Based on observation, interview, record review, and policy review, the facility failed to maintain a safe, functional, and comfortable kitchen environment for staff and failed to ensure the kitchen's air-conditioning system was repaired promptly. The deficient practice had the potential to affect all residents served by the facility's dietary department and all dietary staff required to work in the kitchen while the air-conditioning system remained inoperable. Findings include: Review of the facility policy titled, Capital Improvements dated 08.2021 (August 2021) revealed, It is the standard of this facility to adhere to applicable Federal Health care program requirements.pertaining to capital equipment and supplies.The Plant Operations Manager or designee conducts or obtains certain… …
F921 citations in Mississippi
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Mississippi cites F921 less often than its own record predicts
0.38 times the national share — cited less often here than elsewhere.
Of every deficiency written in Mississippi in 2024, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Mississippi surveyors wrote
F921 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.
The short window
Recent years
| Year | Share of Mississippi citations | vs expected |
|---|---|---|
| 2023 | 0.14% | 0.16× |
| 2024 | 0.30% | 0.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Mississippi surveyors cite →
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