Inspection Reports for
Lawrence County Nursing Center
LLC, Monticello, MS, 39654
Back to Facility Profile28 Reports
Inspection Report — Jul 21, 2026
Annual Inspection
Date: Jul 21, 2026
Visit Reason
The State Agency conducted a desk review of the information provided related to the annual recertification/complaint survey completed from 06/15/26-06/18/26.
Findings
The information provided by the facility confirmed corrective measures were in place and compliance with Medicare and Medicaid requirements was sustained. The facility was recommended to be placed back in compliance effective 07/16/26.
Report Facts
Deficiencies cited: 0
Inspection Report — Jun 18, 2026
Annual Inspection
Date: Jun 18, 2026
Visit Reason
The State Agency (SA) conducted an Annual Recertification survey and Complaint Investigations (CI MS #3028222), at the facility from 6/15/26 through 6/18/26. The SA investigated CI MS #3028222 related to personal property missing. There were no citations related to the complaint investigation. During the annual recertification survey, the SA determined the facility was not in compliance with the requirements of participation in Medicare and Medicaid and cited F550, F576, F658, F690, F803, and F880.
Complaint Details
CI MS #3028222 related to personal property missing. There were no citations related to the complaint investigation.
Findings
The facility was found not in compliance with multiple requirements including resident rights, communication privacy, medication orders, personal hygiene care, menu accommodations, and infection control. Deficiencies involved failure to maintain dignity and privacy during care, improper mail handling, incomplete medication orders, inadequate perineal care, failure to meet food preferences, and lapses in infection prevention practices.
Deficiencies (6)
F0550 - Resident Rights/Exercise of Rights. The facility failed to ensure residents were treated with dignity, respect, and privacy during care, as Resident #27 was unnecessarily exposed during catheter care and Resident #47 was denied assistance drying beneath her breasts after a shower, causing a rash.
F0576 - Right to Forms of Communication w/ Privacy. The facility failed to ensure residents received unopened mail and protected their privacy, as staff opened mail and packages addressed to Residents #3, #9, and #32 without permission.
F0658 - Services Provided Meet Professional Standards. The facility failed to ensure physician orders contained complete and accurate medication dosage instructions for Resident #28, resulting in administration of Vitamin D3 without a specified dosage strength.
F0690 - Bowel/Bladder Incontinence, Catheter, UTI. The facility failed to provide appropriate perineal care for Resident #45, including failure to perform hand hygiene, use a basin, rinse soap, and wear gowns as required by Enhanced Barrier Precautions, placing the resident at risk for infection.
F0803 - Menus Meet Resident Nds/Prep in Adv/Followed. The facility failed to accommodate food preferences for Resident #32, who requested boiled eggs, bacon, and oatmeal but did not consistently receive these items.
F0880 - Infection Prevention & Control. The facility failed to prevent the spread of infection during perineal care for Resident #45 by not performing hand hygiene, not using a basin, not rinsing soap, and not wearing gowns despite orders for Enhanced Barrier Precautions.
Report Facts
Deficiencies cited: 6
Inspection Report — Jun 18, 2026
Annual Inspection
Date: Jun 18, 2026
Visit Reason
The State Agency (SA) conducted an Annual Recertification survey and Complaint Investigations (CI MS #3028222), at the facility from 6/15/26 through 6/18/26. The SA investigated CI MS #3028222 related to personal property missing. There were no citations related to the complaint investigation. During the annual recertification survey, the SA determined the facility was not in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements and cited M500, M620 and M1570.
Complaint Details
Complaint Investigation CI MS #3028222 related to personal property missing was investigated and found to have no citations.
Findings
The facility was found not in compliance with state licensure requirements, citing deficiencies in residents' rights, urinary incontinence care, and infection control. The complaint investigation related to personal property missing was found to have no citations.
Deficiencies (3)
M0500 - Residents' rights were not ensured as Resident #27 was unnecessarily exposed during catheter care and Resident #47 was denied assistance drying beneath her breasts after a shower, causing prolonged moisture and rash.
M0620 - The facility failed to provide appropriate perineal care for Resident #45, including lack of hand hygiene, improper cleansing technique, failure to rinse soap, and not wearing gowns despite Enhanced Barrier Precautions orders.
M1570 - The facility failed to maintain an effective infection control program, as evidenced by deficient perineal care for Resident #45 that increased risk of infection and cross contamination.
Report Facts
Deficiencies cited: 3
Inspection Report — Jun 17, 2026
Life Safety
Date: Jun 17, 2026
Visit Reason
The facility was surveyed for compliance with the 2012 Edition of the Life Safety Code (LSC) and Emergency Preparedness requirements.
Findings
The facility was found to be in compliance with all applicable Life Safety Code and Emergency Preparedness requirements. No deficiencies were cited during this survey.
Inspection Report — Nov 17, 2025
Date: Nov 17, 2025
Visit Reason
On 11/17/25 the State Agency conducted a desk review of the information that was provided related to the complaint survey completed on 09/04/25. The information confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements of participation.
Complaint Details
Complaint survey completed on 09/04/25; the facility was found to have corrected the deficient practice and sustained compliance.
Findings
The State Agency is recommending that the facility be placed back in compliance effective 10/03/25. No deficiencies were cited in this desk review.
Report Facts
Deficiencies cited: 0
Inspection Report — Nov 17, 2025
Annual Inspection
Date: Nov 17, 2025
Visit Reason
On 11/17/25 the State Agency (SA) conducted a desk review of the information that was provided related to the annual survey that was completed on 09/04/25.
Findings
The information provided by the facility confirmed the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm. The SA is recommending the facility be placed back in compliance effective 10/01/25.
Inspection Report — Sep 4, 2025
Complaint Investigation
Date: Sep 4, 2025
Visit Reason
The State Agency conducted a Complaint Investigation (CI) MS #489925 at the facility from 9/3/25 through 9/4/25 related to wound care, neglect, and Quality of care.
Complaint Details
CI MS #489925 was investigated related to wound care, neglect, and Quality of care. Deficiencies were cited.
Findings
The facility was found not in compliance with state licensure requirements, citing failures in wound care practices and infection control that placed residents at risk for skin breakdown and infection.
Deficiencies (2)
M0615 - Pressure sores. The facility failed to provide wound care according to professional standards and physician’s orders, including improper cleansing technique, failure to dry wounds before dressing, and placing a resident in two briefs, increasing risk of skin breakdown and infection for two of three residents reviewed.
M1570 - Infection Control. The facility failed to follow infection prevention practices by placing wound care supplies on an undisinfected bedside table during treatment, creating potential for cross-contamination and infection for one resident observed.
Report Facts
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
Inspection Report — Sep 4, 2025
Complaint Investigation
Date: Sep 4, 2025
Visit Reason
The State Agency conducted a Complaint Investigation (CI) MS #489925 related to wound care, neglect, and Quality of care.
Complaint Details
CI MS #489925 was investigated related to wound care, neglect, and Quality of care. Deficiencies were cited.
Findings
The facility was found not in compliance with Medicare and Medicaid requirements, citing deficiencies in care plan implementation, wound care treatment, and infection prevention practices.
Deficiencies (3)
F0656 - The facility failed to implement care plan interventions during wound care for two residents, including failure to follow physician orders and care plans for cleansing and drying wounds.
F0686 - The facility failed to provide wound care consistent with professional standards and physician orders, including improper wound cleansing technique, failure to dry wounds before dressing, and placing a resident in two briefs increasing risk of skin breakdown and infection.
F0880 - The facility failed to follow infection prevention and control practices by placing wound care supplies on an undisinfected bedside table during treatment, risking cross-contamination and infection.
Report Facts
Deficiencies cited: 3
Inspection Report — May 13, 2025
Follow-Up
Date: May 13, 2025
Visit Reason
The State Agency conducted a follow-up revisit at the facility from 5/12/25 through 5/13/25 related to a recertification survey that was conducted from 3/30/25 through 4/2/25.
Findings
The State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement and recommends the facility be placed back in compliance effective 4/28/25.
Inspection Report — May 13, 2025
Follow-Up
Date: May 13, 2025
Visit Reason
The State Agency conducted a follow-up revisit at the facility from 5/12/25 through 5/13/25 related to a recertification survey that was conducted from 3/30/25 through 4/2/25.
Findings
The State Agency determined the facility was in compliance with the requirements of participation in Medicare and Medicaid and recommends the facility be placed back in compliance effective 4/28/25.
Inspection Report — Apr 3, 2025
Life Safety
Date: Apr 3, 2025
Visit Reason
The facility was surveyed for compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).
Findings
The facility met the applicable provisions of the 2012 Edition of the Life Safety Code. There were no Life Safety Code deficiencies cited during this survey.
Inspection Report — Apr 2, 2025
Annual Inspection
Date: Apr 2, 2025
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 3/30/2025 through 4/2/2025. During the survey, the SA determined that the facility was not in compliance with the Minimum Standards for Institutions for the Aged or Infirmed, state licensure requirements and cited M1570.
Findings
The facility was found not in compliance with infection control standards, specifically failing to follow proper infection control guidelines during care of two residents, resulting in a citation for M1570.
Deficiencies (1)
M1570 - Infection Control. The facility failed to maintain and document an effective infection control program and did not follow proper infection control guidelines during care of Resident #5 and Resident #44, including failure to wear gowns, perform hand hygiene, and remove soiled gloves to prevent infection transmission.
Report Facts
Deficiencies cited: 1
Inspection Report — Apr 2, 2025
Annual Inspection
Date: Apr 2, 2025
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 3/30/2025 through 4/2/2025. During the survey, the SA determined the facility was not in compliance with the requirements of participation in Medicare and Medicaid and cited F584, F656, F657, F697, F759, F851, F865, and F880.
Findings
The facility was found not in compliance with multiple requirements including safe environment, comprehensive care planning, pain management, medication administration, payroll based journal reporting, quality assurance, and infection control. Deficiencies were identified in handling resident belongings, following care plans, pain assessment and management, medication administration errors, staffing data accuracy, sustaining QAPI program effectiveness, and infection prevention practices.
Deficiencies (8)
F0584 - The facility failed to ensure proper handling of personal belongings for one resident, Resident #49, who reported missing jeans that staff did not follow up on.
F0656 - The facility failed to follow the comprehensive care plan related to Enhanced Barrier Precautions for Resident #5, as staff did not wear gowns or follow protocols during wound care.
F0657 - The facility failed to review and revise Resident #44's care plan to reflect actual pain instead of at risk for pain, despite the resident reporting constant pain.
F0697 - The facility failed to manage Resident #44's pain effectively, as pain levels were not documented and pain medication was not reassessed for effectiveness.
F0759 - The facility failed to ensure a medication error rate of less than 5%, with errors observed in administration of inhalers, eye drops, and PEG tube medications affecting Residents #1, #39, and #50.
F0851 - The facility failed to ensure accurate Payroll Based Journal (PBJ) staffing data submission for one quarter in 2024 due to glitches in the time clock system and lack of verification.
F0865 - The facility failed to sustain an effective Quality Assurance and Performance Improvement (QAPI) program, with repeat deficiencies cited from the prior survey and inadequate monitoring and corrective actions.
F0880 - The facility failed to follow proper infection control guidelines during care for Residents #5 and #44, including failure to wear gowns, perform perineal care appropriately, and remove soiled gloves before touching other surfaces.
Report Facts
Deficiencies cited: 8
Medication error rate: 12.9
Inspection Report — Mar 18, 2024
Annual Inspection
Date: Mar 18, 2024
Visit Reason
On 03/18/24 the State Agency (SA) conducted a desk review of the information that was provided related to the annual survey that was completed on 02/01/24. The information confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements of participation.
Findings
The State Agency is recommending that the facility be placed back in compliance effective 03/14/24. No deficiencies were cited in this desk review.
Report Facts
Deficiencies cited: 0
Inspection Report — Feb 1, 2024
Annual Inspection
Date: Feb 1, 2024
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 01/29/2024 through 02/01/2024. During the survey, the SA determined the facility was not in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement and cited M815 and M1570.
Findings
Two deficiencies were cited related to food safety and infection control. The facility failed to remove expired foods from the dry food storage area and failed to ensure consistent infection control measures, including proper hand hygiene and food handling practices.
Deficiencies (2)
M815 - Safe Food Handling Procedures. The facility failed to remove expired foods from the dry food storage area during one of four kitchen observations, potentially affecting all residents receiving meals.
M1570 - Infection Control. The facility failed to consistently implement infection control measures to prevent infection transmission, including improper hand hygiene by CNAs during perineal care and food handling, affecting one sampled resident and two unsampled residents.
Report Facts
Deficiencies cited: 2
Inspection Report — Feb 1, 2024
Annual Inspection
Date: Feb 1, 2024
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 01/29/2024 through 02/01/2024. During the survey, the SA determined the facility was not in compliance with the requirements of participation in Medicare and Medicaid and cited F623, F812, F851 and F880.
Findings
The facility was found not in compliance with Medicare and Medicaid participation requirements, citing deficiencies in notice requirements before transfer/discharge, food procurement and storage, payroll-based journal staffing data submission, and infection prevention and control practices.
Deficiencies (4)
F0623 - Notice Requirements Before Transfer/Discharge. The facility failed to provide the resident and/or the resident's representative with written notification for the reason the resident was transferred to a local hospital for one record reviewed.
F0812 - Food Procurement, Store/Prepare/Serve-Sanitary. The facility failed to remove expired foods from the dry food storage area during kitchen observations, risking all residents receiving meals.
F0851 - Payroll Based Journal. The facility failed to ensure payroll-based journal direct care staffing information was submitted accurately to CMS for nine months reviewed, misclassifying LPN hours as RN hours.
F0880 - Infection Prevention & Control. The facility failed to ensure infection control measures were consistently implemented, including improper hand hygiene by CNAs during perineal care and food handling, risking transmission of infections to residents.
Report Facts
Deficiencies cited: 4
Inspection Report — Jan 31, 2024
Life Safety
Date: Jan 31, 2024
Visit Reason
The facility was surveyed for compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).
Findings
The facility was found to meet the applicable provisions of the 2012 Edition of the Life Safety Code. No Life Safety Code deficiencies were cited during this survey.
Inspection Report — Apr 27, 2023
Complaint Investigation
Date: Apr 27, 2023
Visit Reason
The State Agency (SA) conducted a Complaint Investigation (CI) at the facility for one (1) complaint, MS #20821 on 4/27/23. The SA investigated MS #20821 for Quality of Care related to falls, positioning, pressure sores, and offering fluids to residents.
Complaint Details
Complaint MS #20821 involved Quality of Care related to falls, positioning, pressure sores, and offering fluids to residents. The complaint was investigated and no deficiencies were cited.
Findings
The SA determined the facility was in compliance with the Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm and cited no deficiencies.
Report Facts
Complaints investigated: 1
Inspection Report — Jun 7, 2022
Annual Inspection
Date: Jun 7, 2022
Visit Reason
On 06/07/22 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was conducted on 04/14/22.
Findings
The information provided by the facility confirmed the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm. The SA is recommending your facility be placed back in compliance effective 05/31/22.
Inspection Report — Apr 14, 2022
Annual Inspection
Date: Apr 14, 2022
Visit Reason
The State Survey Agency (SSA) conducted a recertification survey from 04/11/2022 to 04/14/2022.
Findings
During the survey, the SSA determined the facility was in compliance with the Minimum Standards for The Institutions for The Aged and Infirm and there were no deficiencies cited.
Inspection Report — Apr 14, 2022
Annual Inspection
Date: Apr 14, 2022
Visit Reason
The State Survey Agency (SSA) conducted an annual recertification at the facility from 04/11/2022 through 04/14/2022. During the survey, the SSA determined that the facility was not in compliance with the requirements of participation in Medicare and Medicaid and cited F641 and F656.
Findings
Two deficiencies were cited related to Resident #31. The facility failed to accurately code the Minimum Data Set (MDS) regarding restraints and failed to develop a comprehensive person-centered care plan with measurable objectives and individualized interventions for wandering behaviors.
Deficiencies (2)
F0641 - Accuracy of Assessments. The facility failed to accurately code the Minimum Data Set related to a restraint for one resident, coding bed rails as a restraint in error when they were used as an enabler.
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to develop a comprehensive person-centered care plan with measurable objectives and individualized interventions for a resident with wandering behaviors, including the use of a wander/elopement alarm bracelet.
Report Facts
Deficiencies cited: 2
Inspection Report — Apr 12, 2022
Routine
Date: Apr 12, 2022
Visit Reason
This facility was surveyed under the Centers for Medicare Medicaid Services (CMS) COVID-19 Emergency Declaration Blanket 1135 Waivers for Health Care Provider.
Findings
There were no Life Safety Code deficiencies cited during this survey. The facility meets the applicable provisions of the 2012 Edition of the Life Safety Code.
Inspection Report — Apr 12, 2022
Life Safety
Date: Apr 12, 2022
Visit Reason
Survey conducted on 04/12/22 reveals the above facility meets all applicable Federal, State and local emergency preparedness requirements.
Findings
The facility was found in compliance with all applicable Federal, State and local emergency preparedness requirements.
Inspection Report — Jul 1, 2021
Complaint Investigation
Date: Jul 1, 2021
Visit Reason
The State Agency conducted a complaint investigation for complaint MS #17862 at the facility from 6/30/2021 to 7/01/2021.
Complaint Details
Complaint MS #17862 was investigated and not substantiated; no deficiencies were cited.
Findings
The State Agency did not substantiate the complaint for resident abuse and determined that the facility was in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm.
Report Facts
Complaint count: 1
Inspection Report — Apr 8, 2021
Complaint Investigation
Date: Apr 8, 2021
Visit Reason
The State Agency conducted the Complaint Investigations (CI MS #16633, CI MS #16716) from 04/07/2021 to 04/08/2021.
Complaint Details
CI MS #16633 was unsubstantiated with no deficiencies cited for Quality of Care related to No Pressure Sore Precaution. CI MS #16716 was unsubstantiated with no deficiencies cited for Misappropriation of Property and Quality of Care related to No Pressure Sore Precaution and Resident Medications Not Given According To the Physicians Order.
Findings
The facility was found in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm, State Licensure requirements with no deficiencies cited.
Report Facts
Complaint Investigations: 2
Inspection Report — Aug 12, 2020
Routine
Date: Aug 12, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 8/12/20.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.
Inspection Report — Jun 30, 2020
Routine
Date: Jun 30, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 6/30/20.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.
Inspection Report — May 16, 2019
Annual Inspection
Date: May 16, 2019
Visit Reason
The State Agency (SA) conducted an annual recertification survey from 5/13/19 through 5/16/19. During the survey the SA determined the facility was not in compliance with the Medicare and Medicaid requirements for participation.
Findings
The facility was found not in compliance with Medicare and Medicaid requirements due to deficiencies in comprehensive care plan implementation, catheter care, bowel/bladder incontinence management, and respiratory/inhaler medication administration.
Deficiencies (3)
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to follow the comprehensive care plan related to catheter care for two residents, including improper catheter care technique and failure to change gloves after cleaning bowel movement.
F0690 - Bowel/Bladder Incontinence, Catheter, UTI. The facility failed to provide an anchoring device to prevent trauma to the bladder for one resident and failed to provide catheter care to prevent infection for another resident, including improper cleaning technique and failure to change gloves after soiled care.
F0695 - Respiratory/Tracheostomy Care and Suctioning. The facility failed to follow standards of practice for administration of an inhaled medication for one resident, including failure to wait between puffs and failure to offer water to rinse mouth after inhaler use.
Report Facts
Deficiencies cited: 3
Viewing
Loading inspection reports...
