Tishomingo Manor

In the surveyor’s words

From the most serious findings on record at Tishomingo Manor, in the surveyor’s own words.

• Actual harm, patternF550Dec 30, 2025

  Based on observations, resident and staff interviews, record review, and a review of facility policy, the facility failed to ensure residents were treated with dignity and respect by providing adequate incontinent care supplies during the night shift for four (4) of five (5) residents sampled. Resident #1, #2, #3, and #4.Findings Include:Record review of the facility policy titled Resident's Rights Policy with a revision date of 12/23 revealed Every resident in this facility has the right to: 11.Receive adequate and appropriate health care, medical treatment and protective support services. 12. […]

• Actual harm, isolatedF603Apr 2, 2025

  Based on observations, resident/staff interviews, medical record review, and facility policy review, the facility failed to ensure a resident's right to be free from involuntary seclusion for one (1) of three (3) residents on transmission-based precautions (TBP). Resident #40 Findings include: Review of facility policy titled, Incident Investigation & Reporting dated 11/09/2009, reviewed 1/14/2025, revealed, .Each resident residing in this facility has the right to be free from any type of abuse .includes but is not limited to free from .involuntary seclusion .Involuntary Seclusion: Separation of a resident from other residents or from his/her room or confinement to his/her room . […]

• Actual harm, isolatedF656May 24, 2023

  Based on observation, staff interviews, record review, and facility policy review, the facility failed to develop and implement a comprehensive care plan for a resident with a urinary catheter and for residents with Activities of Daily Living (ADL) that required oral care, nail care, bathing, and facial grooming for two (2) or twenty-one residents sampled. Resident #5 and Resident #85 Findings include: A review of the facility's Care Plan Process policy, dated 06/15 with a revision date of 08/17, revealed, Regulations require facilities to complete, at a minimum and at regular intervals, a comprehensive, standardized assessment of each resident's functional capacity and needs, in relation to a number of specified areas (e.g., customary routine, vision, and continence). […]

• Actual harm, isolatedF677May 24, 2023

  Based on observation, staff, resident, and resident representative interviews, record review, and facility policy review, the facility failed to provide personal hygiene as evidenced by long, jagged nails with brown substance underneath nails, unshaven facial hair, unbathed, and poor oral hygiene for three (3) of 21 sampled residents. Resident #5, #39, #85 Findings included: Record review of facility policy titled, A.M. Care, dated 10/17, revealed, Purpose: to prepare the resident for their day, to maintain oral health and bodily hygiene, to provide for physical comfort, to maintain the resident's desired physical appearance, to observe the resident's physical and emotional state. […]

• Actual harm, isolatedF725May 24, 2023

  Based on observation, staff and resident interviews, record review and facility policy review the facility failed to assure that there was sufficient qualified nursing staff available at all times to assist the residents in getting the care they needed for three (3) of 24 days of staffing reviewed. Findings include: Record review of the facility policy titled, Nursing Services-Staffing with the latest revision date of 11/17 revealed 1. Staffing-The facility will have sufficient nursing staff twenty-four hours every day to provide nursing and nursing related services to attain or help maintain the highest practicable, physical, mental, and psychosocial well-being of each resident as is determined in the comprehensive assessment and the resident care plan . […]