Senatobia Healthcare & Rehab

In the surveyor’s words

From the most serious findings on record at Senatobia Healthcare & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF656Aug 20, 2024

  Based on interviews, record review, and facility policy review, the facility failed to implement effective comprehensive care plan interventions for a resident who was at risk for wandering and elopement for one (1) of three (3) residents at risk for wandering and elopement. Resident #1 Resident #1 was left on the front patio, where she subsequently exited the premises unnoticed and unsupervised. The resident was later found at a grocery store approximately 0.3 miles from the facility. […]

• Immediate jeopardy, isolatedF689Aug 20, 2024

  Based on observation, staff and resident interviews, record reviews, facility policy reviews, and the facility's investigation, the facility failed to provide adequate supervision to prevent Resident #1, who was identified as an elopement and wandering risk from leaving the facility unnoticed and unsupervised for one (1) of three (3) residents reviewed for wandering. Resident #1. The facility's failure to provide supervision resulted in Resident #1 being left on the front patio, where she subsequently exited the premises unnoticed and unsupervised. The resident was later found at a grocery store approximately 0.3 miles from the facility. […]

• No harm, potential for more than minimal, patternF759May 13, 2026

  Based on observation, resident and staff interview, record review and facility policy review the facility failed to ensure medications were administered in accordance with physician's orders and accepted standards of practice for four (4) of 4 residents observed during medication administration observation on one (1) of two (2) halls. The facility's medication error rate was 100%. This had the potential to affect residents through delayed medication administration. Resident #1, Resident #2, Resident #3 and Resident #4. Cross Reference F760Findings Include: Review of the facility policy Medication Errors dated 09/09/25 revealed Policy Explanation and Compliance Guidelines .2. […]

• No harm, potential for more than minimal, patternF760May 13, 2026

  Based on observation, resident and staff interview, record review and facility policy review the facility failed to administer physician ordered significant medications timely for one (1) of four (4) medication carts observed. Cross Reference F759Findings Include:Review of the facility policy Medication Errors dated 09/09/25 revealed, It is the policy of this facility to provide protection for the health, welfare, and rights of each resident by ensuring residents receive care and services safely in an environment free of significant medication errors .Resident #1On 05/13/26 at 12:15 PM an observation and interview with Resident # 1 revealed that her medications were late most of the time. […]

• No harm, potential for more than minimal, isolatedF602Oct 27, 2025

  Based on resident and staff interview, record review, and facility policy review, the facility failed to ensure a resident's right to be free from exploitation and misappropriation of personal funds for one (1) of three (3) residents reviewed for misappropriation of property (Resident #1).Findings include:Review of the facility policy titled Abuse, Neglect, and Exploitation, implemented 8/22/24, revealed the following under Definitions: Misappropriation of Resident Property means the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent. […]