Above 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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Blue River Healthcare, Inc during CMS and state inspections, most recent first.
The facility failed to maintain a clean environment for residents, as air vents in several rooms were found covered with dust and rust. Residents reported issues with airflow due to stuck vents. Maintenance staff acknowledged the need for vent replacement, while housekeeping staff noted regular cleaning schedules. Despite these efforts, the facility did not ensure clean and functional air vents, affecting residents' comfort.
A resident reported receiving nude pictures from a staff member, leading to a substantiated abuse allegation. The resident, who was cognitively intact, had ongoing social media interactions with the staff member, which made them uncomfortable. The facility failed to prevent this inappropriate relationship, resulting in a deficiency in protecting residents from abuse.
A resident with chronic conditions and a self-care deficit did not receive showers as scheduled, leading to inconsistent hygiene care. Documentation issues and inexperienced staff contributed to the deficiency, as the facility's system did not accurately reflect non-shower days, resulting in potential inaccuracies. The resident was observed with oily hair and could not recall the last shower, indicating a lapse in care.
The facility failed to administer medications per physician orders for two residents. A resident with multiple diagnoses was given Pepcid outside the prescribed time frame, and another resident with Alzheimer's was given Pantoprazole with other medications instead of prior to breakfast. The CMA noted that late sleeping habits sometimes led to delayed administration.
Facility Fails to Maintain Clean Air Vents in Resident Rooms
Penalty
Summary
The facility failed to maintain a clean and homelike environment for its residents, as evidenced by the condition of air vents in the rooms of three sampled residents. Observations revealed that the air vents in these rooms were covered with dust and rust spots, with some vents being stuck and unable to be adjusted. Residents reported that maintenance could not adjust the airflow due to the condition of the vents, and one resident was unaware of the vents ever being cleaned. The facility's Cleaning and Disinfecting Residents' Rooms policy, dated August 2013, mandates regular cleaning and disinfection of environmental surfaces, including when they are visibly soiled or dusty. Interviews with maintenance and housekeeping staff indicated awareness of the issue, with maintenance staff acknowledging the need for vent replacement and housekeeping staff noting that vents were typically cleaned every Tuesday. The housekeeping supervisor mentioned that new extendable dusters had been purchased for cleaning the vents and that some vents required cleaning twice a week. Despite these measures, the facility did not ensure that the air vents were maintained in a clean and functional state, impacting the residents' right to a safe and comfortable environment.
Inappropriate Relationship and Abuse Allegation
Penalty
Summary
The facility failed to prevent an inappropriate relationship between a staff member and a resident, resulting in a substantiated allegation of abuse. The resident, who was cognitively intact and independent in activities of daily living, reported that a staff member had sent nude pictures to their cell phone. This incident was reported to the administrator, who immediately suspended the staff member and initiated an abuse investigation. The resident later revealed that there had been ongoing social media interactions with the staff member over the past year, which included numerous text messages. The resident expressed feeling increasingly anxious and uncomfortable when the staff member worked, leading them to report the situation to the administrator. The administrator confirmed that the abuse investigation was conducted, including required notifications to authorities, appropriate reporting, and interviews with staff and residents. The investigation substantiated the allegation of abuse. The resident initially reported the incident after receiving the nude pictures, which made them uncomfortable despite having a mutual understanding with the staff member previously. The facility's failure to prevent this inappropriate relationship and ensure the resident was free from abuse constitutes a deficiency in protecting residents from abuse.
Failure to Provide Scheduled Showers
Penalty
Summary
The facility failed to provide showers as scheduled for a resident who required assistance with activities of daily living. The resident, who was cognitively intact, had diagnoses including diabetes mellitus, chronic kidney disease, and chronic pain. The resident's care plan indicated a self-care deficit and a need for assistance with daily activities. However, the documentation of showers was inconsistent, with records showing missed showers due to various reasons such as the resident's refusal, quarantine, and illness. The resident was observed with oily/greasy hair and could not recall when she last had a shower, indicating a lapse in the facility's adherence to the scheduled shower routine. The facility's documentation practices contributed to the deficiency, as noted by the CNA who reported issues with the electronic medical record system and the inexperience of new staff. The CNA mentioned that the system did not allow for accurate charting of non-shower days, leading to potential inaccuracies in records. Additionally, resident council minutes revealed complaints about untimely showers, prompting staff in-service training. Despite these efforts, the inconsistency in documentation and the resident's condition at the time of observation highlighted the facility's failure to ensure proper hygiene care as per the resident's needs and schedule.
Medication Administration Timing Deficiency
Penalty
Summary
The facility failed to administer medications according to physician orders for two residents. Resident #11, who has multiple diagnoses including diabetes mellitus and hypertension, was prescribed Pepcid 20 mg to be taken daily between 6:00 a.m. and 7:00 a.m. However, on the observed date, the medication was administered at 8:23 a.m., outside the prescribed time frame. This deviation from the physician's order was noted during a medication pass observation. Similarly, Resident #41, diagnosed with Alzheimer's disease and other conditions, was prescribed Pantoprazole 40 mg to be taken prior to breakfast between 6:00 a.m. and 7:00 a.m. On the observed date, the medication was administered at 8:09 a.m., along with other morning medications, rather than prior to breakfast as ordered. The CMA responsible for administering the medication reported that the resident's late sleeping habits sometimes led to the medication being given later than prescribed. Both residents' medications were not administered within the specified time frame as per the physician's orders.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 12 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Tishomingo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brookside Nursing Center | 12.1 mi | ★★★★★ | 0 | 0 |
| Family Care Center Of Kingston | 16.4 mi | ★★★★★ | 11 | 0 |
| The King's Daughters & Sons Nursing Home | 20.3 mi | ★★★★★ | 0 | 0 |
| Four Seasons Rehabilitation & Care | 22 mi | ★★★★★ | 0 | 0 |
| Oakridge Nursing Center | 22.2 mi | ★★★★★ | 1 | 1 |
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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 June 2026) and official state health department websites.