Based on staff interview, record review, and facility policy review, the facility failed to develop a baseline care plan to include the initial plan of care for delivery of services and to promote continuity of care and communication for facility staff for a newly admitted resident with a known history of eloping from home prior to admission for one (1) of three (3) care plans for residents who were at risk for elopement. Resident #1 Resident #1 left the facility unnoticed and unsupervised at an unknown time on 04/26/24 and was discovered by the local police department at a nearby business approximately 75 yards from the facility. This business notified the police at 5:38 PM and the resident was found by police at 6:01 PM and was returned to the facility. …
F655 citations in Mississippi
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Mississippi cites F655 less often than its own record predicts
0.59 times the national share — cited less often here than elsewhere.
Of every deficiency written in Mississippi in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Mississippi surveyors wrote
F655 findings written in Mississippi, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on staff interviews, record review, and facility policy review, the facility failed to complete a baseline care plan that included the minimum healthcare information necessary to provide effective, person-centered care. This failure resulted in the residents' transfer needs not being identified or communicated to staff. This deficient practice was identified for one (1) of five (5) residents reviewed for baseline care plans (Resident #1). Cross-reference F689. Findings include: Review of the facility policy titled, “Care Plans-Baseline,” last reviewed 6/2/25, revealed: “The baseline care plan includes instructions needed to provide effective, person-centered care of the resident that meet professional standards of quality care and must include the minimum healthcare information… …
Based on staff interviews, resident interview, record review, and facility policy review, the facility failed to develop and implement a person-centered baseline care plan within 48 hours of admission that included the instructions necessary to meet the resident's immediate needs for one (1) of (1) residents reviewed for baseline care plans. (Resident #79).Findings included:A record review of the facility's policy titled Baseline Care Plan, revised 02/19/26, revealed, The facility will develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care . Policy Explanation and Compliance Guidelines: 1. …
The short window
Recent years
| Year | Share of Mississippi citations | vs expected |
|---|---|---|
| 2023 | 0.94% | 1.18× |
| 2024 | 0.30% | 0.44× |
| 2025 | 0.38% | 0.59× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Mississippi surveyors cite →
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