Inspection Reports for Carrington Nursing Center

The State Agency conducted a desk review of information related to the annual survey completed on 2025-12-03 to verify corrective measures taken by the facility.

The facility provided information confirming corrective actions were implemented to address prior deficiencies, and the State Agency recommended placing the facility back in compliance effective 2026-01-16.

The State Agency conducted a desk review of information related to the annual survey completed on 2025-12-03 to confirm compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The information provided by the facility confirmed compliance with the Minimum Standards of Operation. The State Agency recommended the facility be placed back in compliance effective 2026-01-16.

The State Agency conducted an annual re-certification survey at the facility from 12/01/2025 through 12/03/2025 to assess compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with Medicare and Medicaid requirements, citing deficiencies related to comprehensive care plans, ADL care, accident hazards, and food safety. Specific issues included failure to develop and implement care plans for hair and facial hair hygiene, inadequate personal grooming assistance, unsafe environment hazards such as wet floors without caution signs, unsupervised shaving by a resident on blood thinners, and improper labeling and storage of opened food items in the kitchen.

The State Agency conducted an annual re-certification survey at the facility from 12/01/2025 through 12/03/2025 to assess compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.

The facility was found not in compliance with licensure requirements, citing deficiencies in activities of daily living assistance, accident hazard prevention, and safe food handling procedures. Specific issues included failure to provide personal grooming and facial hair removal for residents, inadequate supervision and environmental hazards, and improper labeling and dating of opened food items in the dietary department.

The inspection was conducted to assess compliance with the Life Safety Code (LSC) and emergency preparedness requirements.

The facility met all applicable provisions of the 2012 Edition of the Life Safety Code and all Federal, State, and local emergency preparedness requirements. No deficiencies were cited during this survey.

The State Agency conducted a desk review on 04/02/24 of information related to the annual survey completed on 02/08/24 to verify corrective measures taken by the facility.

The facility provided information confirming that measures were implemented to correct deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 04/01/24.

The State Agency conducted an annual survey at the facility from February 6, 2024 through February 8, 2024 to assess compliance with Minimum Standards for Institutions for Aged or Infirm and state licensure requirements.

The facility was found not in compliance due to infection control deficiencies, specifically failing to prevent possible spread of infection by improper handling of a pulse oximeter during medication administration to Resident #31.

The State Agency conducted an annual recertification survey at the facility from 2/6/24 through 2/8/24 to determine compliance with Medicare and Medicaid requirements for participation.

The facility was found not in compliance with Medicare and Medicaid requirements, with deficiencies cited related to providing a safe, clean, and homelike environment due to poor furniture condition, and infection prevention and control practices including improper handling of a pulse oximeter during medication administration.

The State Agency conducted a desk review of information related to the annual survey completed on 02/08/24 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was confirmed to be in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm, and the State Agency recommended the facility be placed back in compliance effective 04/01/24.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable Federal, State, and local emergency preparedness requirements. No deficiencies were cited.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable emergency preparedness requirements with no deficiencies cited.

The State Agency conducted four complaint investigations at the facility from 6/19/23 through 6/20/23.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm. The complaints related to Rehabilitation Services or Accidents were not substantiated and no deficiencies were cited.

Four complaint investigations (CI MS# 21290, CI MS# 21462, CI MS# 21479, and CI MS# 21480) were conducted and none were substantiated.

The State Agency conducted four complaint investigations at the facility from 6/19/23 through 6/20/23.

The facility was found to be in compliance with Medicare and Medicaid requirements. The complaints regarding Rehabilitation Services and Accidents were not substantiated and no deficiencies were cited.

Four complaint investigations (CI MS# 21290, CI MS# 21462, CI MS# 21479, and CI MS# 21480) were conducted. Complaints related to Rehabilitation Services and Accidents were not substantiated.

The State Agency conducted a complaint survey at the facility on 04/06/2023.

The facility was found to be in compliance with the Minimal Standards of Operation for Institutions for the Aged or Infirm with no deficiencies cited.

Complaint survey (CI MS #20621) was conducted and no deficiencies were cited, indicating compliance.

The State Agency conducted a complaint investigation (CI MS #20621) at the facility on 04/06/23.

The facility was found to be in compliance with Medicare and Medicaid Services requirements with no deficiencies cited.

Complaint investigation CI MS #20621 was conducted and found no deficiencies; the facility was in compliance.

The State Agency conducted a Life Safety Code (LSC) revisit survey to verify information provided related to the annual survey conducted on 2023-01-17.

The facility had implemented measures to correct the previously identified deficient practice and sustained compliance with the 2012 Edition of the Life Safety Code. The State Agency recommended the facility be placed back in compliance effective 2023-02-10.

The State Agency conducted an annual re-certification survey at the facility from 01/17/23 to 01/19/23.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm with no deficiencies cited.

The State Agency conducted an annual re-certification survey at the facility from 01/17/23 to 01/19/23 to determine compliance with Medicare and Medicaid regulations.

The facility was found to be in compliance with Medicare and Medicaid regulations with no deficiencies cited during the survey.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable emergency preparedness requirements with no deficiencies cited.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable emergency preparedness requirements with no deficiencies cited.

The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA), focusing on interior wall and ceiling finishes and fire alarm system maintenance.

The facility failed to maintain proper fire-rated interior ceiling finishes and failed to properly maintain the fire alarm system, both deficiencies affecting all 54 residents. The ceiling was replaced with non-fire rated OSB board with gaps allowing smoke passage, and the fire alarm panel was in trouble mode due to water-damaged smoke detectors.

The inspection was conducted to assess compliance with the Life Safety Code (NFPA 101) regarding the proper interior finish of ceilings in the facility.

The facility failed to maintain fire-rated interior ceiling finishes, having replaced gypsum ceilings with non-fire rated oriented strand board (OSB) in multiple areas, which compromised smoke resistance. Repairs were contracted and completed to replace the non-fire rated board with fire-rated sheetrock.

The State Agency conducted a complaint survey at the facility from 12/5/22 through 12/7/22 to investigate complaints related to Resident Rights, Resident Abuse, Resident Assessment, Neglect, Quality of Care, and other concerns.

The survey determined that the facility was in compliance with Mississippi Regulations for Minimum Standards for Institution for Aged or Infirm and did not substantiate the complaints. No deficiencies were cited.

Complaints related to Resident Rights, Resident Not Treated with Dignity/Respect, Resident Abuse related to Verbal Abuse, Resident Assessment, Neglect, Quality of Care related to Services not Provided per Physician's Order, Improper Incontinent Care, No Pressure Sore Precautions Taken By Facility, Responsible Party Not Notified, Call Lights Not Answered Timely, Resident Safety were investigated and not substantiated.

The State Agency conducted a complaint survey at the facility from 12/5/22 through 12/7/22 to investigate multiple complaints including Resident Rights, Resident Abuse, Resident Assessment, Neglect, Quality of Care, and Resident Safety.

The survey determined that the facility was in compliance with Medicare and Medicaid requirements and did not substantiate the complaints. No deficiencies were cited.

Complaints related to Resident Rights, Resident Not Treated with Dignity/Respect, Resident Abuse (Verbal), Resident Assessment, Neglect, Quality of Care (Services not Provided per Physician's Order), Improper Incontinent Care, No Pressure Sore Precautions, Responsible Party Not Notified, Call Lights Not Answered Timely, and Resident Safety were investigated and found unsubstantiated.

The State Agency conducted a Complaint Investigation for MS00019350 and MS00019372 related to Quality of Care and Staffing from 07/11/22 through 07/12/22.

The facility was found to be in compliance with the requirements of The Aged and Infirm and the complaint allegations were not substantiated.

Complaint investigation for MS00019350 and MS00019372 related to Quality of Care and Staffing; complaints were not substantiated.

The State Agency conducted complaint investigations related to Quality of Care and Staffing on 07/11/22 through 07/12/22.

The facility was found to be in compliance with Medicare and Medicaid participation requirements and the complaint allegations were not substantiated.

Complaint investigations for CI MS #19350 and CI MS #19372 related to Quality of Care and Staffing were conducted and not substantiated.

The State Agency conducted two onsite complaint investigations regarding alleged verbal and mental abuse and alleged sexual inappropriate comments by staff to residents.

Both complaint investigations were unsubstantiated, no deficiencies were cited, and the facility was found to be in substantial compliance with the standards for participation in The Aged and Infirmed.

Two complaint investigations were conducted: CI MS #18912 for alleged verbal and mental abuse, and CI MS #19003 for alleged sexual inappropriate comments. Both were unsubstantiated.

The State Agency conducted two onsite complaint investigations on 06/14/2022 regarding alleged verbal and mental abuse and alleged sexual inappropriate comments by staff to residents.

Both complaint investigations were unsubstantiated, no deficiencies were cited, and the facility was determined to be in substantial compliance with Medicare and Medicaid participation standards.

Two complaint investigations (CI MS #18912 and CI MS #19003) were conducted for alleged verbal and mental abuse and alleged sexual inappropriate comments by staff. Both complaints were unsubstantiated.

The State Agency conducted a desk review related to a complaint survey that was conducted on 2022-04-08.

The information provided by the facility confirmed compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm. The facility was recommended to be placed back in compliance effective 2022-05-18.

The visit was complaint-related, and the facility was found to be in compliance based on the desk review.

The State Agency conducted a desk review related to a complaint survey conducted on 2022-04-08 to verify corrective measures taken by the facility.

The information provided by the facility confirmed that measures were put in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 2022-05-18.

The visit was related to a complaint survey conducted on 2022-04-08. The facility's corrective actions were reviewed and found sufficient to address the deficiencies.

On April 7, 2022, the State Agency conducted an onsite complaint investigation for alleged abuse of a resident.

The facility was found not in substantial compliance due to failure to prevent abuse and neglect when a staff member sent an inappropriate picture to a resident's cell phone. The complaint was substantiated and deficiencies were cited at a Level II severity.

The complaint investigation (CI MS# 18697) was substantiated. The staff member (Housekeeping Supervisor) sent a sexually explicit picture of his penis to Resident #1's cell phone. The staff member was terminated on March 29, 2022. The Attorney General's office was involved and classified the incident as a cyber-crime. Resident #1 was visibly upset and refused therapy following the incident. The facility took corrective actions including staff in-service training and increased monitoring.

On April 7, 2022, the State Agency conducted an onsite complaint investigation for alleged abuse of a resident when a staff member sent an inappropriate photo to a resident's cell phone.

The facility was found to have failed to prevent abuse and neglect when a staff member sent an inappropriate picture to Resident #1's cell phone. The complaint was substantiated, and deficiencies were cited. The investigation revealed inadequate staff interviews and incomplete investigation procedures.

Complaint CI MS #18697 was substantiated. The allegation involved a staff member sending a sexually explicit photo to Resident #1's cell phone. The facility was not in substantial compliance for Medicaid and Medicare participation due to this incident.

The State Agency conducted a complaint investigation regarding call light systems not being answered timely on 2021-09-18.

The complaint was determined to be unsubstantiated, no deficiencies were cited, and the facility was found to be in substantial compliance with Medicare and Medicaid standards.

Complaint investigation CI MS #18119 was unsubstantiated with no deficiencies cited.

The State Agency conducted a complaint investigation regarding call light systems not being answered timely on 2021-09-18.

The complaint was found to be unsubstantiated, no deficiencies were cited, and the facility was determined to be in substantial compliance with Medicare and Medicaid standards.

Complaint investigation CI MS #18119 was unsubstantiated with no deficiencies cited.

The State Agency conducted a complaint investigation concerning call light systems not being answered timely on 09/18/2021.

The complaint investigation was unsubstantiated, no deficiencies were cited, and the facility was found to be in substantial compliance with Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm.

Complaint investigation CI MS #18119 was unsubstantiated with no deficiencies cited.

The State Agency conducted a complaint survey from May 10, 2021 to May 12, 2021, triggered by complaints including verbal abuse and admission, transfer and discharge rights violations.

The facility was found not in compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm. The complaint of verbal abuse against Resident #1 was substantiated, involving a Certified Nursing Assistant (CNA#1) who used derogatory language and threatened the resident. The CNA was terminated following investigation. Other complaints were not substantiated.

The complaint survey substantiated verbal abuse (MS#17791) and admission, transfer and discharge rights violations (MS#16671). Other complaints regarding residents left wet, call bells not answered, and failure to notify physician or resident representative of condition changes were not substantiated.

The State Agency conducted a complaint survey from May 10, 2021 to May 12, 2021, triggered by complaints including verbal abuse and admission, transfer, and discharge rights issues.

The facility was found not in compliance with Medicare and Medicaid participation requirements due to substantiated verbal abuse involving a Certified Nursing Assistant (CNA#1) and Resident #1. The CNA was terminated following the incident. Other complaints were not substantiated.

The complaint MS#17791 for verbal abuse was substantiated. The complaint MS#16671 for Admission, Transfer and Discharge Rights was substantiated with no deficiency cited. Complaints MS#17494, MS#17731, and MS#17732 were not substantiated.

The State Agency conducted a complaint survey from 2021-05-10 to 2021-05-12 to determine compliance with the Minimum Standards for the Institutions for the Aged and Infirm.

The facility was found not in compliance during the complaint survey but achieved substantial compliance based on an acceptable plan of correction and desk review completed on 2021-06-21.

Complaint survey conducted from 2021-05-10 to 2021-05-12; facility initially non-compliant but later found in substantial compliance effective 2021-06-21.

The State Agency conducted a complaint survey from May 10, 2021 to May 12, 2021 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance during the complaint survey but achieved substantial compliance based on an acceptable plan of correction and desk review completed on June 21, 2021.

Complaint survey conducted from 5-10-21 to 5-12-21; facility initially non-compliant but achieved substantial compliance effective 6.21.21.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency on 12/14/2020.

The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).

A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR 483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparation.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS).

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 5/31/20 to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 5/31/20 to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

The State Agency conducted a complaint survey triggered by complaint MS CI #16465 regarding inappropriate discharge and quality of care issues.

The facility was found to be in compliance with Medicare and Medicaid requirements. The complaint about residents being left soiled for extended periods was not substantiated and no deficiencies were cited.

Complaint MS CI #16465 was not substantiated for inappropriate discharge and quality of care issues related to residents being left soiled.

The State Agency conducted a complaint survey related to allegations of inappropriate discharge and Quality of Care issues concerning residents being left soiled for extended periods of time.

The survey determined the facility was in compliance with Medicare and Medicaid requirements, did not substantiate the complaint, and cited no deficiencies.

Complaint was not substantiated for inappropriate discharge and Quality of Care issues related to residents being left soiled for extended periods of time.

The State Agency conducted an annual recertification survey along with complaint investigations from 11/12/19 to 11/14/19 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance due to failure to develop comprehensive care plans for residents with Foley catheters and urinary tract infections. Complaints related to abuse, neglect, and accidents with injury were not substantiated. Additionally, a life safety code deficiency was cited related to the essential electrical system alarm annunciator being inoperable.

Complaints MS #15923 and MS #15979 were investigated; MS #15923 for abuse and neglect and MS #15979 related to accidents with injury. Both complaints were not substantiated and no citations were issued related to them.

The State Agency conducted an annual recertification along with complaint investigations MS #15923 and MS #15979 from 11/12/19 to 11/14/19.

The facility was found to be in compliance with Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm. The complaints related to abuse, neglect, and accidents with injury were not substantiated.

The State Agency did not substantiate complaint MS #15923 for abuse and neglect and did not substantiate complaint MS #15979 related to accidents with injury.

The State Agency conducted an annual recertification along with complaint investigations MS #15923 and MS #15979 from 11/12/19 to 11/14/19.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm. The complaints MS #15923 for abuse and neglect and MS #15979 related to accidents with injury were not substantiated.

Complaints MS #15923 and MS #15979 were investigated and not substantiated.

The State Agency conducted an annual recertification along with complaint investigations MS #15923 and MS #15979 from 11/12/19 to 11/14/19.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm. The complaints MS #15923 for abuse and neglect and MS #15979 related to accidents with injury were not substantiated.

Complaints MS #15923 and MS #15979 were investigated and not substantiated.