Tishomingo Manor

Tishomingo Manor is a 105-bed nursing home at 230 Kaki Avenue, Iuka, Tishomingo County, Mississippi, at city center. Elton G. Beebe Sr Irrv Childrens Tr owns the facility. Tina Stevens administers.

CMS-certified, accepts Medicare and Medicaid. CMS CCN 255218. 2-star overall rating.

December 30, 2025 complaint investigation revealed substantiated deficiency (F0550, Actual Harm, Some Residents Affected) involving denial of dignified care for incontinent residents. The facility failed to provide adequate incontinence briefs during night shift, forcing staff to substitute bed sheets instead. Four of five residents sampled experienced this practice. Briefs are distributed once daily in morning (6–10 per resident per 24 hours) with no night-shift access to additional supply.

When exhausted, facility directs staff to “bridge” residents, placing absorbent pads and folded sheets instead of incontinence briefs. This is systemic: multiple staff confirmed the practice as routine protocol, with night-shift CNAs reporting it as “a big issue” and “major shortage.”

The Director of Nursing, when asked, stated residents have “plenty of briefs” and can access locked environmental room supplies. She simultaneously confirmed no briefs were available in that room. She practices “open air” protocol at night, declining to brief non-cognitive residents regardless of incontinence. She stated she had never asked residents about preferences.

Resident impacts are concrete and harmful. Resident #1 (severely cognitively impaired, always incontinent): observed partially naked with only a sheet covering genitals. Resident #2 (moderately cognitive impairment, indwelling catheter, always incontinent of bowel): reported running out of diapers, sheets substituted without asking, felt lack of agency. Resident #3 (cognitively intact, suprapubic catheter, always incontinent of bowel): called shortage “totally ridiculous,” describes staff scrambling to locate briefs, explicitly dislikes sheet substitute.

Resident #4 (cognitively intact, end-stage heart disease and anxiety disorder, always incontinent of bladder and bowel): restricts movement at night to avoid urination, reports severe anxiety about urinating on sheets, experiences “mental anguish,” has not escalated because she believes complaints would be futile. For a facility whose stated mission is dignity and respect, withholding appropriate incontinence supplies constitutes foundational care failure.

CMS overall rating: 2 stars, 21.9% below state average. Health Inspection: 2 stars, 29.3% below state average. Staffing: 5 stars above average yet care delivery is compromised. Inspection history shows 4 inspections in 3 years with 14 total citations (4.67 per inspection, 22% above state average).

Four serious citations, 10 moderate. Deficiency patterns: Abuse/Neglect, Quality of Life & Care, Resident Rights, Administration, Infection Control. Financial penalties: $76K in fines (93% higher than state average), 1 payment denial (20 days), 2 civil money penalties ($64K, $12K). Three penalties in three years.

Long-stay quality degradation is severe. Residents show functional decline (ADL increase 41% worse than state; walking decline 20% worse), elevated behavioral medication (antipsychotics 28% worse), high infection rates (UTI 66% worse), depressive symptoms (44% worse), and falls with major injury (177% worse in short-stay cohort). The December 30, 2025 deficiency demonstrates systemic failure to prioritize resident dignity and appropriate care basics. This deficiency is particularly concerning for long-stay residents unable to advocate for themselves.

Families evaluating Tishomingo Manor should understand that documented inability to supply incontinence briefs reflects both supply-chain failure and willingness to substitute degrading alternatives.

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