Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Trend Health And Rehab Of Natchez, Llc during CMS and state inspections, most recent first.
Failure to Meet Minimum Nursing Staffing Ratio: The facility did not ensure nursing staff provided the required 2.8 hours of direct nursing care per resident per 24 hours on multiple days reviewed. The staffing grid showed ratios below the minimum standard on several days, and the DON confirmed nightshift shortages were reported to her, while the Administrator stated the facility used the state minimum requirement ratio for daily staffing.
A resident with a history of cerebral infarction and intact cognition was subjected to inappropriate and disrespectful comments by two CNAs during personal care, including remarks about her appearance and weight, resulting in the resident feeling embarrassed and uncomfortable. The incident was reported by the resident, confirmed through investigation, and found to be in violation of the facility's policy on resident dignity and respect.
A resident with moderate cognitive impairment and a history of cardiac arrest experienced three separate falls, but the facility did not complete required investigations or incident reports for these events. Progress notes described the falls, including one witnessed by a CNA and another resulting in a head injury, but the Fall Evaluation Tool was not used. The DON was unaware of two of the falls and admitted to not completing documentation for the third, contrary to facility policy.
Failure to Meet Minimum Nursing Staffing Ratio
Penalty
Summary
The facility failed to comply with state nursing facility staffing requirements by not ensuring nursing staff provided 2.8 hours of direct nursing care per resident per 24 hours on five of 14 days reviewed. Review of the facility’s Staffing Policy dated 7/1/2024 showed the facility stated it would have sufficient nursing staff and that the clinical PPD would be 2.80 or greater, while also noting this minimum standard may not in itself meet the need for sufficient nursing staff. Review of the Minimum Standards for Institutions for the Aged or Infirm for Rule 45.4.1 Nursing Facility showed the minimum staffing requirement was based on a ratio of 2.80 hours of direct nursing care per resident per 24 hours. Review of the Staffing Grid dated 6/15/26 through 6/28/26 showed staffing ratios below the required 2.8 on 6/19/26 at 2.73, 6/21/26 at 2.63, 6/26/26 at 2.24, 6/27/26 at 2.4, and 6/28/26 at 2.24. During interview, the DON stated the facility scheduled direct care nursing staff to meet the state minimum staffing levels and confirmed she was notified of the nightshift shortage on 6/26/26 the morning of 6/27/26 and was notified by nursing staff on the night of 6/27/26 of the shortage. The Administrator stated the facility used the state minimum requirement ratio for daily staffing.
Failure to Maintain Resident Dignity During Personal Care
Penalty
Summary
A deficiency occurred when a resident, who was cognitively intact and had a history of cerebral infarction, was subjected to inappropriate and disrespectful comments by two Certified Nurse Assistants (CNAs) during personal care. The resident was preparing for a shower when her gown slipped off her shoulder, partially exposing her chest. One CNA made a comment suggesting the resident wanted male attention, while another remarked on the resident's weight and clothing size during dressing. These comments were made in the presence of the resident and caused her to feel embarrassed and uncomfortable. The resident reported the incident to Social Services, stating that the remarks hurt her feelings and made her feel bad about herself. The facility's policy on Resident Rights, which requires all employees to treat residents with kindness, respect, and dignity, was not upheld in this situation. The resident specifically requested that the two CNAs no longer assist with her care due to the emotional impact of their comments. Interviews with the involved staff revealed that one CNA admitted to making a comment as a joke, while the other denied making any direct or disrespectful remarks. Despite these statements, the resident's account and the facility's investigation confirmed that the comments were made and were perceived as demeaning. The incident was documented and reported to the appropriate authorities as required by facility policy.
Failure to Investigate and Document Multiple Resident Falls
Penalty
Summary
The facility failed to investigate or determine the root causes for three separate falls experienced by a resident with a history of cardiac arrest and moderate cognitive impairment. Despite the facility's policy requiring immediate investigation and documentation of all incidents and accidents, there was no evidence of completed fall investigations or incident reports for falls that occurred on 1/12/25, 2/13/25, and 2/25/25. Progress notes documented the falls, including one witnessed by a CNA where the resident slid to the floor while using a stand lift, another where the resident was found on the floor after complaining of dizziness, and a third involving an unwitnessed fall resulting in a head injury. However, the required Fall Evaluation Tool was not completed for these incidents. Interviews with the resident confirmed she recalled falling three times, and interviews with the DON revealed a lack of awareness regarding two of the falls and an admission that an incident report was not completed for the third due to being sidetracked. The DON acknowledged that each fall should have been separately investigated and documented, as per facility policy, to identify causes and implement preventive interventions. The absence of investigations and documentation for these falls constituted a failure to ensure the area was free from accident hazards and that adequate supervision and follow-up were provided to prevent accidents.
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What surveyors actually found near you
We read the 18 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Nursing homes near Natchez
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grand Trace Health And Rehabilitation | 0.2 mi | ★★★★★ | 4 | 0 |
| Natchez Rehabilitation And Healthcare Center | 1.3 mi | ★★★★★ | 3 | 0 |
| Camelot Leisure Living | 12.6 mi | ★★★★★ | 11 | 0 |
| Jefferson County Nursing Home | 22.3 mi | ★★★★★ | 0 | 0 |
| The Columns Rehabilitation And Healthcare Center | 27.4 mi | ★★★★★ | 6 | 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 October 2026) and official state health department websites.