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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Trend Health & Rehab Of Carthage Llc during CMS and state inspections, most recent first.
The facility did not adequately investigate, address, or resolve repeated grievances about food quality and temperature raised through Resident Council meetings. Over several months, residents reported that weekend meals were bad, food was consistently cold, beverages lacked sufficient ice, and breakfast items were hard or unpalatable. While limited steps such as using temperature-holding containers, sending trays out faster, and in-servicing dietary staff were noted, there was no documented monitoring, follow-up, or evaluation of effectiveness. Cognitively intact residents continued to report cold, poor-tasting food, and staff, including the Dietary Manager and Social Services, acknowledged awareness of the complaints without evidence of thorough follow-up or resolution.
A resident with multiple chronic conditions and severe cognitive impairment did not receive an increased dose of Lasix as ordered by a nephrologist because staff failed to obtain and implement the new order after a consultation. The consultation paperwork was not entered into the record, and staff did not follow up to ensure the medication change was made, resulting in the resident experiencing worsening edema and requiring hospital transfer.
A long-term care facility failed to protect residents from abuse and neglect, as evidenced by two incidents. In one case, a CNA verbally and physically abused a non-English-speaking resident, witnessed by a cognitively intact roommate. The CNA was terminated after the abuse was confirmed. In another case, a resident fell from a mechanical lift due to improper use by a CNA, resulting in a head injury and hip fracture. Initial staff statements were inconsistent, and some later admitted to falsifying their accounts. The facility's investigation was inadequate, failing to initially uncover the truth about the incident.
A resident with severe cognitive impairment fell from a mechanical lift during a transfer, resulting in a head injury and fracture. The CNA operated the lift alone, contrary to facility policy. Initial reports falsely indicated multiple staff were present, but later confessions revealed the CNA acted alone. The facility's investigation was inconsistent and did not follow proper procedures.
A resident with a history of cerebrovascular accident and severe cognitive impairment fell and sustained injuries due to a CNA's failure to follow the care plan requiring two-person assistance for mechanical lift transfers. The CNA attempted the transfer alone, contrary to facility policy, resulting in a fall and serious injury. Initial reports inaccurately stated multiple staff were present, but later interviews confirmed the CNA acted alone.
A resident in a long-term care facility suffered a forehead injury and a right femoral fracture after being improperly transferred with a mechanical lift by a single CNA, contrary to the facility's two-person lift policy. The resident, who was severely cognitively impaired, required surgery following the incident. Initial staff statements were inconsistent, and further confessions revealed that the CNA operated the lift alone, leading to the accident.
The facility failed to accurately complete the MDS assessment for a resident by incorrectly coding indwelling catheter usage during the 7-day observation look-back period. The resident's catheter had been removed weeks prior, but the MDS assessment did not reflect this change, resulting in an inaccurate portrayal of the resident's condition.
A resident with left-sided hemiplegia following a CVA had a care plan requiring mouth care every shift. Observations revealed the resident's lips were cracked, dry, and had crusty scaling. The DON confirmed that oral hygiene was not performed as required by the care plan.
A facility failed to provide adequate oral care for a resident on enteral nutrition, resulting in dry, cracked, and crusty lips. Despite facility policy requiring oral care every shift, observations and staff interviews confirmed that oral hygiene was not performed as needed, causing discomfort for the resident.
Failure to Investigate and Resolve Ongoing Food-Related Grievances
Penalty
Summary
The facility failed to ensure that grievances voiced through the Resident Council regarding food quality and temperature were thoroughly investigated, addressed, and resolved. Resident Council minutes over multiple months documented repeated complaints that weekend food was "bad," tasted sweet, and that food was cold by the time it reached residents. Additional concerns included insufficient ice in water and tea, hard breakfast biscuits and toast, and cold grits. Although the facility’s grievance policy stated that residents and families could voice grievances without reprisal and that the facility would make prompt efforts to resolve grievances, there was no documentation that the initial complaint about weekend food quality was addressed, and subsequent complaints continued without evidence of thorough investigation or resolution. Resident Council Department Response Forms showed limited actions, such as placing food in containers to maintain temperature, conducting an in‑service for dietary staff, sending food out faster, and instructing staff to pass trays promptly, but there was no documentation of monitoring, follow‑up, or evaluation of whether these measures were effective. Residents interviewed, all cognitively intact per their MDS BIMS scores, consistently reported that the food remained cold and did not taste good, with one resident noting that staff would reheat food only if requested. The Dietary Manager acknowledged awareness of the complaints and stated he had spoken with weekend staff and made changes like replacing tray carts and providing guidance on food preparation, but confirmed there was no documentation of ongoing monitoring or additional interventions. Social Services and the Administrator both acknowledged awareness of the complaints and that additional follow‑up and resolution efforts should have occurred, yet no evidence of such follow‑up was present in the records.
Failure to Implement Physician-Ordered Medication Change
Penalty
Summary
Staff failed to ensure a resident received necessary care and services in accordance with physician orders when they did not obtain and implement a nephrologist's order to increase Lasix. After a nephrology appointment, the nephrologist ordered an increase in Lasix to 40 mg twice daily, and the resident's family provided the consultation paperwork to facility staff. However, the order was not entered or implemented until seventeen days later. During this period, the resident experienced worsening leg swelling and weakness, and therapy was discontinued. The consultation paperwork was not found in the resident's record, and staff did not follow up to obtain the missing orders from the provider. Interviews with the DON, medical records staff, and unit manager confirmed that the process for handling consultation forms was not followed, and no follow-up occurred when the form was missing. The resident, who had chronic obstructive pulmonary disease, pulmonary hypertension, diastolic heart failure, and chronic kidney disease, was severely cognitively impaired at the time. The resident ultimately required hospital transfer due to increased edema and fever, and was admitted with edema and a urinary tract infection.
Failure to Prevent Abuse and Neglect in LTC Facility
Penalty
Summary
The facility failed to protect residents from abuse and neglect, as evidenced by two separate incidents involving a Certified Nursing Assistant (CNA) and the improper use of a mechanical lift. In the first incident, a CNA was reported to have verbally and physically abused a resident who was unable to speak English but could understand it. The abuse was witnessed by the resident's roommate, who was cognitively intact and provided consistent accounts of the abuse. The facility's administration was informed of the CNA's previous termination from another facility for similar abuse, and the CNA was subsequently terminated after an investigation confirmed the abuse. In the second incident, a resident who required assistance with a mechanical lift was neglected when a CNA attempted to transfer the resident alone, contrary to facility policy requiring two staff members for such transfers. The resident fell from the lift, sustaining a head injury and later being diagnosed with a hip fracture. Initial statements from staff involved were inconsistent, with some staff members later admitting to falsifying their accounts of the incident. The facility's investigation was found to be inadequate, as it did not initially uncover the truth about the number of staff present during the transfer. Both incidents highlight significant lapses in the facility's adherence to its policies and procedures designed to protect residents from harm. The failure to prevent abuse and ensure proper use of mechanical lifts resulted in physical harm to residents and demonstrated a lack of effective oversight and communication among staff and administration.
Failure to Investigate Mechanical Lift Incident
Penalty
Summary
The facility failed to thoroughly investigate an incident involving a fall from a mechanical lift, resulting in a head injury and a fracture requiring surgical repair for a resident. The incident occurred when a CNA attempted to transfer the resident from a bed to a wheelchair using a mechanical lift. The CNA operated the lift alone, despite the facility's policy requiring assistance from another staff member. During the transfer, the lift tilted, causing the resident to fall and sustain injuries. Interviews with staff revealed inconsistencies in their accounts of the incident. Initially, it was reported that multiple staff members were present during the transfer, but later confessions indicated that the CNA operated the lift alone. The LPN and other CNAs who were initially reported to be present later admitted they were not in the room at the time of the fall. This discrepancy highlights a failure in the facility's investigation process, as the DON did not accurately capture the events leading to the resident's injury. The facility's investigation was not conducted in accordance with its policies and procedures, which require thorough investigation and suspension of involved staff during the investigation. The DON's report was inconsistent with the statements provided by the staff, and the facility's leadership was unaware of the true circumstances of the incident until after the survey. The resident involved was severely cognitively impaired and had a history of cerebral infarction, which may have contributed to the complexity of her care needs.
Failure to Implement Care Plan for Mechanical Lift Transfer
Penalty
Summary
The facility failed to implement the care plan for a resident requiring transfer with a mechanical lift, resulting in a fall and serious injury. The care plan specified that the resident, who had a history of cerebrovascular accident and was severely cognitively impaired, required a total lift for transfers with the assistance of two persons. However, during a transfer, a CNA attempted to use the mechanical lift alone, which led to the resident falling and sustaining a head injury and a hip fracture. Interviews and record reviews revealed that the CNA responsible for the transfer was aware of the requirement for two-person assistance but proceeded alone due to nervousness and confusion. The CNA admitted to placing the sling under the resident and lifting them without waiting for additional help. This action was contrary to the facility's policy, which mandates that all mechanical lifts require two persons to assist with the operation and ensure the resident's safety. The facility's administration, including the ADON and ADM, confirmed that they were unaware of the incident's true circumstances until after the survey. Initially, the DON's investigation report inaccurately stated that three CNAs and an LPN were present during the incident. However, subsequent re-interviews revealed that the CNA had acted alone, and the other staff members were not present at the time of the fall. This discrepancy highlights a failure in communication and adherence to established care protocols, leading to the resident's injury.
Failure to Follow Lift Protocol Results in Resident Injury
Penalty
Summary
The facility failed to prevent a preventable accident involving a resident who was transferred using a mechanical lift without the required two-person assistance. The incident resulted in the resident sustaining a forehead injury and a right intertrochanteric femoral fracture, necessitating surgery. The resident was transferred to the hospital emergency room twice due to the accident. The facility's policy clearly stated that the use of a mechanical lift required two nursing assistants, but this protocol was not followed. The investigation revealed inconsistencies in the statements provided by the staff involved. Initially, it was reported that three CNAs and an LPN were present during the transfer, but further interviews and confessions indicated that CNA #2 operated the lift alone. CNA #2 admitted to starting the lift procedure before the arrival of the second CNA, which was against the facility's policy. The LPN and other CNAs later confessed to not being truthful in their initial statements, confirming that CNA #2 was alone during the transfer. The resident involved was severely cognitively impaired and dependent on staff for all needs, making adherence to the two-person lift policy crucial. The facility's investigation was not conducted in accordance with its policies, and the DON's report was inconsistent with the staff's statements. The incident highlights a significant lapse in following established safety protocols, leading to a serious injury for the resident.
Inaccurate MDS Assessment for Indwelling Catheter Usage
Penalty
Summary
The facility failed to accurately complete section H of the Minimum Data Set (MDS) assessment for a resident, as evidenced by incorrectly coding indwelling catheter usage during the 7-day observation look-back period. Specifically, Resident #57 was coded for having an indwelling catheter in the MDS assessment with an Assessment Reference Date (ARD) of April 15, 2024, despite the catheter being discontinued on February 19, 2024. This error was confirmed by the MDS Nurse, who acknowledged that the resident did not have an indwelling catheter during the look-back period from April 9 through April 15, 2024, and admitted that the assessment was submitted in error. Interviews with the Director of Nurses (DON) and the MDS Nurse revealed that Resident #57's catheter had been removed approximately six weeks prior to the assessment period. The facility's policy on MDS corrections, dated October 2019, emphasizes the importance of accurate MDS data to ensure proper resident assessment and care planning. However, the failure to update the MDS assessment to reflect the removal of the catheter resulted in an inaccurate portrayal of the resident's condition. Resident #57 was admitted to the facility with diagnoses including Type 2 Diabetes Mellitus and Hemiplegia and Hemiparesis.
Failure to Implement Comprehensive Care Plan for Mouth Care
Penalty
Summary
The facility failed to implement a comprehensive care plan for a resident requiring mouth care. The care plan for the resident, who had left-sided hemiplegia following a cerebral vascular accident (CVA), specified that mouth care should be provided every shift. However, observations on multiple occasions revealed that the resident's upper and lower lips were cracked, dry, and had a crusty yellowish scaling of the skin. The Director of Nursing (DON) confirmed that oral hygiene had not been performed as required by the care plan, acknowledging that the staff did not follow the care plan for oral hygiene.
Failure to Provide Oral Care for Resident on Enteral Nutrition
Penalty
Summary
The facility failed to provide adequate oral care for a resident receiving enteral nutrition, as evidenced by observations of dry, cracked, and crusty areas on the resident's upper and lower lips. The facility's policy required oral care assistance each morning, at bedtime, and as needed. However, multiple observations on different days revealed that the resident's lips were in poor condition, indicating a lack of proper oral hygiene. The resident had medical diagnoses including Dysphagia following Cerebral Infarction, Gastrostomy status, and Unspecified Dementia, and had orders for strict NPO status and mouth care every shift. During an interview, a CNA assigned to the resident confirmed that oral hygiene had not been performed that day, despite recognizing the resident's dry lips. The CNA admitted to not returning to provide oral care after initially finding the resident receiving a bed bath. The Director of Nursing also confirmed that oral hygiene had not been performed and acknowledged that the resident's dry, chapped lips required moisturizing for hydration. The failure to provide necessary oral care was discomforting for the resident and did not comply with the facility's policy.
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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 Carthage
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Carthage Senior Care | 0.2 mi | ★★★★★ | 0 | 0 |
| Attala County Nursing Center | 22.7 mi | ★★★★★ | 9 | 0 |
| Choctaw Residential Center | 23.5 mi | ★★★★★ | 2 | 0 |
| Neshoba County Nursing Home | 24.1 mi | ★★★★★ | 10 | 1 |
| Hilltop Manor Health And Rehabilitation Center | 26.1 mi | ★★★★★ | 1 | 0 |
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