Inspection Reports for
River Place Nursing Center

1126 Earl Frye Boulevard, Amory, MS 38821, MS, 38821

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Deficiencies (last 8 years)

Deficiencies (over 8 years) 2.1 deficiencies/year

Deficiencies are regulatory findings recorded during state inspections.

45% better than Mississippi average
Mississippi average: 3.8 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2020
2021
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 82% occupied

Based on a December 2025 inspection.

Occupancy rate over time

60% 70% 80% 90% 100% 110% Mar 2019 Dec 2020 Jun 2021 Apr 2023 May 2025 Dec 2025

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Jan 21, 2026

Visit Reason
The State Agency conducted a desk review on 01/21/26 of information related to the annual survey conducted on 12/17/25 to verify correction of deficient practices and compliance with the Life Safety Code.

Findings
The facility was found to have implemented corrective measures and was recommended to be placed back in compliance effective 01/16/26. The emergency preparedness survey conducted on 12/17/25 revealed no deficiencies.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Jan 20, 2026

Visit Reason
The State Agency conducted a desk review of information provided related to the annual survey completed on 2025-12-18 to verify corrective measures taken by the facility.

Findings
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 2026-01-16.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Jan 20, 2026

Visit Reason
The State Agency conducted a desk review of information related to the annual survey completed on 2025-12-18 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

Findings
The information provided by the facility confirmed compliance with the Minimum Standards of Operation, and the facility was recommended to be placed back in compliance effective 2026-01-16.

Inspection Report

Annual Inspection
Census: 49 Capacity: 60 Deficiencies: 5 Date: Dec 18, 2025

Visit Reason
The State Agency conducted an annual re-certification survey at the facility from 12/15/2025 through 12/18/2025 to determine compliance with Medicare and Medicaid participation requirements.

Findings
The facility was found not in compliance with Medicare and Medicaid requirements and cited for multiple deficiencies including failure to ensure call lights were within reach, failure to respect resident self-determination regarding advance directives, failure to implement gradual dose reduction orders for psychotropic drugs, failure to provide services to prevent worsening of contractures, and failure to store medications securely.

Deficiencies (5)
Failure to ensure that a call light was within reach for one resident (Resident #30).
Failure to ensure a resident's right for self-determination related to end-of-life care was respected; resident did not receive opportunity to sign own code status directive (Resident #7).
Failure to initiate and implement a physician's order for gradual dose reduction of psychotropic drugs for one resident (Resident #39).
Failure to provide services to maintain or prevent worsening of contractures for one resident (Resident #38).
Failure to store medications in a secure manner; resident had access to medication at bedside (Resident #47).
Report Facts
Deficiencies cited: 5 Census: 49 Total Capacity: 60 BIMS Score: 9 BIMS Score: 15 BIMS Score: 12 BIMS Score: 10 BIMS Score: 11

Employees mentioned
NameTitleContext
Director of NursingInterviewed regarding call light placement, medication orders, and medication storage.
Certified Nursing Assistant #1Confirmed call light was not within reach of Resident #30.
Occupational TherapistInterviewed regarding contractures of Resident #38 and therapy assessments.
AdministratorAcknowledged resident rights and contracture interventions.

Inspection Report

Life Safety
Census: 52 Deficiencies: 1 Date: Dec 18, 2025

Visit Reason
The inspection was conducted to assess compliance with the Life Safety Code (LSC) requirements, specifically focusing on the fire alarm system testing and maintenance.

Findings
The facility failed to maintain a properly functioning fire alarm system as the fire alarm panel was found in 'trouble mode' due to a dialer issue, although the system remained operational. This deficiency affected all 52 residents present during the survey.

Deficiencies (1)
Fire alarm panel was in 'trouble mode' for dialer issue, failing to meet NFPA 72 and NFPA 101 requirements.
Report Facts
Residents affected: 52

Inspection Report

Complaint Investigation
Census: 59 Capacity: 60 Deficiencies: 0 Date: May 12, 2025

Visit Reason
The State Agency conducted a Complaint Investigation related to accidents and hazards at the facility.

Complaint Details
Complaint Investigation (CI MS #28900) related to accidents and hazards; no deficiencies were cited.
Findings
The facility was found to be in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Report Facts
Census: 59 Total licensed capacity: 60

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Jul 10, 2024

Visit Reason
The State Agency conducted a desk review of information related to the annual survey completed on 2024-05-30 to verify corrective measures taken by the facility.

Findings
The facility provided information confirming corrective actions were implemented to address deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 2024-07-07.

Report Facts
Annual survey date: May 30, 2024 Desk review completion date: Jul 10, 2024 Compliance effective date: Jul 7, 2024

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Jul 10, 2024

Visit Reason
The State Agency conducted a desk review of information related to the annual survey completed on 2024-05-30 to confirm compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

Findings
The facility was confirmed to be in compliance with the Minimum Standards of Operation, and the agency recommended the facility be placed back in compliance effective 2024-07-07.

Report Facts
Annual survey completion date: May 30, 2024

Inspection Report

Annual Inspection
Census: 55 Capacity: 60 Deficiencies: 1 Date: May 30, 2024

Visit Reason
The annual recertification survey was conducted from 05/28/2024 through 05/30/2024 to assess compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm.

Findings
The facility was found not in compliance with residents' rights policies, specifically failing to document and follow up on a resident's repeated grievances regarding shower schedules. Resident #39 reported not receiving showers as scheduled, and the grievance process was not properly followed or resolved.

Deficiencies (1)
Failed to document a summary of the resident's repeated grievances regarding showers and any corrective actions and follow-up for Resident #39.
Report Facts
Census: 55 Total Capacity: 60 BIMS score: 15

Employees mentioned
NameTitleContext
Social Services DirectorGrievance OfficerNamed in relation to failure to document and follow up on Resident #39's grievances
RN #1Registered NurseDeveloped sign-off sheet for showers and confirmed Resident #39 did not always receive scheduled showers
RN #2Registered NurseAcknowledged widespread knowledge of Resident #39's shower complaints
Director of NursesDirector of NursesUnaware of Resident #39's complaints and confirmed grievance process was not properly followed
AdministratorAdministratorAware of bathing concerns and confirmed lack of resolution or follow-up on grievance
CNA #1Certified Nurse AideConfirmed Resident #39's complaints about not receiving showers
CNA #2Certified Nurse AideConfirmed Resident #39's complaints about not receiving showers

Inspection Report

Deficiencies: 0 Date: May 29, 2024

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

Findings
The facility met all applicable emergency preparedness requirements and no deficiencies were cited during the survey.

Inspection Report

Life Safety
Deficiencies: 0 Date: May 29, 2024

Visit Reason
The inspection was conducted to assess 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, and no LSC deficiencies were cited during this survey.

Inspection Report

Annual Inspection
Census: 54 Capacity: 60 Deficiencies: 6 Date: Apr 20, 2023

Visit Reason
The State Agency conducted an annual recertification survey at the facility from 4/17/23 through 4/20/23 to determine compliance with Medicare and Medicaid participation requirements.

Findings
The facility was found non-compliant with multiple requirements including Resident Rights, Personal Privacy, Grievances, Right to Be Free From Physical Restraints, Comprehensive Assessments, Care Plan Development, and Quality of Care. Specific deficiencies included failure to deliver mail on Saturdays, failure to protect resident privacy, failure to document and resolve grievances, improper use of restraints, incomplete care plans, and failure to implement pressure ulcer prevention measures.

Deficiencies (6)
Failure to promptly deliver postal mail to residents on Saturdays for all 54 residents.
Failure to protect a resident's right to privacy in her room due to wandering resident intrusion.
Failure to record, initiate, and resolve a grievance for a resident regarding wandering intrusion.
Use of a body alarm as a physical restraint without physician order or consent for one resident.
Failure to develop and implement comprehensive care plans for residents with wandering behavior, use of body alarm, and positioning needs.
Failure to apply heel booties and float heels while in bed for one resident, risking pressure ulcers.
Report Facts
Deficiency citations: 7 Census: 54 Total capacity: 60 BIMS score: 15 BIMS score: 9 BIMS score: 10 BIMS score: 14

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Apr 20, 2023

Visit Reason
The State Agency conducted a desk review of information related to the annual survey completed on 04/20/23 to assess compliance with 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, and the State Agency recommended the facility be placed back in compliance effective 06/09/23.

Inspection Report

Life Safety
Deficiencies: 0 Date: Apr 18, 2023

Visit Reason
The survey was conducted to assess 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, and no LSC deficiencies were cited during this survey.

Inspection Report

Deficiencies: 0 Date: Apr 18, 2023

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

Findings
The facility met all applicable Federal, State, and local emergency preparedness requirements with no deficiencies cited.

Inspection Report

Complaint Investigation
Census: 58 Capacity: 60 Deficiencies: 0 Date: Sep 20, 2022

Visit Reason
The State Agency conducted a complaint survey at the facility on 9/20/22 to investigate allegations related to Resident Neglect, Quality of Care concerning weight loss, and Accidents related to falls.

Complaint Details
Complaint survey CI MS #18628 was not substantiated for Resident Neglect, Quality of Care related to weight loss, or Accidents related to falls.
Findings
The survey determined that the facility was in compliance with Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm. The complaint was not substantiated and no deficiencies were cited.

Report Facts
Census: 58 Total Capacity: 60

Inspection Report

Complaint Investigation
Census: 58 Capacity: 60 Deficiencies: 0 Date: Jun 29, 2021

Visit Reason
The State Agency conducted a complaint survey on 6/28/21 through 6/29/21 to investigate a complaint regarding nursing services and quality of care related to a nurse's failure to administer a dose of medicine.

Complaint Details
Complaint CI MS #17858 regarding nursing services and quality of care related to a nurse failure to administer a dose of medicine that may have led to a resident having seizures and requiring hospitalization was not substantiated.
Findings
The survey determined the facility was in compliance with Medicare and Medicaid requirements and did not substantiate the complaint related to the medication administration error.

Inspection Report

Annual Inspection
Census: 59 Deficiencies: 2 Date: Feb 25, 2021

Visit Reason
The State Agency conducted an annual recertification survey along with complaint investigations from 2/23/21 through 2/25/21 to determine compliance with Medicare and Medicaid participation requirements.

Complaint Details
The complaint investigation CI MS #17345 was substantiated for abuse, citing deficiencies F600 and F947 related to lack of in-service education. The complaint investigation CI MS #17388 was not substantiated with no citations.
Findings
The facility was found not in compliance due to substantiated abuse involving a Certified Nursing Assistant and failure to provide required in-service training for nurse aides. The complaint investigation for one allegation was substantiated with citations, while another was not substantiated.

Deficiencies (2)
Failure to prevent verbal and physical abuse by a Certified Nursing Assistant involving a resident during care.
Failure to provide required in-service training for nurse aides regarding abuse and neglect.
Report Facts
Residents reviewed for abuse and neglect: 11 BIMS score: 15 BIMS score: 14 BIMS score: 9 In-service training hours required: 12 In-service audit frequency: 10 In-service audit frequency: 5

Employees mentioned
NameTitleContext
CNA #1Certified Nursing AssistantNamed in verbal and physical abuse incident and failure to comply with investigation; terminated 12-1-2020.
Resident #47ResidentReported abuse incident and was interviewed multiple times.
Physical Therapist #1Physical TherapistReported resident's account of abuse and confirmed follow-up.
AdministratorFacility AdministratorManaged investigation, terminated CNA #1, and provided interview details.
Director of NursingDirector of NursingReviewed abuse investigation procedures and oversaw corrective actions.
Staff Development NurseStaff Development NurseConfirmed in-service training records and implementation of employee roster system.

Inspection Report

Life Safety
Deficiencies: 0 Date: Feb 24, 2021

Visit Reason
The inspection was conducted to assess 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, and no LSC deficiencies were cited during this survey.

Inspection Report

Deficiencies: 0 Date: Feb 24, 2021

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

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

Inspection Report

Abbreviated Survey
Census: 58 Deficiencies: 0 Date: Dec 28, 2020

Visit Reason
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.

Findings
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.

Inspection Report

Abbreviated Survey
Deficiencies: 0 Date: Dec 28, 2020

Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency on 12/28/2020 to assess compliance with relevant regulations.

Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness for COVID-19.

Inspection Report

Routine
Census: 43 Capacity: 60 Deficiencies: 0 Date: May 28, 2020

Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 5/28/20 to assess compliance with infection control regulations and preparedness for COVID-19.

Findings
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.

Inspection Report

Abbreviated Survey
Census: 43 Capacity: 60 Deficiencies: 0 Date: May 28, 2020

Visit Reason
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.

Findings
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.

Inspection Report

Annual Inspection
Census: 58 Capacity: 60 Deficiencies: 2 Date: Mar 27, 2019

Visit Reason
The State Agency conducted an Annual Recertification survey at the facility from 3/25/19 to 3/28/19 to determine compliance with Medicare and Medicaid participation requirements.

Findings
The facility was found not in compliance with Medicare and Medicaid requirements, citing deficiencies related to resident self-administration of medications and food procurement, storage, preparation, and service under sanitary conditions. No Life Safety Code deficiencies or emergency preparedness issues were identified.

Deficiencies (2)
Failure to ensure a resident was assessed for self-administration of medications as clinically appropriate, specifically Resident #6 had medications left on the bedside without assessment or proper policy adherence.
Failure to ensure foods were stored, prepared, and served under sanitary conditions, including unlabeled and undated food items in the freezer, food particles on equipment, grease accumulation, dust on vents, ice buildup, and multiple reheatings of food served to residents.
Report Facts
Licensed beds: 60 Resident census: 58 Medications in cup: 11 Food reheating count: 3 Food temperature: 120

Employees mentioned
NameTitleContext
Director of NursingDirector of NursingAssessed Resident #6 for medication self-administration and involved in plan of correction
Dietary ManagerDietary ManagerObserved food storage and sanitation issues, conducted staff in-service, and implemented corrective actions
Interim AdministratorInterim Administrator and Director of Clinical OperationsAcknowledged awareness of medication and food safety deficiencies

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