Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Windham House Of Hattiesburg during CMS and state inspections, most recent first.
The facility failed to maintain food safety and sanitary practices, with expired and improperly stored food, unsanitary staff practices, and incomplete temperature logs for resident refrigerators. Staff were observed without proper hair restraints, and one staff member handled raw chicken without a beard net and failed to wash hands between tasks. The administrator confirmed these deficiencies and acknowledged the need for more frequent checks.
A facility failed to accurately code the MDS for a resident receiving dialysis. Despite having a Physician's Order for dialysis three times a week, the MDS did not reflect this treatment. The RN responsible for the MDS acknowledged the error, citing a change in documentation requirements. The DON was aware of issues with dialysis communication forms, while the Administrator was unaware of the MDS error.
A resident's right to dignity was compromised when clinical data, including their name and care details, was displayed openly on a board in their room. This information, intended to assist staff, was acknowledged by an LPN and the Administrator as a potential dignity issue, as it was also accessible in the EMR.
A resident's room was found to have several cleanliness issues, including a grimy shower, dust, spider webs, and stained privacy curtains. The resident, who is cognitively intact and has paraplegia, reported that the shower had been unclean for over six months. Housekeeping staff confirmed these issues, acknowledging lapses in cleanliness and maintenance standards.
A facility failed to implement Enhanced Barrier Precautions (EBP) for a resident during PEG tube care. A nurse did not wear a gown as required by the care plan, despite acknowledging the need for such precautions. The resident, who was cognitively intact, had a care plan specifying EBP, which was confirmed by the care plan nurse and DON.
The facility failed to maintain an effective QAPI committee, leading to a re-cited deficiency for inaccurate MDS coding for a resident receiving dialysis. The issue was not addressed in QAPI meetings, and both the DON and Administrator were unaware of previous citations due to their recent employment at the facility.
A facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with a PEG tube, identified as high risk for MDROs. During PEG site care, an RN did not wear a gown as required by the facility's EBP policy, despite being aware of the precautions. Interviews confirmed that staff had been educated on EBP, and the resident required such precautions due to the PEG tube.
Deficiencies in Food Safety and Sanitary Practices
Penalty
Summary
The facility failed to adhere to professional standards for food safety, resulting in multiple deficiencies related to food storage and sanitary practices. Observations revealed expired and improperly stored food items, such as a gallon of milk and a bag of shredded cheese without an open date, as well as exposed food like beef stroganoff with a hole in its covering. Unsanitary conditions were noted, including a carton of cranberry-flavored cocktail being placed back into a box after falling on the floor, and biological growth on onions. Staff members were observed in the food preparation area without proper hair restraints, and one staff member was seen handling raw chicken without a beard net and failing to wash hands between tasks. Another staff member used his foot to open an oven, which was later touched by hand, further compromising sanitary conditions. Additionally, the facility did not maintain complete temperature logs for resident refrigerators, as evidenced by the incomplete log for a resident's refrigerator containing perishable items. Interviews with staff confirmed the lapses in monitoring and recording refrigerator temperatures, with housekeeping staff acknowledging the logs had not been filled out for the month. The facility's policies on food storage, labeling, and employee work practices were not followed, contributing to these deficiencies. The administrator confirmed the findings and acknowledged the need for more frequent checks and adherence to sanitary practices.
Inaccurate MDS Coding for Dialysis Resident
Penalty
Summary
The facility failed to accurately code a Minimum Data Set (MDS) assessment for a resident receiving dialysis. The resident, who was admitted with diagnoses including End Stage Renal Disease and Dependence on Renal Dialysis, had a Physician's Order for dialysis services three times a week. Despite this, the Quarterly MDS did not reflect that the resident received hemodialysis, as Section O was not coded accordingly. The resident was cognitively intact, with a Brief Interview for Mental Status (BIMS) score of fifteen. The deficiency was identified during interviews and record reviews. Registered Nurse (RN) #2, who completed the last Quarterly MDS, acknowledged that the MDS did not accurately reflect the resident's dialysis treatment. She explained that she was informed that dialysis could only be documented on the MDS if a communication form was completed for each dialysis visit, a change from the previous requirement of one form. The Director of Nursing (DON) and the Administrator were also interviewed, with the DON acknowledging issues with the dialysis communication forms and MDS coding, and the Administrator expressing unawareness of the MDS documentation error.
Resident Dignity Compromised by Visible Clinical Data
Penalty
Summary
The facility failed to protect a resident's right to a dignified existence by displaying clinical data on a resident board in open view. This deficiency was identified for one of the sampled residents, who had been admitted with a diagnosis of Cerebral Infarction. The clinical information, which included the resident's name, turn rotation schedule, and care coordination details, was visible on a board at the head of the bed. This information was intended to assist staff, particularly CNAs, in providing care, such as turning the resident to prevent pressure sores. However, the resident was unsure of how long the information had been displayed. During interviews, both an LPN and the facility Administrator acknowledged that the information on the board was meant to guide staff in providing specific care for the resident. They admitted that the inclusion of the resident's name could be considered a dignity issue, as the same information was available in the electronic medical record (EMR). The Administrator reiterated that the information was intended to assist staff but agreed that it could be viewed as a dignity issue.
Failure to Maintain a Clean and Homelike Environment
Penalty
Summary
The facility failed to ensure a clean, comfortable, and homelike environment for a resident, as evidenced by several cleanliness and maintenance issues in the resident's room. During an observation, the resident's shower was found to contain a hair wash basin and a dead house plant, with visible grime and dirt on the shower floor. Additionally, the room had noticeable dust and spider webs above the overhead light, grime and scuff marks on the wall behind the headboard, and a privacy curtain with oil and dirt stains. The resident, who was cognitively intact, reported that the shower had been grimy for over six months and that certain areas were rarely dusted by the staff. Housekeeping staff confirmed the presence of dust, spider webs, grime, and stains in the resident's room, acknowledging these as lapses in the facility's cleanliness and maintenance standards. The Nursing Home Administrator emphasized the importance of maintaining residents' rooms to create a homelike environment and expressed an expectation for staff to adhere to cleanliness and maintenance standards. The resident had been admitted to the facility with a diagnosis of paraplegia and had been residing there since 2017.
Failure to Implement Enhanced Barrier Precautions During PEG Tube Care
Penalty
Summary
The facility failed to implement a comprehensive care plan for a resident requiring Enhanced Barrier Precautions (EBP) during Percutaneous Endoscopic Gastrostomy (PEG) tube care. The care plan specified that staff should wear a gown and gloves during high-contact activities, including PEG tube care. However, during an observation, a registered nurse (RN) did not wear a gown while providing PEG tube care to the resident, despite acknowledging the requirement and the purpose of the gown to protect the resident during care. The resident involved was admitted with diagnoses including attention to gastrostomy and dysphagia and was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15. The care plan nurse and the Director of Nursing (DON) confirmed the requirement for EBP in the resident's care plan and expected all staff to adhere to these precautions. The failure to follow the care plan was confirmed through staff interviews and record reviews.
Failure to Sustain Effective QAPI Committee and Address MDS Inaccuracies
Penalty
Summary
The facility failed to sustain an effective Quality Assurance and Performance Improvement (QAPI) committee, as evidenced by a re-cited deficiency originally identified in April 2023. The deficiency involved the inaccurate coding of a Minimum Data Set (MDS) assessment for a resident receiving dialysis. During the recertification survey conducted from November 12 to November 14, 2024, it was found that the facility did not accurately code the MDS for a resident undergoing dialysis. This issue was similar to a previous citation where the facility failed to accurately code the MDS for residents receiving anticoagulant medication and those with a nephrostomy tube. Interviews conducted during the survey revealed that the facility's QAPI meetings did not address the MDS inaccuracies. A Registered Nurse confirmed that the MDS inaccuracy regarding the resident receiving dialysis was not discussed in QAPI meetings. Additionally, the Director of Nursing, who joined the facility in September 2024, had not reviewed the CMS-2567 from the previous survey and was unaware of the prior citation for MDS inaccuracies. Similarly, the Administrator, who was not working at the facility during the April 2023 survey, had not reviewed the previous 2567 report and was unaware of the MDS assessment citation or the facility's plan of correction.
Failure to Implement Enhanced Barrier Precautions for High-Risk Resident
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) for a resident identified as high risk for acquiring multi-drug-resistant organisms (MDROs). The deficiency was observed during the care of a resident with a Percutaneous Endoscopic Gastrostomy (PEG) tube, where a registered nurse (RN) did not wear a gown as required by the facility's EBP policy. The RN acknowledged forgetting to wear the gown during the PEG site care, despite being aware of the EBP requirements and having been in-serviced on them. Interviews with staff, including a Licensed Practical Nurse (LPN) and the Director of Nursing (DON), confirmed that all staff had been educated on EBP and that the resident required such precautions due to the presence of a PEG tube. The facility's policy mandates gown and glove use during high-contact care activities for residents at increased risk of MDRO acquisition. The resident, who was cognitively intact, had been admitted with diagnoses including attention to gastrostomy and dysphagia, and had a physician's order for PEG site care.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 31 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — 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
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hattiesburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Merit Health Wesley | 0.5 mi | ★★★★★ | 1 | 0 |
| Bedford Care Center Of Hattiesburg | 2.4 mi | ★★★★★ | 5 | 0 |
| Forrest General Hospital Skilled Nursing Unit | 2.9 mi | ★★★★★ | 0 | 0 |
| Bedford Care Ctr-monroe Hall | 3.2 mi | ★★★★★ | 2 | 0 |
| Bedford Alzheimer's Care Center | 3.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.