Inspection Reports for
Madison County Nursing Home
Board of Trustees, Canton, MS, 39046
Back to Facility Profile39 Reports
Inspection Report — Jun 3, 2026
Life Safety
Date: Jun 3, 2026
Visit Reason
The State Agency conducted a desk review on 06/03/26 of information related to the annual survey conducted on 04/30/26 to confirm the facility had corrected deficient practices and sustained compliance with the 2012 Edition of the Life Safety Code.
Findings
The facility was found to be in compliance with the Life Safety Code requirements as of 05/26/26. No deficiencies were cited during this review.
Inspection Report — Jun 1, 2026
Date: Jun 1, 2026
Visit Reason
On 06/01/26 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was completed on 04/30/26. The information provided by the facility 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 05/26/26. No deficiencies were cited in this desk review.
Inspection Report — Jun 1, 2026
Annual Inspection
Date: Jun 1, 2026
Visit Reason
On 06/01/26 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was completed on 04/30/26.
Findings
The SA found the facility to be in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm and recommends the facility be placed back in compliance effective 05/26/26.
Inspection Report — Apr 30, 2026
Annual Inspection
Date: Apr 30, 2026
Visit Reason
The State Agency conducted an Annual Recertification survey along with two Complaint Investigations (CI MS #2985748 and CI MS #2988845) at the facility from 4/27/26 to 4/30/26. CI MS #2985748 was investigated related to staffing, housekeeping, and residents left wet and soiled with no deficiencies cited. CI MS #2988845 was a Facility Reported Incident regarding physical abuse and F600 was cited as Past Non-Compliance. During the recertification survey, the facility was found not in compliance and cited F700 and F880.
Complaint Details
Two complaint investigations were conducted: CI MS #2985748 related to staffing, housekeeping, and residents left wet and soiled with no deficiencies cited; CI MS #2988845 was a Facility Reported Incident regarding physical abuse, substantiated with deficiency F600 cited as Past Non-Compliance.
Findings
The facility was found not in compliance with requirements related to freedom from abuse, infection prevention and control, and bedrail use. One resident was found to have been physically abused by a staff member, who was terminated. Infection control practices were not followed during catheter care and medication administration. Bedrails were used without proper assessment, monitoring, or documentation, posing risks to the resident.
Deficiencies (3)
F0600 - Freedom from abuse and neglect. The facility failed to ensure one resident's right to be free from abuse when a CNA struck the resident in the eye, resulting in bruising, and the staff member was terminated after investigation.
F0880 - Infection prevention and control. The facility failed to ensure staff followed infection prevention practices during care of two residents, including improper catheter care and failure to perform hand hygiene and wear gowns during medication administration, increasing risk of infection.
F0700 - Bedrails. The facility failed to implement alternatives prior to installing bedrails, did not assess or monitor their use as restraints, and did not ensure they were medically necessary and least restrictive for one resident with full side rails in use.
Report Facts
Deficiencies cited: 4
Complaint investigations: 2
Inspection Report — Apr 30, 2026
Life Safety
Date: Apr 30, 2026
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 failed to provide documentation for inspections of the Ventilation Control and Fire Protection of Commercial Cooking Operations, affecting all smoke compartments and residents on the day of survey.
Deficiencies (1)
K0324 - Cooking equipment was not protected in accordance with NFPA 96 and NFPA 101, as the facility failed to produce required inspection documentation for ventilation control and fire protection of commercial cooking operations.
Report Facts
Deficiencies cited: 1
Inspection Report — Apr 30, 2026
Annual Inspection
Date: Apr 30, 2026
Visit Reason
The State Agency conducted an Annual Re-licensure survey along with two Complaint Investigations (CI MS #2985748 and CI MS #2988845) at the facility from 4/27/26 to 4/30/26. CI MS #2985748 was investigated related to staffing, housekeeping, and residents left wet and soiled with no deficiencies cited. CI MS #2988845 was a Facility Reported Incident regarding physical abuse and M500 was cited but corrected. During the re-licensure survey, the facility was found not in compliance with Minimum Standards and cited M1570.
Complaint Details
Two complaint investigations were conducted: CI MS #2985748 related to staffing, housekeeping, and residents left wet and soiled with no deficiencies cited; CI MS #2988845 was a Facility Reported Incident regarding physical abuse, substantiated with M500 cited but corrected prior to survey completion.
Findings
The facility was found not in compliance with state licensure requirements due to failure to ensure residents' rights to be free from abuse and failure to maintain effective infection control practices. Two deficiencies were cited related to abuse of a resident and inadequate infection prevention practices during care.
Deficiencies (2)
M0500 - Residents' Rights. The facility failed to ensure one resident was free from abuse when a CNA struck the resident in the eye, resulting in bruising. The staff member was terminated and corrective actions including staff education and reporting to authorities were taken.
M1570 - Infection Control. The facility failed to ensure staff followed infection prevention practices during care for two residents, including improper catheter care and failure to perform hand hygiene and wear gowns during medication administration, creating risk for cross contamination.
Report Facts
Deficiencies cited: 2
Inspection Report — Mar 10, 2026
Complaint Investigation
Date: Mar 10, 2026
Visit Reason
The State Agency conducted a Complaint Investigation (CI) MS #2744393 and CI MS #2585825 at the facility on 03/10/2026.
Complaint Details
Complaint Investigation (CI) MS #2744393 and CI MS #2585825 were conducted and no deficiencies were cited, indicating the complaints were not substantiated.
Findings
The facility was found in compliance with the requirements of participation in Medicare and Medicaid Services and no deficiencies were cited.
Report Facts
Complaints investigated: 2
Inspection Report — Jun 11, 2025
Follow-Up
Date: Jun 11, 2025
Visit Reason
On 06/11/25 the State Agency (SA) conducted an onsite revisit for the complaint survey that was completed on 05/12/25. The information reviewed confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm.
Findings
The facility was found to be in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm as of 06/02/25.
Report Facts
Deficiencies cited: 0
Inspection Report — May 12, 2025
Complaint Investigation
Date: May 12, 2025
Visit Reason
The State Agency conducted two Complaint Investigations (CI MS #28101 and CI MS #28721) at the facility on 5/12/25. CI MS #28101 was for diversion of narcotics and CI MS #28721 was for a significant medication error.
Complaint Details
Two complaint investigations were conducted: CI MS #28101 for diversion of narcotics, substantiated with deficiency F0602 cited; and CI MS #28721 for significant medication error, substantiated with deficiency F0760 cited.
Findings
Two deficiencies were cited related to narcotic medication handling. The facility failed to prevent narcotic diversion involving missing oxycodone pills and failed to prevent a significant medication error involving an overdose of morphine sulfate resulting in resident harm.
Deficiencies (2)
F0602 - The facility failed to ensure a resident was free from abuse and misappropriation of resident property when 36 oxycodone pills were found missing from the narcotic box for one resident. The investigation revealed narcotic diversion by a licensed practical nurse who was terminated.
F0760 - The facility failed to ensure a resident was free from a significant medication error when morphine sulfate was administered at 2.5 ml instead of the prescribed 0.25 ml due to use of an uncalibrated medication cup, resulting in respiratory depression requiring Narcan administration and emergency intervention.
Report Facts
Deficiencies cited: 2
Inspection Report — Sep 17, 2024
Date: Sep 17, 2024
Visit Reason
On 09/17/24 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was completed on 07/10/24. The information provided by the facility 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 08/14/24. No deficiencies were cited in this desk review.
Inspection Report — Sep 17, 2024
Annual Inspection
Date: Sep 17, 2024
Visit Reason
On 09/17/24 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was completed on 07/10/24.
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 that your facility be placed back in compliance effective 08/14/24.
Inspection Report — Aug 13, 2024
Complaint Investigation
Date: Aug 13, 2024
Visit Reason
The State Agency conducted a complaint survey at the facility with an entrance and exit on 8/13/24 for MS 25950 for neglect in giving medications and not following the physicians order.
Complaint Details
Complaint MS 25950 alleged neglect in giving medications and not following the physicians order. The complaint was not substantiated as no deficiencies were cited related to it.
Findings
No deficiencies were cited related to the complaint investigation, but the facility remains out of compliance due to deficiencies cited on the 07/10/24 survey.
Report Facts
Complaint count: 1
Inspection Report — Jul 10, 2024
Annual Inspection
Date: Jul 10, 2024
Visit Reason
The State Agency conducted an Annual Recertification survey and a Complaint Investigation (CI MS #25141) at the facility from 7/8/24 through 7/10/24. The SA found the facility to be in compliance related to CI MS #25141 staff to resident abuse and no deficiencies were cited.
Complaint Details
Complaint Investigation (CI MS #25141) related to staff to resident abuse was found in compliance with no deficiencies cited.
Findings
The facility was found not in compliance with Medicare and Medicaid requirements with deficiencies cited at F0550, F0656, F0677, F0688, and F0880. The facility failed to ensure resident dignity, implement comprehensive care plans, provide adequate assistance with activities of daily living, maintain range of motion for a resident, and prevent infection related to PEG tube syringe care.
Deficiencies (5)
F0550 - Resident Rights/Exercise of Rights. The facility failed to ensure a resident's dignity by allowing Resident #85 to sit in a public area with a private body part exposed due to ill-fitting clothing.
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to implement comprehensive person-centered care plans for three residents, including grooming, personal hygiene, and splint/mobility device care.
F0677 - ADL Care Provided for Dependent Residents. The facility failed to provide assistance with shaving and changing visibly soiled clothing for two residents dependent on staff.
F0688 - Increase/Prevent Decrease in ROM/Mobility. The facility failed to provide services to assure a resident maintained range of motion by not ensuring use of a prescribed left-hand splint.
F0880 - Infection Prevention & Control. The facility failed to prevent infection by not cleansing and properly storing a PEG tube syringe for one resident.
Report Facts
Deficiencies cited: 5
Inspection Report — Jul 10, 2024
Life Safety
Date: Jul 10, 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
There were no Life Safety Code deficiencies cited during this survey. The facility met the applicable provisions of the 2012 Edition of the Life Safety Code.
Inspection Report — Nov 7, 2023
Complaint Investigation
Date: Nov 7, 2023
Visit Reason
The State Agency conducted a complaint survey, MS #23068, from 11/6/23 to 11/7/23 regarding allegations of Neglect and Hydration.
Complaint Details
Complaint MS #23068 involved allegations of Neglect and Hydration and was found to be unsubstantiated with no deficiencies cited.
Findings
The nursing facility was found to be in compliance with the allegations related to the complaint and with Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm. No deficiencies were cited.
Report Facts
Complaint count: 1
Inspection Report — Jun 20, 2023
Complaint Investigation
Date: Jun 20, 2023
Visit Reason
The State Agency (SA) conducted a Complaint Investigation CI MS #21520 and CI MS #21636 at the facility from 6/19/23 through 6/20/23. The SA investigated pressure sore, grooming, inappropriate dress, and positioning.
Complaint Details
Complaint Investigation CI MS #21520 and CI MS #21636 involved allegations of pressure sore, grooming, inappropriate dress, and positioning. The complaints were investigated and no deficiencies were cited.
Findings
The facility was found in compliance with the Requirements for participation in Medicare and Medicaid with no deficiencies cited.
Report Facts
Complaints investigated: 2
Inspection Report — Mar 1, 2023
Date: Mar 1, 2023
Visit Reason
On 03/01/23 the State Agency conducted a desk review of the information that was provided related to the annual survey completed on 01/26/23. 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 02/21/23. No deficiencies were cited in this desk review.
Inspection Report — Mar 1, 2023
Annual Inspection
Date: Mar 1, 2023
Visit Reason
On 03/01/23 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was completed on 01/26/23.
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 that your facility be placed back in compliance effective 02/21/23.
Inspection Report — Feb 22, 2023
Life Safety
Date: Feb 22, 2023
Visit Reason
On 2/22/23 the State Agency conducted a desk review of the information provided related to the annual survey conducted on 01/24/23. The information confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with the Life Safety Code.
Findings
The facility was found to be back in compliance with the applicable provisions of the 2012 Edition of the Life Safety Code as of 02/21/23. No deficiencies were cited in this desk review.
Inspection Report — Jan 26, 2023
Annual Inspection
Date: Jan 26, 2023
Visit Reason
The State Agency (SA) conducted an annual re-certification survey along with a complaint investigation (CI MS #20440) at the facility from 1/23/23 to 1/26/23.
Complaint Details
Complaint investigation CI MS #20440 was substantiated for misappropriation of medications and resulted in deficiency F0602.
Findings
The facility was found not in compliance with Medicare and Medicaid participation requirements and cited for deficiencies related to safe environment, physical restraints, comprehensive assessments, and care planning. The complaint investigation for misappropriation of medications was substantiated with a deficiency cited.
Deficiencies (4)
F0584 - Safe/clean/comfortable/homelike environment. The facility failed to provide a safe, clean environment for three residents as evidenced by torn and dirty gerichairs and side rail pads, and loose wheelchair parts that could cause injury.
F0604 - Right to be free from physical restraints. The facility failed to ensure residents were free from physical restraints for three residents, including use of lap belts and full side rails without proper assessment, consent, or care planning.
F0636 - Comprehensive assessments and timing. The facility failed to accurately code the Minimum Data Set (MDS) for one resident, specifically not reflecting the use of a lap belt restraint.
F0656 - Develop/implement comprehensive care plan. The facility failed to develop and implement a comprehensive care plan for physical restraints for one resident, lacking documentation and care planning for the use of a lap belt restraint.
Report Facts
Deficiencies cited: 5
Inspection Report — Jan 26, 2023
Annual Inspection
Date: Jan 26, 2023
Visit Reason
The State Agency conducted an annual recertification survey at the facility.
Findings
F0602 - The facility failed to prevent the misappropriation of medication for one resident due to improper narcotic card count documentation and drug diversion by an agency nurse.
Deficiencies (1)
F0602 - The facility failed to prevent the misappropriation of medication for one resident due to improper narcotic card count documentation and drug diversion by an agency nurse.
Report Facts
Deficiencies cited: 1
Inspection Report — Jan 24, 2023
Life Safety
Date: Jan 24, 2023
Visit Reason
The facility underwent a Life Safety Code survey to assess compliance with the 2012 Edition of the Life Safety Code of the National Fire Protection Association (NFPA).
Findings
The facility failed to properly document records of monthly load testing of the emergency generator for the year 2022, which could potentially affect the entire facility.
Deficiencies (1)
K0918 - The facility failed to properly document records of monthly load testing of the emergency generator during 2022 as required by NFPA standards.
Report Facts
Deficiencies cited: 1
Inspection Report — Jan 24, 2023
Date: Jan 24, 2023
Visit Reason
The Mississippi State Department of Health conducted a survey on 01/24/2023 to assess compliance with Life Safety Code and documentation requirements.
Findings
The facility failed to properly document monthly load testing of the generator during 2022, as required by NFPA 99. The Maintenance Director was unaware of the documentation requirement, and the deficiency was acknowledged by facility leadership.
Deficiencies (1)
M1245 - The facility failed to properly document records of monthly load testing the generator during 2022 as required by NFPA 99, potentially affecting the entire facility.
Report Facts
Deficiencies cited: 1
Inspection Report — Nov 7, 2022
Routine
Date: Nov 7, 2022
Visit Reason
The survey was conducted to assess the facility's compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network (NHSN).
Findings
The facility failed to report complete information about COVID-19 to the CDC's NHSN during a seven-day period as required by regulation.
Deficiencies (1)
F0884 - The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period that reporting was required by regulation.
Report Facts
Deficiencies cited: 1
Inspection Report — May 9, 2022
Routine
Date: May 9, 2022
Visit Reason
The facility was surveyed for COVID-19 reporting compliance as required by regulation.
Findings
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period, which has the potential to cause more than minimal harm to all residents.
Deficiencies (1)
F0884 - The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Report Facts
Deficiencies cited: 1
Inspection Report — Jul 29, 2021
Complaint Investigation
Date: Jul 29, 2021
Visit Reason
The State Agency conducted five Complaint Investigations (CIs), CI #16652, CI #16924, CI #17206, CI #17523, and CI #17854 from 07/26/2021 to 07/29/2021.
Complaint Details
Five complaint investigations were conducted: CI #16652 (no pressure sore precautions), CI #16924 (resident abuse), CI #17206 (resident left wet due to short staff), CI #17523 (injury of unknown origin), and CI #17854 (resident denied visitation). None were substantiated and no deficiencies were cited.
Findings
The facility was found in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements for participation in Medicare and Medicaid. No deficiencies were cited.
Report Facts
Complaint Investigations conducted: 5
Inspection Report — May 3, 2021
Routine
Date: May 3, 2021
Visit Reason
The survey was conducted to assess the facility's compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network (NHSN).
Findings
The facility failed to report complete information about COVID-19 to the CDC's NHSN during a seven-day period, which has the potential to cause more than minimal harm to all residents.
Deficiencies (1)
F0884 - The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during the required seven-day period.
Report Facts
Deficiencies cited: 1
Inspection Report — Feb 8, 2021
Routine
Date: Feb 8, 2021
Visit Reason
The facility was surveyed for compliance with COVID-19 reporting requirements.
Findings
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period in February 2021.
Deficiencies (1)
F0884 - The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Report Facts
Deficiencies cited: 1
Inspection Report — Oct 26, 2020
Routine
Date: Oct 26, 2020
Visit Reason
The facility was surveyed for compliance with COVID-19 reporting requirements.
Findings
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network. The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Report Facts
Deficiencies cited: 1
Inspection Report — Jul 13, 2020
Routine
Date: Jul 13, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on 7/13/2020.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).
Inspection Report — Jul 13, 2020
Routine
Date: Jul 13, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 7/13/2020.
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 29, 2020
Routine
Date: Jun 29, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on 6/29/2020.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).
Inspection Report — Jun 29, 2020
Routine
Date: Jun 29, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 6/29/20.
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 28, 2020
Routine
Date: May 28, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 5/28/20.
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 — Jul 25, 2019
Annual Inspection
Date: Jul 25, 2019
Visit Reason
The State Agency (SA) conducted an annual survey and a complaint investigation of MS Complaint #16017 at the facility from 07/23/19 through 07/25/19.
Complaint Details
Complaint #16017 was investigated and found to be unsubstantiated with no deficiencies cited.
Findings
The SA cited deficiencies at F0623, F0625, F0656, F0657, F0677, F0689, and F0791. The complaint was found to be unsubstantiated with no deficiencies cited.
Deficiencies (7)
F0623 - Deficiency cited by the SA during the annual survey.
F0625 - Deficiency cited by the SA during the annual survey.
F0656 - Deficiency cited by the SA during the annual survey.
F0657 - Deficiency cited by the SA during the annual survey.
F0677 - Deficiency cited by the SA during the annual survey.
F0689 - Deficiency cited by the SA during the annual survey.
F0791 - Deficiency cited by the SA during the annual survey.
Report Facts
Deficiencies cited: 7
Inspection Report — Feb 12, 2019
Complaint Investigation
Date: Feb 12, 2019
Visit Reason
A complaint investigation was conducted on February 12, 2019 in the facility.
Complaint Details
CI MS#15669: A complaint investigation was conducted and found unsubstantiated with no deficiencies cited.
Findings
The investigation was unsubstantiated with no deficiencies cited.
Inspection Report — Sep 25, 2018
Complaint Investigation
Date: Sep 25, 2018
Visit Reason
A complaint investigation was conducted on September 25, 2018 in the facility.
Complaint Details
CI MS #15428 and CI MS #15430 complaint investigation was conducted and found unsubstantiated with no deficiencies cited.
Findings
The investigation was unsubstantiated with no deficiencies cited.
Inspection Report — Aug 31, 2018
Annual Inspection
Date: Aug 31, 2018
Visit Reason
The State Survey Agency conducted an annual recertification survey at Madison County Nursing Home in Canton from 8/29/18 to 8/31/18. During the survey, the SA determined the facility was in compliance with Medicare and Medicaid requirements for participation.
Findings
The facility was found in compliance with Medicare and Medicaid requirements with no deficiencies cited during the annual recertification survey.
Report Facts
Deficiencies cited: 0
Report
Viewing
Loading inspection reports...
