Citations in Mississippi
Statistics, citations and compliance trends for long-term care facilities in Mississippi.
Statistics for Mississippi (Last 12 Months)
Financial Impact (Last 12 Months)
Latest citations in Mississippi
A resident with ESRD and an order for hemodialysis three times weekly missed dialysis treatments after becoming verbally combative and resistant to care. Staff notified the dialysis center and the resident representative, but the NP/MD was not notified that the behaviors were interfering with treatment, and the resident was not referred to contract psych services or grief counseling after his son’s death.
Failure to Care Plan Resident Behaviors and Psychosocial Needs: A resident with ESRD and intact cognition had repeated verbal outbursts, cursing, refusal of care and meds, and missed dialysis, yet the care plan did not address his behaviors or psychosocial needs. Staff, including an LPN, CNA, SSD, ADON, and DON, confirmed no specific interventions were in place despite awareness of the resident’s abusive language and impact on care.
Failure to Address Behavioral and Psychosocial Needs: A resident with ESRD and a traumatic amputation had verbal outbursts, cursing, and derogatory language toward staff, but was not referred for behavioral health or grief counseling after his son’s death. The resident missed dialysis treatments because of behavior and a funeral conflict, and the NP, SSD, and DON confirmed there was no notification to the provider or referral to in-facility psychiatric services despite available behavioral health support.
Missed Physician-Ordered Ice Therapy: A resident admitted after joint replacement surgery had a discharge order for ice to the operative area for post-op swelling and pain, but the order was not entered into the TAR, MAR, or physician orders. The resident’s advocate stated the ice was never provided, and the DON confirmed the order had been missed.
Incomplete Perineal Care After Incontinent Episode: A CNA provided incontinent care to a resident with feces in the brief but did not separate the labia while cleansing, and fecal material remained on the vaginal and anal areas after the brief was changed. The CNA later confirmed the resident was not fully cleaned, and the DON confirmed staff should have continued cleansing until no fecal material remained. The resident had vascular dementia, anxiety, dysphagia, a BIMS score of 6, and was dependent on staff for personal hygiene.
Failure to revise care plan after repeated falls: A resident with bilateral BKA and moderately impaired cognition had multiple falls after admission, including sliding off the bed during transfer and later being found on the floor beside the bed. Staff implemented fall interventions such as a floor mat, low bed position, and call light instructions, but the comprehensive person-centered care plan was not updated to reflect the resident’s change in condition or the individualized interventions.
Failure to Notify Provider of Behavioral Change Affecting Dialysis
Penalty
Summary
The facility failed to consult the resident’s primary care provider regarding changes in psychosocial status that affected his care, resulting in missed dialysis treatments for one resident. The resident was admitted with end stage renal disease and was ordered to receive hemodialysis every Monday, Wednesday, and Friday at 6:20 AM. The Quarterly MDS documented verbal behavioral symptoms directed toward others, and staff interviews confirmed the resident had verbal outbursts, cursed, and used derogatory language toward staff. Record review and interviews showed the resident missed dialysis treatments because of his behavior toward staff. An LPN notified the dialysis center and the resident representative when one dialysis treatment was missed, and the DON confirmed the missed treatment was due to the resident’s behavior. The DON also confirmed that the resident missed another dialysis treatment because of behavior and that the make-up dialysis was scheduled for a day when the resident could not go because it was the day of his son’s funeral. Interviews with the NP, MDS nurse, SSD, DON, and Administrator confirmed there was no documentation that the primary care provider was notified that the resident’s behaviors were interfering with dialysis treatments. The resident representative stated she was concerned about missed dialysis appointments and was not aware of any grief counseling offered after the death of the resident’s son. Staff also confirmed the resident had not been referred to the facility’s contract psychiatric services, despite the behavioral changes and missed treatments.
Failure to Care Plan Resident Behaviors and Psychosocial Needs
Penalty
Summary
The facility failed to develop a person-centered comprehensive care plan to address Resident #1’s psychosocial needs and behaviors. The facility policy required the interdisciplinary comprehensive care plan to include measurable objectives and time frames and to describe services needed to attain or maintain the resident’s highest practicable physical, mental, and psychosocial well-being. Record review showed no care plan in place for Resident #1 that addressed behaviors or psychosocial needs, despite documentation that the resident had verbal behavioral symptoms directed toward others on the MDS and was cognitively intact with a BIMS score of 15. Resident #1 was admitted with diagnoses including end stage renal disease and a traumatic amputation of two or more right lesser toes. During interview, the resident stated he required assistance and confirmed he had a habit of cursing staff. Staff interviews confirmed repeated verbally abusive behavior, vulgar language toward staff, refusal of care and medications, and missed dialysis treatments on 6/10/26 and 6/11/26, with no care plan or person-centered interventions identified to address these behaviors. Staff also reported awareness of the resident’s verbal outbursts and derogatory language, and the DON stated she was not aware that a care plan was not in place to address behaviors affecting the resident’s care or psychosocial needs or a care plan related to the death of his son.
Failure to Address Behavioral and Psychosocial Needs
Penalty
Summary
The facility failed to provide appropriate treatment and services to address known psychosocial concerns for one resident who had verbal outbursts, cursed, and used derogatory language toward staff. The resident was cognitively intact with a BIMS score of 15 and had diagnoses including end stage renal disease and a traumatic amputation of two or more right lesser toes. The Quarterly MDS identified verbal behavioral symptoms directed toward others, but the resident was not referred for in-facility psychiatric services or grief counseling despite the facility’s available behavioral health services. Record review and interviews showed that the resident missed dialysis treatments because of behavior and because one make-up dialysis appointment conflicted with his son’s funeral. The resident representative stated she was concerned about the missed medical and dialysis appointments and was not aware of any grief counseling offered after the death of the resident’s son. The DON confirmed that the resident missed dialysis because of behavior and that the resident also missed a dialysis appointment on the day of the funeral. She stated that the resident had shown a change in behavior during his stay and that staff received the brunt of his behavior. The NP stated she was not notified that the resident missed dialysis treatments and that there was no documentation that the covering NP was notified. The SSD confirmed awareness of the resident’s verbal outbursts but had not notified the primary healthcare provider and had not referred the resident to behavioral health services. The DON also confirmed that no referral was made to behavioral health contract services and that the resident’s doctor or NP was not notified that his behavior interfered with his scheduled dialysis treatments.
Missed Physician-Ordered Ice Therapy
Penalty
Summary
The facility failed to implement a physician-ordered treatment for one resident. Resident #2 was admitted following joint replacement surgery and had diagnoses including aftercare following joint replacement surgery and presence of a right artificial knee joint. The hospital discharge orders dated 6/5/26 included an order for ice to the operative area for 20 minutes on and 20 minutes off as needed for post-operative swelling and pain. During record review, the resident’s June 2026 TAR, MAR, and Order Summary Report showed the ice treatment was not entered into the facility’s TAR, MAR, or physician orders. The resident’s patient advocate stated the resident never received ice to the surgical site during the stay despite being told it was to be provided after surgery. The DON confirmed the physician order for ice therapy had been missed and should have been entered into the system. The resident’s MDS assessment dated 6/10/26 showed a BIMS score of 15, indicating the resident was cognitively intact.
Incomplete Perineal Care After Incontinent Episode
Penalty
Summary
The facility failed to provide appropriate perineal care by thoroughly cleansing the perineal area after an incontinent episode for one of three residents observed receiving incontinent care, Resident #6. During observation, CNA #1 provided incontinent care to the resident when the brief contained feces. The CNA cleansed the perineal area multiple times but did not separate the labia while cleansing. After a clean brief was applied, survey staff asked the CNA to reassess cleanliness, and feces was still present on the resident's vaginal and anal areas. CNA #1 then required six additional cleansing wipes before the perineal area was free of fecal material. The facility policy titled Perineal Care, revised 3/3/26, stated that for female residents staff are to separate the labia and cleanse from front to back. During interview, CNA #1 confirmed feces remained on the resident after care was completed and stated she did not wipe good enough. She acknowledged the resident could develop skin irritation, pressure injuries, or a UTI if feces remained on the skin and confirmed she should have continued cleansing until the wipes were free of fecal material. The DON also confirmed the CNA should have continued cleansing until no fecal material remained on the wipes and stated leaving feces on the resident's skin could result in skin breakdown. Resident #6's record showed diagnoses including vascular dementia, anxiety, and dysphagia, and the MDS indicated a BIMS score of 6 with dependence on staff for personal hygiene.
Failure to Revise Care Plan After Repeated Falls
Penalty
Summary
The facility failed to revise Resident #1’s comprehensive, person-centered care plan after the resident experienced falls and after individualized interventions were implemented in response to those events. Resident #1 was admitted on 4/8/26 with diagnoses including acquired absence of both legs below the knee, and the admission MDS dated 4/13/26 showed a BIMS score of 08, indicating moderately impaired cognition. The record documented that on 5/4/26 the resident slid off the bed while trying to transfer self, and on 5/9/26 the resident was found sitting on the floor next to the bed. The care plan report showed a fall-related focus initiated on 06/18/2026 for an actual fall with no injury related to poor balance and bilateral below-knee amputation, with interventions including monitoring floor mats by the side of the bed each shift. A separate fall-risk focus was also revised on 06/18/2026. However, the comprehensive care plan was not revised after the 5/4/26 and 5/9/26 falls to reflect the resident’s change in condition or the individualized interventions that had been implemented, including a floor mat, keeping the bed in the lowest position, and instructing the resident to use the call light for assistance. Staff interviews confirmed the falls occurred, the interventions were implemented, and the comprehensive care plan was not updated to include them.
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Compliance trends in Mississippi
Data through Jun 2026Comparisons below measure the most recent period Jul 2025 – Jun 2026 against the prior period Jul 2024 – Jun 2025 (two equal 12-month windows). The most recent 1 months are excluded because CMS is still publishing them.
Top tags by month · last 24 months
dashed = still reportingMonthly citation counts for the 5 most-cited tags. The dashed tail is the 1-month reporting lag.
Frequency movers
Biggest change in how often each tag is cited, as a rate per 100 inspections (so it isn't skewed by survey volume): Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. Only tags with at least 20 citations in both periods are shown.
Severity movers
Tags whose average scope/severity shifted the most: Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. The number is the average severity on the A–L scale (A=0…L=11); the letter is the band it falls in. A rise means the same tag is being cited at a more serious level — note the average can move enough to rank here while staying within the same letter. Same 20-citation minimum applies.
Care domain movers
Citations grouped into CFR care domains — F-tags by their §483 regulatory section (CMS State Operations Manual, Appendix PP) — measured as a rate per 100 inspections: Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. Share is the domain's portion of citations this period; avg severity is the mean scope/severity letter and immediate jeopardy the percentage cited at J–L, both over the current period. Domains with at least 20 citations in both periods are shown; the sparkline tracks the last 12 months (left = oldest).
Immediate jeopardies · this period
Citations at the most serious scope/severity — J–L, immediate jeopardy, residents placed at risk of serious harm or death — over Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. "Surveys with an IJ" counts distinct health inspections that had at least one.
Survey activity · by month
faded/dashed = still reportingCitations each month split into complaint-driven (unscheduled, triggered by grievances) vs standard surveys — bars, left axis — with the number of inspections as a line on the right axis. Rising inspections signal more scrutiny; a rising complaint share means more off-cycle surveys. The most recent 1 months are still being reported.
Deficiency-free survey rate
Share of health surveys that found zero deficiencies — the odds of a clean survey. Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025; the most recent 1 months are still being reported (dashed).
Penalties · by month
faded = still reportingTotal civil money penalty dollars imposed on the state's facilities each month — how hard the state is enforcing. The most recent 1 months are still being reported, and penalties often lag citations by several months.
Emerging tags
Tags that weren't established last period but surged — an early warning, distinct from movers (which track already-common tags). Criteria: fewer than 20 citations in the prior period, but at least 10 this period and 2.5× their prior volume. The sparkline shows monthly counts over the last 12 months (left = oldest).
Trusted data from CMS and state health departments
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