Based on interviews, observation, record review, facility investigation review, and facility policy review, the facility failed to provide adequate supervision to prevent Resident #1 and Resident #2 from eloping from the facility on 5/18/26 at 5:41 PM. The facility staff did not know that Resident #1 and Resident #2 were out of the facility on the facility grounds for 11 minutes. This concern was identified for two (2) of eight (8) residents reviewed for diagnoses of Alzheimer's disease and dementia (Resident #1 and Resident #2). …
F689 citations in Mississippi
Accidents and supervision · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Mississippi cites F689 more often than its own record predicts
1.09 times the share F689 takes of citations nationally.
Of every deficiency written in Mississippi in 2025, this is the portion that was F689.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Mississippi surveyors wrote
F689 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 interviews, record review, and facility policy review, the facility failed to provide the required level of staff assistance during a resident transfer to reduce the risk of an avoidable accident when one staff member transferred a resident who required assistance of two staff members for one (1) of five (5) residents reviewed for accidents. (Resident #1).Findings include: A review of the facility's policy titled, Accidents/Incidents, revised April 2013, revealed, Policy Statement: Our facility shall provide a safe and secure environment for staff and residents. …
Based on observation, interview, record review, and facility policy review, the facility failed to provide a safe smoking environment by failing to ensure protective smoking aprons were worn during smoking activities for two (2) residents reviewed for smoking safety (Resident #4 and Resident #45) for three (3) of four (4) smoking activities observed. Findings Include:Record review of the facility policy titled, Policies and Procedures under Subject: Smoking-Supervised with an effective date of 6/1/2025 revealed, The Center will provide a safe, designated smoking area for residents.The Center will have safety equipment safety equipment available in designated smoking areas including; .smoking aprons . 2. …
The short window
Recent years
| Year | Share of Mississippi citations | vs expected |
|---|---|---|
| 2023 | 3.10% | 0.63× |
| 2024 | 5.65% | 1.05× |
| 2025 | 6.05% | 1.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Mississippi surveyors cite →
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