Below average — CMS composite of the measures below.
The next survey window likely opens around May 2027
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 Reelfoot Manor Health And Rehab during CMS and state inspections, most recent first.
Failure to provide involuntary discharge appeal notice: A resident with psychosis, schizoaffective disorder, epilepsy, TBI, dementia, and severe cognitive impairment was sent to the ED for psychiatric evaluation after escalating agitation and behavioral disturbances. The facility issued an involuntary transfer/discharge form stating it could not meet the resident’s needs and that the resident was unsafe for others, but there was no resident or RP signature, and the RP later said she was not told she could appeal or that the facility would not take the resident back.
A facility failed to provide necessary behavioral health care and services for two residents with significant psychiatric and cognitive conditions. One resident with bipolar disorder, IDD, aggression, and impulsive behaviors had repeated threats, aggression, police involvement, and only limited psych involvement documented despite escalating incidents. Another resident with psychosis, schizoaffective disorder, autism, and severe cognitive impairment had persistent screaming, shrieking, wandering, and repeated redirection needs, but the facility could not document ongoing psych services for an extended period.
Failure to complete thorough abuse investigations for two resident-to-resident altercations. One resident with heart disease, AFib, bipolar disorder, anxiety, and dementia was documented as being hit in the neck and head area, and another resident with diabetes, dementia, HF, anxiety, and CKD was documented as being hit by another resident and hitting back. The facility could not provide the required 5-day follow-up or evidence of a complete investigation, and the Administrator/DON confirmed the documentation was unavailable.
Failure to Provide Involuntary Discharge Appeal Notice
Penalty
Summary
The facility failed to provide notification of involuntary discharge that included information about the resident’s right to appeal for one resident reviewed for admission, transfer, and discharge. The facility policy stated that transfer/discharge notices must be provided in a language and manner the resident and representative can understand and must include appeal rights and state contact information. The policy also stated the notice must generally be provided at least 30 days before transfer or discharge, with exceptions for certain urgent circumstances. Resident #29 was admitted with diagnoses including psychosis, schizoaffective disorder, anxiety, epilepsy, traumatic brain injury, and dementia. The record showed a significant change MDS with a Brief Interview for Mental Status score of 00, indicating severe cognitive impairment, along with daily behaviors toward self, dependence on staff for ADLs, and use of antipsychotic, antianxiety, antidepressant, and anticonvulsant medications. On 7/6/2026, the physician ordered the resident sent to the ED for immediate evaluation due to increased agitation and escalating behavioral disturbances that presented an immediate risk of harm to herself and others, and the resident was transferred to the ER for a psychiatric evaluation. The Nursing Home Notice of Involuntary Transfer or Discharge form dated 7/6/2026 listed reasons for discharge or transfer, including that the nursing home could not care for the resident and that the resident made the nursing home unsafe for other people. The form was signed by the Administrator and Medical Director, but there was no signature from the resident or responsible party. The resident’s responsible party later stated she was unaware she could appeal and reported that the facility did not tell her it would not take the resident back. During interview, the Administrator stated the responsible party was contacted, the situation was explained, and the notice was mailed, but the facility was unable to provide a signed copy of the notice showing that appeal information had been provided.
Failure to Provide Necessary Behavioral Health Services
Penalty
Summary
The facility failed to provide necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for two sampled residents with significant psychiatric and cognitive diagnoses. The facility policy stated that behavioral health services were to be person-centered and intended to help residents reach and maintain their highest level of mental and psychosocial functioning and well-being, with the Social Services Director serving as the contact person for behavioral services. One resident had diagnoses including intellectual and developmental disability, bipolar disorder, aggression, agitation, impulsiveness, and a pituitary gland malignancy. Hospital records described a history of bipolar disorder and intellectual disability, with admission related to increasing aggression and agitation, threats toward others, and violent outbursts. After admission to the facility, the resident had repeated documented episodes of cursing, threats to staff, aggression, throwing or shaking equipment, and police involvement. Progress notes showed escalating behaviors over multiple dates, including threats to kill staff, flipping a dining room table, and repeated confrontations at the nurses’ station. The record showed psych services were only provided on two dates during the 50-day stay, despite numerous outbursts, and facility leadership later stated they were not equipped for those behaviors and could not confirm the resident was seen by psych. The second resident had diagnoses including psychosis, autistic disorder, schizoaffective disorder, anxiety, epilepsy, mood disorder, traumatic brain injury, and mild intellectual disabilities. The resident’s MDS showed severe cognitive impairment, difficulty focusing, behaviors interfering with activities and the environment, and dependence on staff for all ADLs. The care plan identified communication problems, crying or screaming to express frustration, wandering, and a need for psych consults as needed. Observations showed the resident continuously screaming, shrieking, hollering, and requiring repeated redirection while being supervised one-on-one in the dining room and hallway. Although the record included psychiatric admission and follow-up notes, the facility was unable to provide documentation that the resident received psych services from 3/29/2026 until 5/12/2026, and the Administrator stated that if no other notes were found, that was all that could be located.
Failure to Complete Thorough Abuse Investigations for Resident-to-Resident Altercations
Penalty
Summary
The facility failed to complete a thorough investigation of resident-to-resident altercations for two residents reviewed for abuse. The facility policy titled Abuse, Neglect and Exploitation stated that abuse includes resident-to-resident altercations and requires an immediate, complete, and thorough investigation that identifies and interviews all involved persons and documents the investigation. However, the facility was unable to provide a 5-day report or an investigation for an incident involving a resident who was admitted with heart disease, atrial fibrillation, bipolar disorder, anxiety, and dementia and had a BIMS score of 3 indicating severe cognitive impairment. A progress note documented that the resident was hit by another resident on the right side of the neck and had a red area to that area, and the Intake Status Report stated the resident was allegedly hit 3 or 4 times in the head, neck, and back area. The facility was also unable to provide a 5-day report or an investigation for another resident who was admitted with diabetes, dementia, heart failure, anxiety, and chronic kidney disease and had a BIMS score of 5 indicating severe cognitive impairment. The Intake Status Report documented that this resident was allegedly hit by another resident and then hit back, and the care plan later noted the resident had the potential to demonstrate physical behaviors and referenced the resident striking another resident. During interview, the Administrator, who was also the Abuse Coordinator, confirmed she could not provide documentation of a 5-day follow-up or evidence that a thorough investigation had been completed for either incident.
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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 Tiptonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Signature Healthcare Of Ridgely Rehab&wellness Ctr | 7.4 mi | ★★★★★ | 0 | 0 |
| Portageville Health Care Center | 13.3 mi | ★★★★★ | 0 | 0 |
| New Madrid Living Center | 16.1 mi | ★★★★★ | 0 | 0 |
| Southgate Living Center | 16.1 mi | ★★★★★ | 3 | 0 |
| Pemiscot County Memorial Hospital | 17.6 mi | — | 0 | 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.