Average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Ripley Healthcare And Rehab Center during CMS and state inspections, most recent first.
Failure to Hold Quarterly Care Plan Conferences: The facility did not document quarterly care plan conference meetings for two residents. One resident had cerebral infarction, DM, Parkinsons, and dementia with BIMS scores indicating cognitive intactness, and the other had cerebral infarction, dementia, and epilepsy with BIMS scores indicating moderate cognitive impairment. The DON stated care plan meetings should be held quarterly and that family and sometimes residents should be invited, but the facility could not find documentation that the meetings were completed or that the resident and/or representative was invited.
Incomplete and inaccurate MDS assessments were identified for three residents. One resident with trach status, SOB, and respiratory failure was not coded for trach care despite a physician order and observation showing oxygen via trach mask. Another resident with COPD, cerebral infarction, diabetes, and anxiety was not coded for an elopement alarm and had inaccurate self-care and transfer assessment. A third resident had incomplete quarterly and annual MDS sections for cognition, mood, and functional abilities, and the MDS Coordinator acknowledged missing items.
A resident with multiple risk factors for pressure ulcers developed a worsening heel wound that was not properly staged, assessed, or communicated to the provider. Staff failed to notify the provider of the wound's deterioration, missed wound care appointments, and changes in the resident's condition. Delays in scheduling wound care and lack of timely intervention led to severe infection and ultimately a below-knee amputation.
Failure to Hold Quarterly Care Plan Conferences
Penalty
Summary
The facility failed to ensure care plan conference meetings were held quarterly for 2 of 2 sampled residents reviewed for care plan meetings. Facility policy titled, Participation in 72 Hour Care Review-Assessment/Care Plans, stated that residents and their family members are encouraged to participate in the development of the resident's comprehensive assessment and care plan, that the resident and/or legal representative are invited to attend and participate in the care planning conference, and that the comprehensive care conference is scheduled after completion of the comprehensive care plan and quarterly with seven days' advance notice documented in the progress notes. Resident #5 was admitted with diagnoses including cerebral infarction, diabetes, Parkinsons, and dementia. The record showed the last care plan conference was completed on 10/7/2025, and the resident had BIMS scores of 14 on both quarterly and annual MDS assessments, indicating cognitive intactness. The facility was unable to provide documentation that the resident and/or representative was invited to the care plan meeting after the 12/30/2025 quarterly MDS assessment and the 3/30/2026 annual MDS assessment. Resident #10 was admitted with diagnoses including cerebral infarction, dementia, and epilepsy. The record showed the last care plan conference was completed on 10/14/2025, and quarterly MDS assessments showed BIMS scores of 10 and 8, indicating moderate cognitive impairment. The facility was unable to provide documentation that the resident and/or representative was invited to the care plan meeting after the 4/10/2026 quarterly MDS assessment and the 1/28/2026 annual MDS assessment. During interview, the DON stated care plan meetings should be held quarterly, that family and sometimes residents should be invited, and that the facility could not find documentation that quarterly care plan conference meetings were held for either resident.
Incomplete and inaccurate MDS assessments
Penalty
Summary
The facility failed to complete accurate MDS assessments for 3 of 12 residents reviewed for MDS discrepancies. The facility policy stated that the RAI Manual is the source document for MDS scheduling, encoding, completion, submission, correction, and retention, and the CMS MDS User’s Manual states that an accurate assessment requires information from multiple sources and that nursing homes are responsible for ensuring participants have the knowledge needed to complete an accurate assessment. For one resident, the medical record showed diagnoses including tracheostomy status, shortness of breath, and respiratory failure. The annual MDS scored the resident as cognitively intact on the BIMS, but Section 00110 was not coded to reflect tracheostomy care. A physician order documented daily trach care with tie changes, and observation showed the resident in bed with oxygen infusing at 4 liters per minute by trach mask. The MDS Coordinator and DON both confirmed the resident should have been coded for tracheostomy care. For a second resident, the record showed diagnoses including COPD, cerebral infarction, diabetes, and anxiety. The admission MDS showed a BIMS score of 5, severe cognitive impairment, and wandering during the assessment period, and a physician order directed use of a wander guard bracelet for dementia with wandering behaviors. The quarterly MDS did not code Section P item P0200 for an elopement alarm, and the facility also failed to accurately assess self-care and transfer abilities. For a third resident, the quarterly and annual MDS assessments were incomplete, with missing or incomplete sections for cognition, mood, and functional abilities, including BIMS, Sections C, D, and GG items. The MDS Coordinator stated that mood should be completed on every assessment, that GG should be completed on every quarterly MDS, and that the annual mood section should have been assessed.
Failure to Provide Timely Pressure Ulcer Care and Provider Notification
Penalty
Summary
The facility failed to provide appropriate pressure ulcer care and prevent new ulcers from developing for a resident with significant risk factors, including immobility, obesity, diabetes, and a history of pressure ulcers. The staff did not notify the provider when the resident developed peeling on both heels, nor did they document or act on this finding in a timely manner. There was a delay in obtaining physician orders to address the skin issues, and the location and stage of the developing pressure ulcer were repeatedly misidentified in the medical record. Over several weeks, the wound deteriorated, showing signs of infection, increased drainage, odor, and pain, but the provider was not notified of these changes or the wound's worsening condition. The facility also failed to ensure timely wound care appointments for the resident. After a wound care referral was ordered, there was a 12-working-day delay before any documented attempt to schedule an appointment. When appointments were missed or could not be scheduled due to transportation issues, the provider was not informed. Staff interviews confirmed that the provider was not notified of missed appointments or the resident's deteriorating wound, and there was no documentation of attempts to seek alternative transportation or escalate the issue. The resident's wound continued to worsen, eventually leading to severe infection, sepsis, and the need for a below-knee amputation after transfer to the hospital. Throughout the period of noncompliance, staff failed to follow facility policy and professional standards of practice regarding pressure ulcer prevention, assessment, and communication. The medical record lacked evidence of appropriate provider notification, accurate wound staging, and timely intervention. Interviews with nursing staff, the DON, and the medical director confirmed that required notifications and actions were not taken, and that the breakdown in communication and care coordination contributed to the resident's harm.
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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 Ripley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lauderdale Community Living Center | 0.7 mi | ★★★★★ | 29 | 1 |
| Haywood Post Acute | 11.6 mi | ★★★★★ | 0 | 0 |
| Covington Post Acute | 13.5 mi | ★★★★★ | 9 | 0 |
| Magnolia Creek Nursing And Rehabilitation | 15.4 mi | ★★★★★ | 7 | 0 |
| Dyersburg Health And Rehabilitation Center | 23.9 mi | ★★★★★ | 3 | 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 July 2026) and official state health department websites.