Below average — CMS composite of the measures below.
The next survey window likely opens around September 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 Tunica County Health & Rehab, Llc during CMS and state inspections, most recent first.
Surveyors identified that two residents did not have comprehensive, person-centered care plans addressing their specific needs. One resident with limited range of motion and a history of cerebral infarction lacked a care plan for contracture risk or ROM exercises, while another resident with diabetes and self-care limitations had no care plan for fingernail care despite visible hygiene concerns. The MDS nurse confirmed these omissions.
A resident with a history of cerebral infarction developed a significant contracture in the left leg after not receiving documented range of motion (ROM) exercises or therapy. Staff interviews confirmed that neither therapy nor CNAs provided or documented ROM services, and there was no restorative program in place. Facility policy required assessment and management of functional impairment, but these procedures were not followed, leading to the resident's avoidable decline.
A resident with a history of cerebral infarction and limited range of motion experienced a 15-day delay in receiving a physical therapy evaluation after a referral was made for left leg stiffness. The delay occurred because a physical therapist was not available, and therapy assistants could not perform the initial evaluation, which did not meet the facility's policy for timely therapy services.
Dietary staff prepared and served food without hair restraints due to a lack of available hair nets, and multiple food items in both refrigerated and dry storage were found uncovered, undated, or not stored in sealed containers. Facility leadership confirmed these practices did not meet established food safety policies.
Leaking AC units in two resident rooms were not promptly reported or repaired, resulting in sheets and blankets being placed on the floor to absorb water. Staff confirmed the leaks and the delayed notification to maintenance, while the DON acknowledged that this practice compromised cleanliness and comfort for residents.
A resident with Alzheimer's disease was inaccurately coded on the MDS as using bed rails as restraints, despite facility documentation and staff interviews confirming that the side rails were used for mobility and bed boundary purposes and were not considered restraints.
A resident with diabetes who required moderate assistance with self-care was found to have long, dirty fingernails with a dark buildup, and reported not receiving nail care since admission. Staff and the DON confirmed the lack of nail care, which was not in accordance with facility policy requiring regular assessment and trimming, especially for diabetic residents.
A resident requiring a total mechanical lift for transfers was manually transferred by a CNA, resulting in a right tibia fracture. The CNA admitted to not following the care plan, which specified the use of a total lift with two staff members. The resident, who was cognitively intact and had conditions including epilepsy and dementia, sustained an acute fracture due to this deviation from the care plan.
A resident sustained a right tibia fracture due to an improper transfer by a CNA who failed to use the required total lift with two-person assistance. The resident's foot became entangled in the chair's footrest during the transfer, contrary to the care plan. The CNA admitted to the improper transfer, which was confirmed by the facility's investigation.
A resident with moderate cognitive impairment refused multiple doses of various medications over a two-week period. Despite the facility's policy requiring notification of the medical provider after two consecutive refusals, the medical provider was not informed. Interviews with the resident, DON, and an LPN confirmed the lack of notification, acknowledging the oversight and the potential risk it posed to the resident's health.
A facility failed to follow a fall risk care plan for a resident with a history of cerebral vascular accident and dementia, requiring two staff for mechanical lift transfers. An incident occurred when a CNA transferred the resident alone, leading to instability and the resident being assisted to the floor. Interviews confirmed the care plan was not followed, as the facility policy required two staff for such transfers.
A resident with dementia and cerebral infarction was transferred using a mechanical lift by a single CNA, contrary to the facility's policy requiring two staff members. During the transfer, the resident became unstable and was assisted to the floor, resulting in a minor injury. The CNA admitted to not following the policy due to the resident's condition at the end of her shift.
A facility failed to inform a contracted ESRD facility about a resident's repeated medication refusals. The resident, with ESRD and post-surgical care needs, refused multiple medications crucial for her health. Despite awareness of these refusals, staff did not communicate this to the dialysis clinic, potentially impacting the resident's treatment plan and health.
A resident's refrigerator was found to be unclean, with mildew present, indicating it had not been cleaned as per the facility's policy. The facility's policy required weekly cleaning of resident refrigerators, but there was no documentation to confirm this was done. The DON acknowledged the potential risk of foodborne illness due to the unclean refrigerator. The resident had a diagnosis of dementia.
Failure to Develop Comprehensive Care Plans for Identified Resident Needs
Penalty
Summary
The facility failed to develop and implement comprehensive, person-centered care plans to address the specific needs of two residents. For one resident with a history of cerebral infarction and a documented functional limitation in range of motion on one side, there was no care plan in place to address the risk for contracture or the need for range of motion (ROM) exercises, despite the resident being observed with her left leg bent and unable to straighten it. The resident also reported not receiving ROM exercises or splinting, and the MDS assessment confirmed the functional limitation. For another resident with Type 2 Diabetes Mellitus who required partial to moderate assistance with self-care, there was no care plan developed to address fingernail care, even though the resident was observed with excessively long fingernails and a dark brown substance under the nail beds. The MDS nurse confirmed that the care plans for both residents did not address these specific needs and acknowledged that these omissions should have been included to direct resident-specific care.
Failure to Provide Range of Motion Services Resulting in Contracture
Penalty
Summary
The facility failed to provide adequate services to prevent an avoidable decline and the development of a contracture in a resident with a history of cerebral infarction and limited range of motion (ROM). The resident was observed with her left leg bent at a 90-degree angle, unable to straighten it, and reported not receiving ROM exercises or splinting. Review of therapy records showed that no contracture was present at the time of admission, but a significant contracture developed over time, as documented in a later therapy evaluation. Progress notes indicated swelling and contraction of the left lower extremity, but there was no evidence of timely intervention or consistent ROM exercises being provided. Interviews with staff, including an LPN and the Rehabilitation Director, confirmed that the resident had not received therapy or documented ROM services, and that there was no restorative program in place. The Rehabilitation Director assumed that CNAs were providing ROM during care, but could not provide documentation to support this. The Administrator also confirmed the absence of documentation showing that ROM exercises were performed by either CNAs or therapy staff. Facility policy required assessment, recognition, and management of functional impairment, but these procedures were not followed, resulting in the resident's avoidable decline in mobility.
Delay in Therapy Evaluation for Resident with Contracture Risk
Penalty
Summary
The facility failed to ensure timely provision of specialized rehabilitative services for a resident with a history of cerebral infarction and functional limitation in range of motion. A request for physical and occupational therapy was made due to the resident's complaint of left leg stiffness, and at the time of referral, the resident's knee was slightly bent but not contracted. However, there was a 15-day delay between the therapy referral and the physical therapy evaluation, as a physical therapist was not available and therapy assistants were not permitted to perform the initial evaluation. Interviews with facility staff confirmed that the delay did not meet the facility's expectation for therapy evaluations to be completed within 24 to 48 hours of referral. The Rehabilitation Director acknowledged that the delay in evaluation and treatment could have contributed to the worsening of the resident's contracture. Facility policy required therapy services to be scheduled in accordance with the resident's treatment plan, which was not followed in this instance.
Failure to Maintain Sanitary Food Preparation and Storage Practices
Penalty
Summary
Dietary staff were observed preparing and serving food without wearing hair restraints, as required by facility policy. During a kitchen tour, three dietary aides were seen working in the kitchen without hair nets, and one aide confirmed that the facility had run out of hair nets, resulting in breakfast being prepared and served without any staff wearing proper hair restraints. The Dietary Manager also confirmed the lack of available hair nets for staff use. Additionally, multiple food storage violations were identified. In the refrigerator, a tray of individual pineapple cups was found uncovered and undated. The walk-in cooler contained several food items, including sauces, dressings, cheeses, meats, and lettuce, all lacking dates indicating when they were opened or when they would expire. In the dry goods storage area, items such as corn meal, basil leaves, poultry seasoning, cake mix, and graham cracker crumbs were found without open dates and not stored in sealed containers. The Dietary Manager and Administrator both confirmed that these practices did not comply with facility policy and food safety guidelines.
Failure to Report and Repair Leaking AC Units Compromises Resident Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment by not repairing or reporting leaking air-conditioning (AC) units in two resident rooms. Observations revealed that sheets and blankets were placed on the floor under the AC units in both rooms to absorb leaking water. These conditions persisted over multiple days, as confirmed by follow-up observations. Staff interviews verified that the sheets and blankets were used because the AC units were leaking, but the issue was not reported to maintenance in a timely manner. The leaking AC unit in one room was not logged onto the Maintenance Requisition form until after the state agency had entered the facility. Further interviews with maintenance staff confirmed that they had not been notified of the leaking AC units prior to the survey, and they were unaware of how long the units had been leaking. The Director of Nursing acknowledged that the practice of placing sheets and blankets under the leaking AC units without notifying maintenance could result in an unsanitary environment and diminished comfort for residents. Facility policy required that residents be provided with a safe, clean, comfortable, and homelike environment, which was not upheld in this instance.
Inaccurate MDS Coding for Restraint Use
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for one resident, resulting in a discrepancy between the MDS and the resident's restraint assessment. Specifically, the quarterly MDS indicated that bed rails were used daily as restraints, while the restraint assessment form completed two days prior documented that no restraints were in use. Staff interviews confirmed that the resident used bilateral side rails to aid in mobility and define bed boundaries, and these were not considered restraints according to facility policy. The MDS nurse acknowledged the inaccurate coding and confirmed that the resident had been assessed for side rail use, but the side rails were not classified as restraints. The resident involved had a diagnosis of Alzheimer's disease and had been admitted to the facility with this condition.
Failure to Provide Fingernail Care for Dependent Resident
Penalty
Summary
The facility failed to provide necessary fingernail care for a resident who was unable to perform this activity independently. Observations revealed that the resident's fingernails were long, approximately 1/2 inch past the fingertips, and had a thick, dark brown substance under the nail beds. The resident reported feeling that his nails were too long and dirty and stated he had not received any nail care since his admission. Staff interviews confirmed the condition of the resident's nails and acknowledged that they required attention. The resident in question was admitted with a diagnosis of Type 2 Diabetes Mellitus and required partial/moderate assistance with self-care, as indicated by the admission MDS. Facility policy required regular assessment and care of fingernails, especially for diabetic residents, to prevent infection. The DON confirmed that the resident's nails should have been assessed at least every two weeks by an RN and trimmed as needed, but this was not done, resulting in the observed deficiency.
Failure to Follow Care Plan Results in Resident Injury
Penalty
Summary
The facility failed to implement a person-centered care plan for a resident who required a total mechanical lift for all transfers. On a specific date, a Certified Nursing Assistant (CNA) manually transferred the resident using a stand-pivot method instead of the prescribed total lift with two staff members. This action resulted in the resident sustaining a right tibia fracture. The CNA admitted to knowing the resident's care plan required the use of a total lift but did not follow it, leading to the resident's injury. The resident, who was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 13, had been admitted to the facility with diagnoses including epilepsy, polyneuropathy, and dementia. Following the improper transfer, the resident experienced pain and swelling in the right knee and was later diagnosed with an acute, impacted fracture of the proximal tibia. The incident highlights a failure to adhere to the care plan, which was designed to meet the resident's physical needs and prevent injury.
Improper Transfer Leads to Resident Injury
Penalty
Summary
The facility failed to ensure a resident was free from accident hazards when a Certified Nurse Assistant (CNA) transferred a resident from a geri-chair to her bed incorrectly, resulting in a right tibia fracture. The incident occurred when the CNA used a stand-pivot transfer instead of the required total lift with two-person assistance, as outlined in the resident's care plan. The resident's foot became entangled in the footrest of the reclined chair during the transfer, leading to the injury. The resident, who had been admitted with diagnoses including epilepsy, polyneuropathy, and dementia, initially complained of right knee pain without any visible swelling or redness. The pain was initially attributed to increased activity during the day. However, the following day, the resident's knee was noted to be swollen and painful, prompting further evaluation and notification of the Director of Nurses (DON) and the physician. A CT scan later confirmed a right tibial fracture. Interviews with staff revealed that the CNA was aware of the resident's transfer requirements but chose to transfer the resident independently without the use of a mechanical lift. The CNA admitted to the improper transfer during a phone call with the Administrator and DON. The facility's investigation confirmed that the CNA's actions were inconsistent with the resident's care plan, leading to the injury.
Failure to Notify Medical Provider of Medication Refusal
Penalty
Summary
The facility failed to notify the medical provider of a change in a resident's status when a resident refused her medications two or more consecutive times. The policy titled 'Change in a Resident's Condition or Status' requires the nurse supervisor or charge nurse to notify the resident's attending physician when there has been a refusal of treatment or medications two or more consecutive times. However, the facility did not adhere to this policy for one of the seven residents reviewed for medication regimen. Resident #46 refused multiple doses of various medications, including Cosopt eye drops, Docusate Sodium, Pepcid, Aspirin, Plavix, Vitamin C, Zinc, a multivitamin with minerals, Rena Vite, Norvasc, Sodium Bicarb, Pro-stat, Arginaid, and Velphoro, over a period from June 4th to June 17th. Interviews with Resident #46, the Director of Nursing (DON), and an LPN confirmed the lack of notification to the medical provider about the resident's continued refusal of medications. Resident #46, who was moderately cognitively impaired, acknowledged not taking all her medications. The DON confirmed that the medical director should have been notified of the resident's continued refusal, as failure to do so put the resident at risk for decompensation, organ failure, or acute illness. The LPN admitted awareness of the medication refusals but did not notify the medical provider, acknowledging that she should have done so. The facility's failure to notify the medical provider of the resident's medication refusals constitutes a deficiency in care.
Failure to Implement Fall Risk Care Plan
Penalty
Summary
The facility failed to implement a fall risk care plan for a resident who required the assistance of two staff members during transfers using a mechanical lift. The care plan for the resident, who was at risk for falls due to a cerebral vascular accident with left hemiparesis and muscle weakness, specified that two staff members were needed for transfers. However, an incident occurred where a Certified Nurse's Assistant (CNA) attempted to transfer the resident with only one staff member, resulting in the resident becoming unstable and being assisted to the floor to prevent a fall. Interviews with facility staff, including the Director of Nursing (DON) and a Minimum Data Set (MDS) nurse, confirmed that the facility's policy required two staff members for mechanical lift transfers unless otherwise specified in the care plan. The CNA involved in the incident admitted to not following the care plan by transferring the resident alone. The resident had been admitted to the facility with a diagnosis of unspecified dementia and cerebral infarction, which contributed to their increased fall risk.
Failure to Follow Mechanical Lift Policy Leads to Resident Incident
Penalty
Summary
The facility failed to implement necessary interventions to reduce the risk of accidents and hazards during the transfer of a resident using a mechanical lift. The policy titled 'Lifting Machine, Using a Portable,' revised in February 2014, mandates that two nursing assistants are required to perform the procedure. However, on 6/14/24, a Certified Nurse's Assistant (CNA) transferred a resident with only one staff assist, contrary to the policy. During the transfer, the resident became unstable due to being combative and was assisted to the floor to prevent a fall, resulting in a small, reddened area on the left knee. The resident was then lifted from the floor by four staff members and placed in a wheelchair. Interviews with staff, including CNA #3 and the Director of Nursing (DON), confirmed that the use of two staff members is required for mechanical lift transfers to minimize the risk of injury. CNA #2 admitted to transferring the resident alone, acknowledging the requirement for two staff but citing the resident's wet condition at the end of her shift as the reason for her action. The resident involved had been admitted to the facility with a diagnosis of Unspecified Dementia and Cerebral infarction, necessitating careful handling during transfers.
Failure to Communicate Medication Refusals to Dialysis Clinic
Penalty
Summary
The facility failed to communicate pertinent information regarding a resident's medication refusals to a contracted End-Stage Renal Disease (ESRD) facility. Resident #46, who has a diagnosis of ESRD and orthopedic aftercare following a surgical amputation, refused multiple doses of various medications and supplements over a period from June 4th to June 17th. These medications included treatments for glaucoma, constipation prevention, GERD, history of CVA, peripheral vascular disease, wound healing, and ESRD management. Despite these refusals, there was no documentation on the June Dialysis Transfer forms indicating that the dialysis clinic was informed of the resident's non-compliance with her medication regimen. Interviews with the resident, the Director of Nursing (DON), a Dialysis Registered Nurse (RN), and a Licensed Practical Nurse (LPN) revealed a lack of communication regarding the resident's medication refusals. The resident acknowledged not taking all her medications, while the DON confirmed the absence of communication to the dialysis clinic. The Dialysis RN was unaware of the refusals and emphasized the importance of this information for the resident's treatment plan. The LPN admitted awareness of the refusals but failed to communicate this to the dialysis clinic. This lack of communication potentially put the resident at risk for adverse health outcomes.
Failure to Maintain Cleanliness of Resident's Refrigerator
Penalty
Summary
The facility failed to maintain the cleanliness of a resident's personal refrigerator, which is a requirement for food safety. During an observation, it was found that a resident's refrigerator contained black spots identified as mildew, indicating it had not been cleaned as per the facility's policy. The policy stated that foods requiring refrigeration could be stored in a resident's personal refrigerator, and a designated employee was responsible for keeping it clean and free from spills. However, the refrigerator was found to be extremely dirty, with mildew present, and contained two fruit cups and four bottles of water. Interviews with the staff, including an LPN and the DON, revealed that the refrigerators were supposed to be cleaned weekly during the night shift, but there was no documentation log to confirm when the task was completed. The DON acknowledged that the unclean refrigerator could pose a risk of foodborne illness to the resident. The Infection Preventionist also confirmed that there was no system in place to verify the cleaning schedule, and it was unclear when the refrigerator was last cleaned. The resident involved had been admitted to the facility with a diagnosis of dementia.
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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 Tunica
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crestpark Helena, Llc | 17.1 mi | ★★★★★ | 11 | 0 |
| Crestpark Marianna, L L C | 23.9 mi | ★★★★★ | 4 | 0 |
| Senatobia Healthcare & Rehab | 24.2 mi | ★★★★★ | 3 | 0 |
| Landmark Of Desoto | 26.2 mi | ★★★★★ | 10 | 0 |
| Diversicare Of Southaven | 28.3 mi | ★★★★★ | 12 | 1 |
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