Average — CMS composite of the measures below.
The next survey window likely opens around November 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 Tishomingo Comm Living Center during CMS and state inspections, most recent first.
Failure to Supervise a Known Elopement Risk: A resident with severe cognitive impairment and a documented wander/elopement risk repeatedly tried to exit and said he needed to go home to his wife. Staff kept him near the nurses’ station with intermittent checks, but he left the building and was later found in a pharmacy across a busy street, where he was standing and talking with pharmacy staff before being returned to the facility.
Inaccurate PBJ staffing data was submitted for one quarter after the facility triggered for excessively low weekend staffing. The Administrator stated that she found the submitted data was inaccurate because she and the DON worked some weekends but their salary hours were not accurately converted to hourly, and a Paylocity data entry error failed to capture all employees who worked during the period in question.
Failure to Provide Bed-Hold Notice After Hospital Transfer: The facility did not provide written bed-hold notification to the resident or representative when two residents were sent to the hospital. The BOM confirmed the notices were not sent, and the Administrator stated residents should receive bed-hold information, including the amount needed to hold the bed. One resident had hemiplegia, DM2, and dysphagia with limited understanding, and the other had metabolic encephalopathy with an incomplete BIMS.
A resident with a history of hypertension experienced multiple elevated blood pressure readings that were not reported to the physician, contrary to facility policy. The DON acknowledged that the nurses failed to monitor and communicate these changes, which could have indicated a clinical complication. The resident expressed concern about his condition, and the physician was unaware of the repeated elevated readings.
A resident with a history of heart failure, diabetes, dementia, hypertension, and falls was transferred to the ER after a fall. The facility failed to notify the resident's representative and the Ombudsman in writing about the emergency transfer. The Medical Records Nurse overlooked the notification due to the resident's brief hospital stay and removal from the transfer list. No written physician's order was documented for the transfer.
A facility failed to develop a care plan for a resident with a history of hypertension, despite the resident's admission diagnosis and recent high blood pressure readings. The MDS RN admitted to not including hypertension in the care plan due to the resident not actively receiving treatment, and the DON confirmed the oversight. The facility's policy requires comprehensive care plans, but this was not followed, resulting in a lack of guidance for staff on managing the resident's condition.
A resident experienced difficulty swallowing a large Amoxicillin pill, which was not initially addressed by the LPN despite the resident's complaints. The facility's policy allowed for medications to be crushed, but this was not considered until observed by surveyors. Interviews confirmed that the LPN had attended training on crushable medications but did not apply this knowledge, and the DON acknowledged alternative options were available.
Failure to Supervise a Known Elopement Risk
Penalty
Summary
The facility failed to provide adequate supervision and a secure environment to prevent the elopement of a resident who was identified as at risk for wandering and elopement. The resident had diagnoses including atherosclerotic heart disease with angina, type 2 diabetes mellitus with hyperglycemia, dementia with severe behavioral disturbance, Alzheimer’s disease with late onset, and COPD. His admission MDS showed a BIMS score of 03, indicating severe cognitive impairment, and a quarterly wander evaluation dated 12/6/25 identified him as a wander/elopement risk. On the day of the incident, staff observed the resident repeatedly attempting to go to the exit door and stating that he needed to go home to his wife. An LPN placed a chair at the nursing station and had him sit beside her, and the resident was generally kept near the nurses’ station while staff provided magazines and videos. Staff reported conducting visual checks at intervals ranging from every 30 minutes to every hour. Despite these observations and the resident’s known elopement risk, staff did not maintain sufficient supervision to prevent him from leaving the building. The resident was later found inside a pharmacy across a busy two-lane street from the facility, approximately 100 yards away. A pharmacy technician reported that a man matching the resident’s description approached her in the parking lot and asked for a ride to a nearby town, offering money for the ride. She later realized he was a resident from the facility and returned to notify staff. Facility staff then located the resident standing in the pharmacy, laughing and conversing with pharmacy staff, and returned him to the facility. Interviews also indicated that the front lobby area had been unsecured before the incident, with multiple entrances and exits unlocked and accessible.
Inaccurate PBJ Staffing Data Submission
Penalty
Summary
The facility failed to submit accurate staffing data into the Payroll-Based Journal (PBJ) system for one quarter reviewed, specifically the 4th Quarter 2025. Record review of the facility policy titled, Staffing Hours-Monitoring of Policy and Procedure, showed the purpose was to assure staffing met federal and state guidelines. Review of the PBJ Staffing Data Report CASPER Report 1705D for FY Quarter 4 2025 revealed the facility triggered for excessively low weekend staffing. During interview, the Administrator stated that after auditing the low weekend staffing data, she discovered the data submitted to PBJ was inaccurate. She reported that both she and the DON had worked some weekends, but their salary hours were not accurately converted to hourly, and further investigation identified a data entry error with the vendor Paylocity that failed to capture all employees who worked during the time period in question.
Failure to Provide Bed-Hold Notification After Hospital Transfers
Penalty
Summary
The facility failed to provide written bed-hold notification to the resident or the resident’s representative when two residents were transferred to the hospital. The facility policy stated that before a resident is transferred to the hospital or goes on therapeutic leave, written information must be provided to the resident and family member or legal representative describing the duration of any bed-hold under the State plan and the facility’s bed-hold policies, and that in an emergency transfer, written notification should be given to the family, surrogate, or representative within 24 hours. A copy of the notice should also be sent with the resident in the transfer paperwork. For Resident #1, the medical director ordered transfer to the ER for treatment and evaluation, and the transfer/discharge notice showed the resident was sent to the hospital. During interview, the BOM confirmed that no written bed-hold notice was provided to the resident or representative at the time of transfer and acknowledged responsibility for sending the notice. The Administrator also confirmed that residents are supposed to receive notification of bed-hold, including the amount, so they know what they will need to pay to hold the bed. Resident #1 had diagnoses including hemiplegia and hemiparesis, type 2 diabetes mellitus, and dysphagia, and the MDS indicated the resident was rarely/never understood. For Resident #65, the medical director ordered transfer to the ER for treatment and evaluation, and the transfer/discharge notice showed the resident was sent to the hospital; the BOM confirmed the bed-hold policy was not sent for this resident either. Resident #65 had a diagnosis of metabolic encephalopathy, and the MDS assessment was incomplete with no BIMS summary score entered.
Failure to Notify Physician of Elevated Blood Pressure
Penalty
Summary
The facility failed to notify the physician of an increase in blood pressure for a resident who was being monitored for hypertension. The facility's policy requires that any significant changes in a resident's condition, such as elevated blood pressure, be reported to the physician. Despite this, the resident's elevated blood pressure readings were not communicated to the physician, which could have indicated a clinical complication. The Director of Nursing confirmed that the nurses did not monitor the blood pressure values closely enough and failed to notify the provider, which was a lapse in the process. The resident, who was admitted with a diagnosis of hypertension, had multiple blood pressure readings over several days that exceeded the facility's defined threshold for hypertension. These elevated readings were not reported to the physician, despite the facility's policy and the resident's medical history. The resident expressed concern about his elevated blood pressure and questioned whether his medications had been adjusted, indicating a lack of communication and follow-up on his condition. The resident's medical doctor was not aware of the repeated elevated blood pressure readings, which could have warranted changes in treatment.
Failure to Notify Resident's Representative and Ombudsman of Emergency Transfer
Penalty
Summary
The facility failed to notify the resident's representative and the Ombudsman in writing about an emergency transfer to the hospital for one of the residents reviewed for hospitalization. The resident, who had a history of heart failure, type 2 diabetes mellitus, dementia, hypertension, and repeated falls, was sent to the emergency room following a fall. Although a verbal order was given by the resident's physician to send her to the ER, there was no written physician's order documented in the facility's system. The resident was briefly hospitalized and returned to the facility within a few hours. The Medical Records Nurse, responsible for notifying the Ombudsman and the resident's representative, failed to send the required notifications. This oversight occurred because the resident's name was inadvertently removed from the transfer list, leading to the omission of the necessary notifications. The facility did not have a policy in place that required written notification to the responsible party and Ombudsman for emergency transfers, contributing to the failure in communication.
Failure to Develop Care Plan for Hypertension
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident with a history of hypertension, which was identified during a review of 19 care plans. The facility's policy mandates that a comprehensive, person-centered care plan with measurable objectives and timetables be developed for each resident to meet their physical, psychosocial, and functional needs. Despite this, the care plan for the resident in question did not include any mention of hypertension, even though the resident had a documented history of the condition and had experienced high blood pressure readings recently. Interviews with the MDS RN and the DON revealed that the omission was due to human error. The MDS RN admitted that she failed to include the diagnosis of hypertension in the care plan because the resident was not actively receiving treatment for it at the time of admission. The DON confirmed that the resident's history of hypertension was not addressed in the care plan, which should have included interventions and parameters for blood pressure monitoring. The resident was admitted with a diagnosis of hypertension, and the MDS assessment indicated that the resident was cognitively intact.
Failure to Address Resident's Difficulty Swallowing Medication
Penalty
Summary
The facility failed to prevent a potential accident during medication administration for a resident who had difficulty swallowing a large pill. The resident, who was receiving Amoxicillin for a urinary tract infection, expressed difficulty swallowing the medication, stating it would get stuck in her throat. Despite the resident's complaints, the nurse did not initially offer to split or crush the pill, which could have prevented the risk of choking. The facility's policy allowed for medications to be crushed if safe, but this was not initially considered by the nurse. Interviews with the LPN and the Director of Nursing confirmed that the resident had previously complained about the size of the pill, but no action was taken to address the issue until it was observed during the survey. The LPN admitted to attending an in-service training on crushable medications but did not apply this knowledge to the resident's situation. The Consultant Pharmacist confirmed that the Amoxicillin could have been crushed, and the DON acknowledged that the nurse could have obtained an order for a liquid form of the medication.
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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 Iuka
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tishomingo Manor | 1.4 mi | ★★★★★ | 1 | 0 |
| Cornerstone Rehabilitation And Healthcare Center | 21.9 mi | ★★★★★ | 9 | 0 |
| Ms Care Center Of Alcorn County, Inc-snf | 22.2 mi | ★★★★★ | 10 | 0 |
| Landmark Nursing And Rehab Center | 23 mi | ★★★★★ | 1 | 0 |
| Longwood Community Living Center | 23.6 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.