Deficiency Index

Pontotoc Health & Rehab Center

Pontotoc, Mississippi · CCN 255270

11 surveys since 2011. The first finding at harm level was recorded in 2021.

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

Citations on record
30
Surveys
11
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file8/11

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

The facility

Certified beds
60
Ownership
For profit - Corporation
Chain
ADVANCED HEALTH CARE MANAGEMENT
County
Pontotoc · rural
Medicare-certified since
2001

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=11, floor 20).

Last survey on record

Dec 3, 2025

341 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 day4.134.11
Registered-nurse hours per resident day0.42—
Annual nurse turnover34.6%44.4%

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 jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD8100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 8 of the 30 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6562×

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

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6581×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F6791×

    Provide activities to meet all resident's needs.

  • F6901×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

In the surveyor’s words

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

  • Actual harm, isolatedF697Dec 29, 2021

    Based on family interview, staff interviews, facility policy review, and record review, the facility failed to treat, monitor, and manage the resident's pain for one (1) of three (3) residents assessed for pain. Resident #143. Findings include: Review of the facility policy titled, Pain: Assessment, Scale and Management, dated 11/28/2017, revealed, POLICY: .facilities shall provide management of pain to ensure that residents attain or maintain the highest practicable physical, mental, and psychosocial well-being .PROCEDURE: .attempts to control pain shall be employed until the resident reaches an acceptable comfort level . […]

  • No harm, potential for more than minimal, widespreadF812Dec 29, 2021

    Based on observation, interview, record review and facility policy review, the facility failed to provide a safe and clean environment for preparing and storage of food for two (2) of three (3) kitchen/nourishment room tours. Findings include: Review of facility policy, titled, Cleaning Instructions: Oven, dated 2017, revealed Policy: Ovens will be cleaned as needed and according to the cleaning schedule (at least once every two weeks). Spills and food particles will be removed after each use . Review of facility policy, titled, Cleaning Instructions: Ranges, dated 2017, revealed, Policy: The cook/chef on each shift is responsible for keeping for range as clean as possible during the preparation of the meal. The range will be cleaned after each use. […]

  • No harm, potential for more than minimal, isolatedF656Dec 3, 2025

    Based on observation, staff interviews, facility policy review, and record review, the facility failed to implement the Activities of Daily Living (ADL) care plan for one (1) of 45 residents observed. (Resident #22) Findings Include: Review of facility policy titled, Comprehensive Plan of Care with revision date 2/17/25, revealed, It is the policy of this facility to .implement a comprehensive person-centered care plan for each resident .that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and ALL services that are identified in the resident's comprehensive assessment and meet professional standards of quality . […]

  • No harm, potential for more than minimal, isolatedF677Dec 3, 2025

    Based on observation, staff interviews, record review and facility policy review the facility failed to provide Activities of Daily Living (ADL) care to maintain personal hygiene for one (1) of 45 residents observed. (Resident #22) Findings Include: Review of facility policy titled, Activities of Daily Living (ADL) with revision date 9/15/2022, revealed, .Care and services will be provided for the following activities of daily living: 1. Bathing, dressing, grooming, and oral care .A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene . […]

  • No harm, potential for more than minimal, isolatedF690Dec 3, 2025

    Based on observation, resident and staff interview, record review and facility policy review the facility failed to ensure that a urinary catheter and urinary leg bag were secured correctly and maintained below the level of the bladder, resulting in the potential for backflow of urine, catheter dislodgement, and compromised urinary drainage for one (1) of two (2) residents reviewed with an indwelling catheter (Resident #9). Findings Include:Review of the facility policy titled Bladder and Bowel Habits, Urinary Incontinence and Catheter Care. with a revision date of 9/15/2022 revealed under Catheter Care; Catheter care shall follow these guidelines: The catheter bag must be kept in a patent position (below the level of the bladder). […]

Read 20 findings in full →The most serious and the most recent: 20 of 30 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 3, 2025Standard3 findings
  • Jul 25, 2024Standard4 findings
  • Jun 8, 2023Standard1 finding
  • Dec 29, 2021Standard and complaint3 findings · 1 harm
  • May 10, 2019Standard1 finding
  • Jun 15, 2018Standard2 findings
  • May 6, 2016Standard1 finding
  • Mar 21, 2014Standard2 findings
Show the 3 earlier surveys
  • Jan 30, 2013—7 findings
  • May 8, 2012—2 findings
  • Dec 1, 2011—4 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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