Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
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 Delta South Nursing & Rehabilitation during CMS and state inspections, most recent first.
A facility failed to consistently document a resident's code status, resulting in conflicting information in the medical records. The resident's face sheet and Physician's Order Sheet indicated a full code status, while a DNR form and a red dot on the chart suggested otherwise. Interviews with staff revealed confusion about the resident's actual code status, and the resident confirmed a preference for full code. The Administrator expected accurate documentation throughout the medical record.
The facility failed to maintain a safe, clean, and homelike environment, with issues such as an unhung shower curtain, stained floors, and damaged sheetrock observed. Interviews revealed inadequate communication and documentation of environmental concerns among staff.
The facility failed to submit quarterly MDS assessments on time for four residents, with delays ranging from 33 to 49 days. Staff interviews revealed a lack of knowledge and responsibility regarding the MDS submission process, contributing to the failure to meet federal guidelines.
A facility failed to follow procedures for documenting and disposing of a controlled medication for a resident. The resident's lorazepam, prescribed for terminal restlessness and shortness of breath, was found in the medication room without proper documentation in the narcotic count book. Interviews revealed that staff did not follow the facility's policy for controlled substances, leading to a lack of proper management and documentation of the medication.
The facility failed to ensure appropriate diagnoses and monitoring for psychotropic medications for two residents. One resident was prescribed risperidone without documented behaviors or monitoring, while another was on multiple psychotropic medications without appropriate diagnoses or behavior documentation. Interviews revealed a lack of understanding and documentation regarding the necessity and monitoring of these medications.
The facility had a medication error rate of 13.33%, affecting two residents. A CMT administered an antibiotic not prescribed to a resident and failed to give the prescribed eye drops and nasal spray. Another resident did not receive their prescribed medication due to it being unavailable, and the CMT did not inform the charge nurse. The DON and Administrator expected accurate medication administration and documentation.
The facility failed to maintain sanitary conditions in food storage and distribution, risking cross-contamination and food-borne illness for all residents. Observations showed improper food storage with unlabeled and undated items in the freezer and refrigerator, and unsanitary conditions in the dishwashing room and kitchen equipment. Staff interviews revealed a lack of adherence to cleaning schedules and proper food handling practices.
The facility failed to provide proper incontinent care for two residents and missed scheduled showers for another. One resident did not receive complete peri care, while another was not consistently asked or documented for showers, citing staffing issues. The care plans lacked specific guidance, leading to deficiencies in care.
The facility failed to follow hand hygiene and glove-changing protocols during incontinent care for three residents. CNAs did not change gloves or perform hand hygiene at critical points, such as after cleaning soiled areas and before applying clean briefs. Interviews revealed that staff were aware of the proper procedures but failed to adhere to them due to nervousness or oversight. The facility's policy requires strict adherence to hand hygiene to prevent the spread of infections.
Inconsistent Documentation of Code Status for a Resident
Penalty
Summary
The facility failed to consistently document the code status for a resident, leading to a discrepancy in the resident's medical records. The resident's face sheet and Physician's Order Sheet indicated a full code status, while a DNR form signed by the resident and physician was also present in the chart. Additionally, a red dot on the resident's hard chart indicated a DNR status, conflicting with the green dot system used by the facility to denote a full code status. Interviews with the Medical Records Staff, Director of Nursing, and Social Services Director revealed confusion and lack of clarity regarding the resident's actual code status. The Social Services Director recalled discussing the code status with the resident and a family member at the time of admission, confirming the resident was considered a full code. However, the presence of a DNR form in the resident's chart, which the Social Services Director could not account for, contributed to the inconsistency. The resident expressed a desire to be a full code during an interview, further highlighting the documentation error. The facility's Administrator acknowledged the expectation for accurate and consistent documentation of code status throughout the resident's medical record.
Failure to Maintain a Homelike Environment
Penalty
Summary
The facility failed to provide a safe, clean, and comfortable homelike environment, which had the potential to affect all residents. Observations over several days revealed multiple environmental deficiencies. An unhung shower curtain was repeatedly observed on a shower chair in a shower area, and several small dried dark areas were noted on the floor in front of a decorative table and recliner. Additionally, a large hole and missing sheetrock were observed on a resident closet door, and six medium-sized stuffed animals were placed on top of an over-the-bed light. A ceiling tile with a large brown stain was also noted. Interviews with housekeeping staff and the Maintenance Supervisor revealed a lack of effective communication and documentation regarding environmental issues. Housekeepers indicated they would inform the Maintenance Supervisor of any needed repairs, but neither had observed any issues during their rounds. The Maintenance Supervisor relied on staff to report issues but noted that a maintenance log was no longer in use. The Administrator expected department heads to address environmental concerns during morning meetings and for housekeeping to document issues, but this was not occurring effectively.
Failure to Timely Submit MDS Assessments
Penalty
Summary
The facility failed to electronically transmit quarterly Minimum Data Set (MDS) assessments in a timely manner for four residents, as required by federal guidelines. The facility's policy mandates that resident assessments be conducted and submitted according to federal and state timeframes, with the assessment coordinator or designee responsible for ensuring compliance. However, the facility did not adhere to these guidelines, resulting in delayed submissions for Residents #7, #19, #28, and #35, with delays ranging from 33 to 49 days past the required submission period. Interviews with facility staff revealed a lack of knowledge and responsibility regarding the MDS submission process. The Social Service Director, who is a Licensed Practical Nurse, indicated that they completed parts of the MDS, while a Registered Nurse was responsible for reviewing, completing, and submitting them. The Administrator admitted to having limited knowledge about the MDS process, and the Director of Nursing stated he was unaware of the submission requirements. This lack of awareness and coordination among staff contributed to the failure to meet the mandated submission deadlines.
Failure to Document and Dispose of Controlled Medication
Penalty
Summary
The facility failed to implement procedures to ensure medications were accurately administered, documented, disposed of, and reconciled for a resident. The facility's policy on controlled substances requires that controlled substance inventory be monitored and reconciled to identify loss or potential diversion, with nursing staff counting controlled medication inventory at the end of each shift. However, for one resident, there was no individual controlled substance record for lorazepam, a controlled medication prescribed for terminal restlessness and shortness of breath. The medication was found in the locked refrigerator with no documentation of administration in the narcotic count book. Interviews with staff revealed that the required documentation and procedures were not followed. An LPN acknowledged that there should have been dates and signatures in the narcotic count book for the administered doses. The DON was unsure why the doses were not documented and why the medication had not been brought for destruction. The Administrator stated that the medication should have been removed and destroyed by two nurses, but was unsure why it remained in the facility. This lack of adherence to policy resulted in a failure to properly manage and document the controlled medication for the resident.
Inadequate Monitoring and Documentation for Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure appropriate diagnoses and monitoring for the use of psychotropic medications for two residents. Resident #2, diagnosed with Alzheimer's and severe dementia with agitation, was prescribed risperidone without documentation of an appropriate diagnosis or specific behaviors warranting its use. Additionally, there was no monitoring of behaviors related to the medication. Similarly, Resident #14, with diagnoses of major depressive disorder with psychotic features and Alzheimer's, was prescribed Abilify, sertraline, and mirtazapine without documentation of appropriate diagnoses or specific behaviors for the use of these medications. Interviews with facility staff revealed a lack of understanding and documentation regarding the necessity and monitoring of psychotropic medications. The Certified Medication Technician was unsure of the reason for Resident #2's risperidone prescription, and the Director of Nursing acknowledged the absence of a monitoring process for residents on psychotropic medications. The Administrator also expected appropriate diagnoses and monitoring systems to be in place but found them lacking. The facility's policies emphasized the need for non-pharmacological interventions and proper documentation, which were not adhered to in these cases.
Medication Administration Errors and Documentation Issues
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent, resulting in a 13.33% error rate during the survey. This deficiency affected two residents out of six sampled, with the potential to impact all residents in the facility. For Resident #10, the Certified Medication Technician (CMT) mistakenly administered Macrobid, an antibiotic that was no longer prescribed, and failed to administer the prescribed Refresh Plus eye drops and Flonase nasal spray. The resident confirmed that they were not on the antibiotic anymore and usually received the eye drops and nasal spray with their morning medications. The CMT admitted to being nervous and administering the wrong medication. For Resident #45, the CMT did not administer the prescribed Prevagen medication because it was not available in the medication cart, and the CMT failed to notify the charge nurse about the missing medication. The Licensed Practical Nurse (LPN) was unaware of any missing medications, indicating a breakdown in communication. The Director of Nursing (DON) and the Administrator both expressed expectations that staff should administer medications as ordered and accurately document medication administration.
Sanitation and Food Storage Deficiencies
Penalty
Summary
The facility failed to store and distribute food under sanitary conditions, which increased the risk of cross-contamination and food-borne illness for all 53 residents. Observations revealed multiple instances of improper food storage, including opened and undated food items in the walk-in freezer and standup refrigerator. Specifically, there were exposed and undated frozen catfish, dinner rolls, hushpuppies, and corn dogs in the freezer, as well as unlabeled and undated sponge cakes, a chocolate dessert, and a half-eaten sundae in the refrigerator. These practices were contrary to the facility's policy, which required all foods to be covered, labeled, dated, and stored properly. Additionally, the dishwashing room and kitchen equipment were found to be in unsanitary conditions. The dishwashing room had an empty paper towel and soap dispenser, cluttered storage, and a buildup of dirt and debris on various surfaces. Kitchen equipment, including the plate warmer cart, stove/oven, and double-fryer, had a buildup of grime and grease. Interviews with kitchen staff and the Dietary Manager revealed a lack of adherence to cleaning schedules and expectations for maintaining cleanliness and organization. The Administrator also expressed expectations for daily cleaning and proper labeling and storage of food items, which were not met.
Deficiencies in Incontinent Care and Shower Scheduling
Penalty
Summary
The facility failed to provide proper incontinent care for two residents and scheduled showers for another resident, leading to deficiencies in the care provided. Resident #1, who was always incontinent of bowel and bladder and required assistance for toileting and personal hygiene, did not receive complete incontinent care. During an observation, a CNA cleaned the resident's front peri area and left side but failed to clean the right hip and buttock. The CNA later admitted to being nervous and acknowledged not providing appropriate care. Resident #19, also always incontinent of bowel and bladder and requiring maximum assistance, did not receive complete peri care. During an observation, a CNA cleaned the resident's rectal area, buttocks, and hips but failed to clean the front peri area. The CNA confirmed the correct procedure was to clean from front to back, indicating a lapse in following proper care protocols. Resident #37, with multiple medical conditions including congestive heart failure and acute kidney failure, did not receive scheduled showers consistently. The resident's care plan did not specify shower frequency or assistance required, and records showed five missed showers out of ten scheduled opportunities. Interviews revealed that the resident was sometimes not asked if they wanted a shower, and staffing issues were cited as a reason for missed showers. Documentation of showers and refusals was also lacking, as confirmed by multiple staff members, including the ADON and DON.
Failure to Adhere to Hand Hygiene and Glove-Changing Protocols
Penalty
Summary
The facility failed to adhere to its hand hygiene and glove-changing protocols during the provision of incontinent care for three residents. Observations revealed that Certified Nursing Assistants (CNAs) did not change gloves or perform hand hygiene at critical points during care. For Resident #1, CNA D did not change gloves or perform hand hygiene after cleaning the resident's front peri area, before removing a urine-soaked brief, or before touching the peri wash bottle and cleaning the rectal area. Similarly, CNA M, while caring for Resident #19, did not change gloves or perform hand hygiene after cleaning fecal material and before applying barrier cream and placing a clean brief. CNA C, caring for Resident #251, failed to perform hand hygiene before starting care and did not change gloves before applying a new brief. Interviews with the CNAs involved indicated awareness of the proper procedures, with admissions of nervousness and acknowledgment of mistakes. The Director of Nursing and the Administrator both confirmed the expectation that staff should change gloves between dirty and clean tasks and perform hand hygiene as per the facility's policy. The facility's policy emphasizes hand hygiene as the primary means to prevent the spread of healthcare-associated infections, requiring staff to perform hand hygiene before and after resident contact, after glove removal, and when moving from soiled to clean tasks.
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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 Sikeston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Annie's Garden Skilled Nursing | 1.4 mi | — | 0 | 0 |
| Sikeston Convalescent Center | 1.7 mi | — | 9 | 0 |
| Hunter Acres Caring Center | 2.2 mi | — | 0 | 0 |
| Clearview Nursing Center | 2.5 mi | — | 14 | 0 |
| Bertrand Nursing And Rehab Center | 6.6 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.