NMMC Baldwyn Nursing Facility

In the surveyor’s words

From the most serious findings on record at NMMC Baldwyn Nursing Facility, in the surveyor’s own words.

• Actual harm, isolatedF684Nov 4, 2025

  Based on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure skin care treatments were completed as ordered for one (1) of three (3) residents reviewed for wound and skin care. This deficient practice resulted in deterioration of a resident's wound, including a significant increase in wound size for Resident #1.Findings include:Review of the facility policy titled Skin and Wound Care, last reviewed 5/2/24, revealed: Policy: It is the policy that skin anomalies should be identified, and basic wound care should be provided.Resident #1During an onsite complaint survey, an interview with Resident #1 on 11/3/25 at 10:30 AM revealed she had wounds to her legs. […]

• No harm, potential for more than minimal, widespreadF851Jan 9, 2025

  Based on staff interview and record review, the facility failed to submit accurate information into the Payroll Based Journal (PBJ) system for one (1) of four (4) quarters reviewed. Fourth Quarter 2024 Findings include: Record review of facility policy titled, Staffing Guidelines, undated, revealed, Guidelines for Payroll Based Journal submission: 1. The facility shall submit staffing data to the Centers for Medicare and Medicaid Services (CMS) via CMS's Payroll Based Journal electronic data submission portal. 2. The facility shall submit staffing data in a uniform format according to specifications established by CMS. Record review of PBJ Staffing Data Report revealed the facility had Excessively Low Weekend Staffing for the fourth quarter of 2024. […]

• No harm, potential for more than minimal, widespreadF812Sep 7, 2023

  Based on observations, staff interviews, and facility policy review the facility failed to ensure food items in the refrigerator/freezer were labeled and dated or discarded by expiration date and failed to ensure a dietary cook was wearing a beard restraint while prepping foods, for one (1) of two (2) kitchen tours. Findings Include Record review of the facility policy titled, Food and Supply Storage with a revision date of ,d+[DATE] revealed Policies: All food, non-food items, and supplies used in food preparation shall be stored in such a manner as to prevent contamination to maintain the safety and wholesomeness of the food for human consumption . Procedures: . Cover, label and date unused portions and open packages .Discard food past the use-by or expiration date . […]

• No harm, potential for more than minimal, patternF725Mar 26, 2026

  Based on observation, resident and staff interviews, and facility policy review, the facility failed to provide sufficient nursing staff to ensure residents received necessary care as evidenced by failure to complete activities of daily living (ADL) care, including bathing, grooming, and nail care; failure to ensure call lights were answered in a timely manner; and failure to address repeated concerns voiced by residents during resident council meetings regarding delays in care and unmet needs for three (3) of four (4) survey days. […]

• No harm, potential for more than minimal, isolatedF552Mar 26, 2026

  Based on record review and staff interviews, the facility failed to ensure informed consent was obtained prior to the initiation of a psychotropic medication for one (1) of two (2) residents reviewed for unnecessary medications. Resident #2 Findings include:Record review revealed the facility had no policy requiring psychotropic consent forms to be obtained prior to initiation of a psychotropic medication.Record review of Resident #2's Active Order Sets revealed an order dated 2/25/26 for Seroquel oral tablet 50 milligrams (mg) to be given by mouth at bedtime for non-Alzheimer's dementia and an order dated 2/25/26 for Buspar oral tablet 10 mg to be given three times daily for depression.Record review revealed the Psychotropic Medication Informed Consent Form was not signed until 3/23/26.On… […]