Based on observation, staff and resident interviews, record review, and facility policy review, the facility failed to ensure a resident received adequate pain management as evidenced by a resident experiencing excruciating unrelieved pain for one (1) of five (5) residents assessed for pain. Resident #25 The SA identified an Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) that began on 9/2/23, when the facility failed to ensure medications for pain management were available for Resident #25 who experienced severe pain requiring emergency room visits and verbalized suicidal ideation's related to the pain. Nursing staff lacked sufficient knowledge of how to obtain emergency medication from the automated medication distribution system located in the facility medication room. …
F697 citations in Mississippi
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Mississippi cites F697 more often than its own record predicts
1.11 times the share F697 takes of citations nationally.
Of every deficiency written in Mississippi in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Mississippi surveyors wrote
F697 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 observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure timely assessment and management of pain for one (1) of 16 residents residing on the rehabilitation unit (Resident #144), resulting in a delay of greater than three hours in treatment, prolonged unrelieved pain at a level ten (10), inability to eat, and unnecessary physical suffering. Findings include:Review of the facility policy titled Pain Management revealed under, Purpose: To provide guidelines for consistent evaluation, management and documentation of pain in order to provide maximum comfort and enhanced quality of life .An observation and interview with Resident #144 on 4/20/26 at 11:15 AM revealed she was lying in bed with facial frowning and rubbing her… …
Based on observation, interview, record review and facility policy review, the facility failed to ensure pain was adequately assessed, monitored, and managed. The facility failed to complete a comprehensive pain evaluation and reassess and monitor Resident #4 following pain management interventions; and failed to consistently monitor Resident #7's pain and notify the provider for evaluation of the resident's pain management regimen when the resident experienced persistent pain that interfered with daily activities for two (2) of three (3) residents reviewed for pain. …
The short window
Recent years
| Year | Share of Mississippi citations | vs expected |
|---|---|---|
| 2023 | 0.67% | 0.92× |
| 2024 | 1.01% | 1.37× |
| 2025 | 0.86% | 1.11× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Mississippi surveyors cite →
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