Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Tri-community Nursing Center during CMS and state inspections, most recent first.
The facility failed to maintain an effective infection control program by not analyzing repeated PEG infections and repeated UTIs and by not following its system for identifying potential infections. An Infection Preventionist stated she did not determine the cause of the repeated infections or develop a plan to prevent future infections, and the DON confirmed the infections should have been analyzed monthly. For one resident with a urinary catheter and multiple medical diagnoses, cloudy, foul-smelling urine led to a U/A C&S order, but the specimen results were not followed up in a timely manner and nursing documentation showed no ongoing follow-up until the Infection Preventionist later located the lab results.
Failure to Provide Quarterly Personal Funds Statements: A resident with a personal funds account stated he had not received quarterly statements for several months. The S10PFS, who was responsible for providing the statements, confirmed the resident did not receive them while she was out of the facility for several months, despite the facility policy requiring quarterly statements and access upon request.
Two residents had quarterly MDS assessments coded as receiving anticoagulants even though their MAR/physician orders showed no anticoagulant orders. During an interview, MDS staff reviewed the EHR, clarified that Plavix is an antiplatelet medication, and confirmed both MDSs were coded inaccurately.
Failure to provide nail hygiene during ADL care: Three residents with severely impaired cognition and significant assistance needs had dirty fingernails with visible buildup under the nails. The facility policy required routine nail cleaning during ADL care, but observations and staff interviews confirmed the nails were not clean for residents with dementia, diabetes, hemiplegia, aphasia, and other conditions requiring assistance with personal hygiene.
Delayed Urine Specimen Transport and Lab Processing: A resident with confusion and incontinence had a UA/C&S ordered, but a urine specimen was collected and left in the specimen refrigerator, then discarded after being held too long before a new sample was sent to the lab. Interviews confirmed the facility had no written policy or process for timely urine specimen collection, transport, or lab follow-up, and the results were not received until the resident later went to the hospital for a swollen knee.
Medications Left Unlocked on Top of Medication Cart An LPN was observed leaving blister packets of Baclofen and Hydralazine on top of a med cart in the hall while entering a resident's room to administer meds. The cart was not in the LPN's direct view, and the LPN later confirmed the meds should not have been left on top of the cart and should have been locked in the med cart.
The facility failed to submit accurate PBJ staffing data, resulting in a one-star staffing rating and low weekend staffing. The Administrator misclassified two LPNs, leading to incorrect payroll information submission.
A resident at high risk for falls was not adequately supervised, as their bed alarm was repeatedly found non-functional and improperly placed. Despite care plans and orders requiring frequent monitoring and the use of a bed alarm, staff failed to ensure the alarm was operational, posing a risk of accidents.
A facility failed to provide proper catheter care for a resident with an indwelling urinary catheter. The resident's urinary drainage bag was observed lying on the floor beneath her bed, contrary to the facility's policy, which requires the bag to be clipped to the bed below the bladder. A CNA confirmed the improper placement, and an LPN/Infection Preventionist reiterated the correct procedure.
Infection Control Program Failed to Track and Investigate Repeated Infections
Penalty
Summary
The facility failed to maintain an effective infection control program by not analyzing the cause of repeated facility-acquired infections and by not following its system for identifying potential infections. The facility policy stated that the Infection Preventionist was responsible for oversight of surveillance, investigations, documentation of findings, and corrective actions, and that surveillance was to be used for prevention, identifying, reporting, investigating, and controlling infections and communicable diseases for all residents. A review of the monthly tracking and trending binder for December 2025 through February 2026 showed a resident with repeated PEG infections and two residents with repeated UTIs. During interview, the Infection Preventionist stated she did not determine the cause of the repeated infections or develop a plan for preventing future infections. The DON confirmed that the repeated PEG infection and repeated UTIs should have been analyzed monthly to determine the causes and develop a plan to prevent future infections. For one resident with diagnoses including cerebrovascular disease, aphasia, dysphagia, urinary retention, urinary catheter, incomplete bladder emptying, acute hepatitis C, and benign prostatic hyperplasia, a physician ordered a U/A with C&S after cloudy, foul-smelling urine was noted. The urine culture later showed Pseudomonas aeruginosa and Providencia stuartii, but the results were not obtained by the facility until weeks later. Nursing documentation did not show follow-up on the urine test results until the Infection Preventionist located them, and the nurse who collected the specimen stated she did not follow up with the nurse or the Infection Preventionist about the results. The Infection Preventionist stated she had not been made aware of the cloudy, foul-smelling urine or the lab order, and the DON stated staff were supposed to notify her of the order and collection so she could follow up with the lab in a timely manner.
Failure to Provide Quarterly Personal Funds Statements
Penalty
Summary
The facility failed to provide quarterly personal funds statements for Resident #12, who had a personal funds account deposited with the nursing home. During interview, Resident #12 stated he had not received a quarterly statement for several months. Review of the facility’s Resident Personal Funds policy showed that the individual financial record must be available to the resident through quarterly statements and upon request. The S10PFS stated she was responsible for providing quarterly personal funds statements to residents with personal funds accounts and confirmed that she had been out of the facility from January 2025 to September 2025 and that Resident #12 did not receive quarterly statements during that time.
Inaccurate MDS Coding for Anticoagulant Use
Penalty
Summary
The facility failed to ensure accurate MDS assessments for 2 of 25 sampled residents, Resident #32 and Resident #44. Review of each resident’s quarterly MDS showed both were coded as receiving anticoagulants, but review of their physician orders for March 2026 found no anticoagulant orders for either resident. During an interview on 03/24/2026 at 8:50 a.m., S4MDSIP and S5MDS reviewed the electronic clinical record and initially discussed Plavix as the anticoagulant; S5MDS then corrected that Plavix is an antiplatelet medication, and both staff confirmed that neither resident was actually on an anticoagulant and that the MDS entries were coded inaccurately.
Failure to Provide Nail Hygiene During ADL Care
Penalty
Summary
The facility failed to ensure residents who were unable to perform activities of daily living received the necessary assistance to maintain good grooming and personal hygiene. The facility policy titled, Nail Care, stated that routine cleaning and inspection of nails would be provided during ADL care on an ongoing basis, including gently cleaning underneath nails with an orange stick. However, observations and interviews showed that three residents with significant cognitive and functional impairment had dirty fingernails with visible buildup under or beneath the nails. Resident #13 had vascular dementia, delusional disorder, type 2 diabetes mellitus, and anxiety, with severely impaired cognition and partial/moderate assist needed for personal hygiene. An observation showed dark substance under the fingernails on both hands. Resident #15 had dementia with agitation, major depressive disorder, and cognitive communication deficit, with severely impaired cognition and dependent x2 assist for personal hygiene. Observations showed a black substance under the fingernails on the left hand, and staff confirmed the nails were dirty. Resident #35 had cerebral infarction, hemiplegia and hemiparesis, aphasia, type 2 diabetes mellitus, and Parkinsonism, with severely impaired cognition and substantial/maximal assist needed for personal hygiene. An observation showed a thick build-up of grime under the fingernails on both hands, and staff confirmed the nails were dirty and needed cleaning.
Delayed Urine Specimen Transport and Lab Processing
Penalty
Summary
The facility failed to have a policy or process in place to ensure that collected urine specimens were sent to the lab in a timely manner for Resident #11, who was admitted with absence epileptic syndrome, recurrent major depressive disorder, and iron deficiency anemia and was always incontinent of urine and bowel. When the resident showed signs and symptoms of confusion, a nurse obtained an order for UA and C&S. An initial attempt to collect urine was unsuccessful because the resident was incontinent, and when urine was later obtained it was placed in the specimen refrigerator and the supervisor was notified. The urine specimen collected on 11/21/2025 was discarded on 11/24/2025 because it had been obtained over 24 hours earlier, and a new sample was then collected and sent to the lab. The urinalysis from the later specimen showed cloudy urine, elevated WBCs, and moderate bacteria, and the microbiology report later identified greater than 100,000 cfu/ml Escherichia coli. The facility did not receive the urinalysis results until the resident was sent to the hospital for a swollen knee. Interviews confirmed the facility had no written policy addressing urine collection, transportation to the lab, or timely receipt of results, and staff stated there was no process in place to ensure specimens were removed from the refrigerator and sent out promptly.
Medications Left Unlocked on Top of Medication Cart
Penalty
Summary
The facility failed to ensure drugs and biologicals remained stored in locked compartments when medication was left unattended on top of a medication cart during a medication pass. The facility's Medication Storage policy, which was not dated, stated that all drugs and biologicals are to be stored in locked compartments such as medication carts, cabinets, drawers, refrigerators, or medication rooms, and that during a medication pass medications must be under the direct observation of the person administering them or locked in the medication storage area/cart. On 03/24/2026 at 11:08 a.m., an LPN was observed leaving blister packets of Baclofen and Hydralazine on top of a medication cart in the hall next to Resident #26's room, then entering the resident's room to administer medications. The cart was not in the LPN's direct view, and upon exiting the room, the LPN observed the two blister packets still on top of the cart and confirmed they should not have been left there and should have been locked in the medication cart.
Inaccurate PBJ Staffing Submission
Penalty
Summary
The facility failed to electronically submit accurate payroll information for direct care staffing to the Centers for Medicare & Medicaid Services (CMS) as required. During a review of the Payroll Based Journal (PBJ) Staffing Data Report for Fiscal Year 2024, Quarter 1, it was found that the facility had a one-star staffing rating and excessively low weekend staffing, with the latter metric being suppressed for this facility and quarter. Additionally, the facility failed to maintain licensed nursing coverage 24 hours a day. An interview with the Administrator (S1ADM) revealed that she had incorrectly coded two licensed practical nurses as regular staff members instead of as licensed practical nurses providing direct care to residents, leading to the submission of inaccurate payroll information to PBJ.
Failure to Monitor and Maintain Bed Alarms for High-Risk Resident
Penalty
Summary
The facility failed to adequately supervise and monitor the use of assistive devices, specifically bed alarms, for a resident identified as being at high risk for falls. The resident, who had a history of conditions such as Bipolar Disorder, Major Depression, Seizures, Paralytic Syndrome, Anoxic Brain Damage, Cerebral Vascular Disease, and Hemiplegia affecting the left side, was observed multiple times with a non-functioning bed alarm. Despite the resident's care plan and physician's orders requiring monitoring for falls every half hour and the use of a bed alarm while in bed, the alarm was found to be improperly placed and not operational on several occasions. Observations revealed that the bed alarm pad was either not under the resident's torso or the alarm monitor was not functioning due to dead batteries. Staff members, including CNAs and LPNs, confirmed that it was their responsibility to ensure the alarm was correctly placed and operational. However, repeated observations showed that the alarm was not alarming when the resident moved, indicating a failure in monitoring and supervision. This lack of proper supervision and monitoring of the assistive device posed a risk of accidents for the resident.
Improper Placement of Urinary Drainage Bag
Penalty
Summary
The facility failed to provide appropriate and sufficient services, treatment, and care according to standards of professional practice for a resident with an indwelling urinary catheter. The deficiency was identified during a review of the facility's policy and through observations and interviews. The facility's policy, last reviewed on 12/31/2024, mandates that residents with indwelling catheters receive appropriate care while maintaining dignity and privacy. However, during observations on 02/24/2025, it was noted that the urinary drainage bag of a resident was lying on the floor beneath her bed, which is contrary to the facility's policy. The resident in question was admitted with diagnoses including type 2 diabetes mellitus, anxiety disorder, and urinary retention, and was coded for an indwelling catheter in her quarterly MDS. Despite the policy requiring that drainage bags be clipped to the bed below the resident's bladder, the bag was observed on the floor on two separate occasions. A CNA confirmed the improper placement of the drainage bag and acknowledged that it should have been clipped to the bed. An LPN/Infection Preventionist also stated that proper catheter care involves hanging the drainage bag on the bed or wheelchair with a privacy covering, not on the floor.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Palmetto
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Our Lady Of Prompt Succor Nursing Facility | 13.3 mi | — | 8 | 0 |
| Heritage Manor Of Opelousas | 14 mi | — | 3 | 0 |
| Avoyelles Manor Nursing Home | 16.2 mi | — | 0 | 0 |
| Senior Village Nursing & Rehabilitation Center | 17.2 mi | — | 6 | 0 |
| J. Michael Morrow Memorial Nursing Home | 19.9 mi | — | 0 | 0 |
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