Deficiency Index

George Regional Health & Rehab Center

Lucedale, Mississippi · CCN 255333

13 surveys since 2013. The first finding at harm level was recorded in 2017.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
69
Surveys
13
Harm or worse
6
Immediate jeopardy
4
The record, 2013–2026
’13’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file9/13

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
59
Ownership
Government - County
Chain
Independent
County
George · rural
Medicare-certified since
2011

CMS ratings

Overall
3
Health inspection
3
Staffing
5
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 91 facilities with fewer than 66 beds in Mississippi.

Last survey on record

Jul 1, 2026

131 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.204.80
Registered-nurse hours per resident day0.87—
Annual nurse turnover39.6%35.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ416.0%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1664.0%E14.0%F28.0%
No harm, potential for minimalA—B—C28.0%
CMS’s current file: 25 of the 69 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5651×

    Honor the resident's right to organize and participate in resident/family groups in the facility.

In the surveyor’s words

From the most serious findings on record at George Regional Health & Rehab Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Oct 13, 2021

    Amendment 12/07/2021 Upon secondary review with CMS Regional Office staff and State Quality Assurance review, the State Survey Agency (SSA) determined the Immediate Jeopardy to be removed on 7/8/21 for F600 and the scope and severity was lowered to D, while the facility develops and implements a plan of correction and monitors effectiveness of systemic changes to ensure the facility sustains compliance with regulatory requirements. Based on interviews, record reviews and facility policy review the facility failed to ensure a resident was protected from neglect as evidenced by a Temporary Nursing Assistant (TNA) neglected to obtain assistance required from licensed/certified staff when providing incontinent care that resulted in a resident obtaining a bilateral femur fracture for one (1) of… […]

  • Immediate jeopardy, isolatedF610Oct 13, 2021

    Amendment 12/07/2021 Upon secondary review with CMS Regional Office staff and State Quality Assurance review, the State Survey Agency (SSA) determined the Immediate Jeopardy to be removed on 7/8/21 for F610 and the scope and severity was lowered to D, while the facility develops and implements a plan of correction and monitors effectiveness of systemic changes to ensure the facility sustains compliance with regulatory requirements. Based on staff interviews, record review and facility policy review, the facility failed to prevent the potential for further injury during the investigation process by not removing Temporary Nursing Assistant (TNA) #1 from the facility following an incident on 7/3/21 which resulted in a major injury to Resident #31, for one (3) of three (3) investigations… […]

  • Immediate jeopardy, isolatedF656Oct 13, 2021

    Amendment 12/07/2021 Upon secondary review with CMS Regional Office staff and State Quality Assurance, the State Survey Agency (SSA) determined the Immediate Jeopardy to be removed on July 8, 2021 for F600, F610, F656 and F689 and the scope and severity was lowered to D, while the facility develops and implements a plan of correction and monitors effectiveness of systemic changes to ensure the facility sustains compliance with regulatory requirements. Based on observation, staff interviews, record review and facility policy review the facility failed to follow the comprehensive care plan for providing Activities of Daily Living (ADL's) for one (1) of sixteen care plans reviewed. […]

  • Immediate jeopardy, isolatedF689Oct 13, 2021

    Amendment 12/07/2021 Upon secondary review with CMS Regional Office and State Quality Assurance review, the State Survey Agency (SSA) determined the Immediate Jeopardy to be removed on 7/8/21 for F689 and the scope and severity was lowered to D, while the facility develops and implements a plan of correction and monitors effectiveness of systemic changes to ensure the facility sustains compliance with regulatory requirements. Based on staff interview, record reviews and facility policy review the facility failed to ensure a vulnerable resident was protected from accidents and hazards when a Temporary Nursing Assistant (TNA) failed to obtain the required assistance while providing incontinent care which caused a fall with a major injury for Resident #31. […]

  • No harm, potential for more than minimal, widespreadF812Jul 1, 2026

    Based on observation, interview, record review, and facility policy review, the facility failed to procure, store, and maintain food under sanitary conditions by failing to ensure opened food items were properly covered, labeled, dated, and discarded in accordance with facility policy and by failing to remove moldy and deteriorated fresh produce from refrigerated storage, with the potential to affect all residents who received food prepared by the dietary department.Findings include: A review of the facility's policy titled, Food Storage, revealed .Procedure.7.c. Date marking should be visible on all high-risk food to indicate the date .ready-to-eat TCS (time/temperature control for safety) food should be consumed, sold, or discarded.12. […]

Read 26 findings in full →The most serious and the most recent: 26 of 69 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 1, 2026Standard8 findings
  • May 1, 2025Standard5 findings
  • Dec 20, 2023Standard8 findings
  • Oct 13, 2021Standard and complaint5 findings · 4 harm
  • May 2, 2019Standard14 findings
  • Oct 17, 2018Complaint1 finding
  • Apr 6, 2018Standard2 findings
  • Oct 24, 2017Complaint2 findings · 2 harm
Show the 5 earlier surveys
  • Nov 10, 2016Standard9 findings
  • Oct 9, 2015Standard9 findings
  • Dec 18, 2014Standard2 findings
  • Mar 6, 2014Standard2 findings
  • Jan 26, 2013—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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