated that when disrepair is noted in a resident room, nursing staff are notified so maintenance can be contacted, and she confirmed she had observed the broken blinds in [ROOM NUMBER] and reported the issue that morning. The Administrator confirmed the blinds in the affected rooms were broken, looked unsightly, and did not meet the facility's expectation of providing a homelike environment. The Maintenance Director stated maintenance needs are addressed when a work order is submitted and confirmed he had been notified that morning about replacing the blinds in [ROOM NUMBER], while also stating he had not been made aware of the need to inspect or repair the blinds in [ROOM NUMBER].
Failure to Implement Individualized Care Plans
Penalty
Summary
The facility failed to implement comprehensive care plans for one sampled resident with diabetes mellitus and ADL needs. The resident’s care plan for diabetes mellitus, initiated 8/26/2024, included diabetic nail care on Tuesdays, and the ADL care plan, also initiated 8/26/2024, stated the resident was able to perform personal hygiene care with cueing and supervision. However, during observation on 2/17/2026, the resident was found to have noticeably long, jagged fingernails measuring about one inch in length and several long facial hairs on the chin measuring about one and one-half inches in length. The resident stated the nails were too long and needed to be trimmed and that she did not want facial hair and would like it trimmed. During interview on 2/18/2026, an LPN confirmed the resident had long, jagged fingernails that could cause a skin tear and stated that because the resident has diabetes, an RN is required to trim the nails. The LPN also confirmed the resident had several long chin hairs and stated the shower aide should have taken care of this during the shower. On 2/19/2026, the MDS nurse confirmed the ADL and diabetes mellitus care plans were not implemented and stated the purpose of the care plans was to provide guidance for individualized care. The resident’s record showed diagnoses of encephalopathy, unspecified, and type 2 diabetes mellitus without complications, and the quarterly MDS indicated a BIMS score of 15, showing the resident was cognitively intact.
Failure to Provide ADL Hygiene Care
Penalty
Summary
The facility failed to provide ADL care to maintain personal hygiene for one resident with diabetes and cognitive intactness. During observation, the resident was noted to have noticeably long, jagged fingernails measuring about one inch in length and several long facial hairs on the chin measuring about one and one-half inches. The resident stated that the nails were too long and needed to be trimmed and that she did not want the facial hair and wanted it trimmed as well. An LPN confirmed the resident had long, jagged fingernails that could cause a skin tear and stated that because the resident has diabetes, only an RN could trim her nails. The LPN also confirmed the resident had several long chin hairs and stated the shower aide should have taken care of this during the shower. Record review showed diabetic nail care was scheduled on the TAR every Tuesday to be completed by the RN, and the Administrator stated the care should have been completed the previous day. The resident’s record showed diagnoses including Type 2 diabetes mellitus without complications, and the MDS indicated a BIMS score of 15.
Medication Labels Did Not Match MAR Orders
Penalty
Summary
The facility failed to ensure medications were accurately labeled and matched the physician’s orders for one resident observed during medication pass. During observation, an LPN retrieved pharmacy-prepared blister packs labeled Gabapentin 300 mg and Propranolol HCl ER 80 mg from the locked narcotic box and punched out two tablets/capsules of each medication, stating the MAR ordered Gabapentin 600 mg one tablet twice daily and Propranolol HCl ER 160 mg one capsule twice daily. Record review confirmed the MAR orders were for Gabapentin 600 mg and Propranolol HCl ER 160 mg, while the blister packs on hand were labeled for 300 mg Gabapentin with instructions for two tablets and 80 mg Propranolol with instructions for two capsules. The LPN stated the blister packs had been labeled that way since admission and that she had never thought to get them changed. The resident was admitted with diagnoses including unspecified muscle disorder, pain, and essential primary hypertension, and the MDS showed a BIMS score of 13, indicating the resident was cognitively intact. During interview, the Administrator and DON stated they were unaware of the discrepancy and acknowledged that nursing staff should have reported it so it could be corrected; the DON stated the mismatch could cause a medication error when the blister pack strength did not match the MAR.
Facility Fails to Maintain Safe and Sanitary Shower Rooms
Penalty
Summary
The facility failed to provide a safe, functional, and sanitary environment for residents, as evidenced by the disrepair of two shower rooms. Observations revealed significant damage to the walls and ceilings in both shower rooms, including missing plaster and exposed metal grill-like material. In the east hall shower room, a large open area of missing plaster was noted at the corner of the wall, and the ceiling around an air vent was damaged with hanging plaster and a black substance. Similarly, in the south hall shower room, the ceiling surrounding the air vent was damaged with open areas of plaster and a dark substance. Additionally, a large hole with missing plaster and exposed metal was observed behind the door where the doorknob met the wall. Interviews with the Administrator, DON, and Maintenance Director confirmed awareness of the damaged areas and the potential for injury due to the disrepair. The Administrator acknowledged that the entrance areas to the shower rooms had not been remodeled and that the maintenance department had been informed but had not completed the repairs. The Maintenance Director admitted difficulty in finding someone to perform the necessary repairs and provided measurements of the damaged areas, further confirming the need for repairs to ensure safety.
Failure to Develop Hospice Care Plan for Resident
Penalty
Summary
The facility failed to develop a care plan for hospice services for one of the residents, identified as Resident #15. According to the facility's policy on care plans, a comprehensive care plan must be developed for each resident, including measurable objectives and timetables to meet their medical, nursing, mental, and psychosocial needs. Despite an order dated May 9, 2024, to admit the resident to hospice care, the care plan for hospice services was not created. The Minimum Data Set (MDS) Coordinator confirmed that the resident was receiving hospice services and was assessed for hospice on the MDS assessment, but acknowledged that a care plan was not developed due to oversight. Interviews with the MDS Coordinator and the Administrator revealed that the resident had been on and off hospice care, which contributed to the oversight. The Administrator confirmed the necessity of a care plan for hospice services, acknowledging that it serves as a guide for staff in providing care. The absence of a hospice care plan for Resident #15 was confirmed during the review of the resident's records, which indicated that the resident was receiving hospice services as of the MDS assessment with an Assessment Reference Date of August 12, 2024.
Improper Storage of Nebulizer Supplies
Penalty
Summary
The facility failed to ensure the proper storage of a nebulizer facial mask and tubing for one of the residents, leading to a potential infection control issue. The facility's policy, revised on 03/13/18, requires that nebulizer supplies be placed in a plastic bag after each use. However, during an observation on 11/04/24, it was noted that the nebulizer machine, along with the facial mask and tubing, was left on the nightstand next to the resident's bed without any protective covering. Interviews with an LPN and the Administrator confirmed that the nebulizer mask and tubing were not stored in a protective bag, which could lead to contamination and respiratory infections. The resident involved had a history of shortness of breath, unspecified dementia, and chronic obstructive pulmonary disease, and was receiving albuterol treatments via nebulizer. The failure to adhere to the facility's infection control policy was observed and acknowledged by the staff, highlighting a deficiency in maintaining proper infection prevention measures.
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What surveyors actually found near you
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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 Ripley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Diversicare Of Ripley | 0.2 mi | ★★★★★ | 9 | 0 |
| Rest Haven Health And Rehabilitation | 0.2 mi | ★★★★★ | 8 | 0 |
| Ashland Health And Rehabilitation | 14.1 mi | ★★★★★ | 2 | 0 |
| New Albany Health & Rehab Center | 16.7 mi | ★★★★★ | 0 | 0 |
| Union Co Health And Rehab Center, Inc | 18.4 mi | ★★★★★ | 1 | 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.