Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 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 Coastal Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident at risk for constipation was hospitalized due to fecal impaction after the facility failed to implement measures outlined in the care plan. Despite the resident's son reporting concerns, the LPN did not document the impaction or notify the NP, leading to a lack of timely intervention. The DON confirmed the absence of documentation and communication prior to the hospitalization.
A facility failed to implement a comprehensive care plan for a resident at risk for constipation due to limited mobility and medication use. An LPN observed signs of possible impaction but did not notify the provider as required, only documenting the issue in a notification book. There was no documentation of the condition or medication administration until after the resident's hospital return. The NP was not informed, and the DON confirmed the care plan was not followed.
A resident with a history of constipation and other health issues was hospitalized due to severe impaction and related conditions after the facility failed to provide adequate care and notify the physician. The LPN observed hard stool but did not inform the NP directly, and there was no documentation of treatment until after hospitalization. The DON confirmed the lack of communication with the NP and Medical Director.
The facility failed to implement wound care interventions for three residents, leading to a deficiency. A resident with Osteomyelitis did not receive documented wound care on multiple days, resulting in a wound infection and hospitalization. Another resident with spinal cord injury and paraplegia had incomplete wound care documentation for sacral and heel wounds. A third resident with diabetes had incomplete wound care documentation for heel and sacral wounds. Staff interviews confirmed the care plans were not followed as required.
A long-term care facility failed to provide consistent pressure ulcer care and documentation for three residents, leading to significant deficiencies in wound management. One resident developed a wound infection and was hospitalized for sepsis due to inadequate care. The facility experienced staff turnover, impacting the consistency of wound documentation.
A facility failed to accurately code an MDS for a resident with a pressure ulcer. Despite a wound care order and documentation of the ulcer, the MDS did not reflect its presence. Interviews revealed the omission was due to missing weekly wound reports in the medical record, leading to inaccurate MDS coding.
A resident with a history of frequent UTIs did not receive timely care due to the facility's failure to follow a physician's order for a urinalysis and delay in administering an antibiotic. Despite the availability of the medication, it was not given until the day after it was ordered. Staff interviews confirmed the delay in both the urine test and antibiotic administration.
Neglect Leads to Resident Hospitalization Due to Fecal Impaction
Penalty
Summary
The facility failed to protect a resident from neglect, resulting in a hospitalization due to fecal impaction. The resident, who was at risk for constipation due to limited mobility, narcotic medication use, and diuretics, was not properly monitored or treated for constipation. Despite having a care plan that included administering Colace and Senna-S, encouraging fluids, and notifying a provider if no bowel movement occurred within three days, these measures were not effectively implemented. The resident's son reported concerns about his mother's health, including weakness and lack of appetite, but felt no action was taken until the resident was hospitalized. Interviews and record reviews revealed that a Licensed Practical Nurse (LPN) noted hard stool in the resident's rectum and administered MiraLAX and Lactulose, but failed to document the impaction or medication administration. The Nurse Practitioner (NP) was not notified of the impaction, and there was no documentation in the Nurse's Notes or Medication Administration Record (MAR) regarding the issue until after the resident's return from the hospital. The Director of Nursing (DON) confirmed the lack of documentation and communication regarding the resident's condition prior to hospitalization.
Failure to Implement Comprehensive Care Plan for Constipation Risk
Penalty
Summary
The facility failed to implement a comprehensive care plan for a resident who was at risk for constipation due to limited mobility, daily use of narcotic medication, and diuretics. The care plan required staff to observe for signs and symptoms of constipation every shift and notify the provider as needed. However, an LPN noticed the resident had runny and hard stool, indicating a possible impaction, but only documented the issue in the Nurse Practitioner's notification book without directly notifying the provider. This action was contrary to the care plan's requirement to notify the provider directly. Further investigation revealed that there was no documentation in the Progress Notes or Nurse's Notes regarding the observed condition or the administration of MiraLAX and Lactulose until after the resident returned from the hospital. The NP confirmed that she was not informed of the resident's condition, and the DON acknowledged that the LPN failed to follow the care plan. The resident, who was cognitively intact, had a history of constipation, chronic pain, muscle weakness, and heart failure, and had been admitted to the facility since 2014.
Failure to Prevent Impaction and Notify Physician
Penalty
Summary
The facility failed to provide adequate care and services to prevent a severe impaction in a resident, which led to hospitalization and physical decline. The resident, who was admitted with diagnoses including constipation, chronic pain, muscle weakness, and heart failure, was observed by her son to be weak, fatigued, and not eating. Despite these observations and the son's communication with the facility staff, no immediate action was taken. The resident was eventually sent to the hospital, where she was diagnosed with severe constipation, dehydration, and other related conditions. The facility's Licensed Practical Nurse (LPN) observed hard stool in the resident's rectum on two occasions but failed to notify the Nurse Practitioner (NP) directly, instead documenting the issue in a notification book that the NP did not review. There was no documentation of the administration of MiraLAX and Lactulose in the resident's records until after the resident returned from the hospital. The Director of Nursing confirmed that the NP and Medical Director were not informed of the resident's condition, which was a requirement according to the facility's policy on notification of change in condition.
Failure to Implement Wound Care Plans
Penalty
Summary
The facility failed to implement care plan interventions related to wound care for three of four sampled residents, resulting in a deficiency. Resident #1, who was admitted with a diagnosis of Osteomyelitis, had a care plan that included daily wound care for impaired skin integrity. However, the Electronic Treatment Administration Record (E-TAR) showed that wound care was not documented as completed on multiple days in July and August 2024. This failure led to Resident #1 acquiring a wound infection that required hospitalization. Resident #3, admitted with diagnoses including an unspecified injury to the cervical spine cord and paraplegia, also had a care plan focusing on high risk for impaired skin integrity. The care plan required daily wound care for the sacrum, right buttocks, and heels. However, the E-TAR revealed that wound care was not documented as completed on several days in July and August 2024 for these areas. The lack of documentation indicates that the care plan interventions were not consistently followed. Resident #4, admitted with Type 2 Diabetes Mellitus, had a care plan for wound care on the right heel and sacrum. The care plan required wound care every other day for the heel and every 12 hours for the sacrum. The E-TAR showed that wound care was not documented as completed on several days in July and August 2024. Interviews with facility staff, including an LPN and the Interim Director of Nursing, confirmed that the care plans were not followed as required, emphasizing the importance of adhering to individualized care plans to ensure consistent resident care.
Inconsistent Wound Care and Documentation in LTC Facility
Penalty
Summary
The facility failed to provide consistent pressure ulcer care and treatment for three residents, leading to significant deficiencies in wound management. Resident #1, who had a physician's order for daily wound care to the sacrum, did not receive documented wound care on multiple days in July and August 2024. Additionally, there was a significant gap in weekly wound documentation, with no assessments or measurements recorded for several weeks. This lack of consistent care and documentation resulted in the deterioration of Resident #1's sacral wound, leading to a wound infection and subsequent hospitalization for sepsis and surgical debridement. Resident #3 also experienced inadequate wound care and documentation. The resident had multiple wounds, including those on the sacrum, right buttocks, left heel, and right heel, with physician's orders for daily care. However, wound care was not documented as completed on numerous days across July and August 2024. Furthermore, there were significant gaps in weekly wound assessments and documentation, with no records of wound measurements or progression for several weeks. This lack of consistent care and documentation compromised the resident's wound management. Resident #4 faced similar issues with wound care and documentation. The resident had wounds on the right heel, sacrum, and left heel, with physician's orders for daily or every-other-day care. However, wound care was not documented as completed on several days in July and August 2024. Additionally, there were no weekly wound reports documented until mid-August, resulting in a lack of consistent assessments and documentation of wound progression. The facility's failure to maintain consistent wound care and documentation was attributed to staff turnover, including the resignation of the Director of Nursing and the wound nurse, which impacted the consistency of wound documentation during this period.
Inaccurate MDS Coding for Resident with Pressure Ulcer
Penalty
Summary
The facility failed to accurately code a Minimum Data Set (MDS) for a resident with an unhealed pressure ulcer. The deficiency was identified through staff interviews, record reviews, and a review of the facility's policy on MDS assessments. The facility's policy requires comprehensive and reproducible assessments for each resident at least every three months, using the federal and/or state-required Resident Assessment Instrument (RAI). However, the MDS for a resident with a sacral pressure ulcer did not reflect the presence of the ulcer, despite a wound care order being in place and documentation of the ulcer on a Weekly Observation Tool. The resident was admitted with diagnoses including Osteomyelitis and had a wound care order for the sacrum. The Comprehensive MDS, with an Assessment Reference Date (ARD) of 07/15/24, incorrectly indicated that the resident did not have a pressure ulcer. Interviews with a Licensed Practical Nurse (LPN) and the Interim Director of Nursing (I-DON) revealed that the wound was not addressed on the MDS due to the absence of a weekly wound report in the medical record corresponding with the lookback period. The I-DON confirmed that the MDS did not accurately reflect the resident's condition, as the necessary charting and wound assessment tools were not completed in the resident's chart.
Failure to Follow Physician's Orders and Delay in Treatment
Penalty
Summary
The facility failed to provide care and treatment in accordance with professional standards by not following a physician's order for a urinalysis and delaying the administration of an antibiotic for a resident. The resident, who had a history of frequent urinary tract infections, was admitted with a diagnosis of Metabolic Encephalopathy. On a specific date, a physician's order was given for a urinalysis with culture and sensitivity, but there was no documentation that the urine sample was collected or sent to the laboratory. Consequently, there were no urinalysis results in the resident's medical record. Additionally, an order for the antibiotic Levaquin was received two days later, but the medication was not administered until the following day, despite being available at the facility. Interviews with staff, including a registered nurse, a licensed practical nurse, the interim director of nursing, and the infection preventionist, confirmed the delay in both the collection of the urine sample and the administration of the antibiotic. The nurse practitioner also confirmed that the antibiotic should have been administered on the day it was ordered.
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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 Gulfport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Driftwood Nursing Center | 0.1 mi | — | 3 | 0 |
| Gulfport Care Center | 5.7 mi | — | 0 | 0 |
| Pass Christian Health And Rehabiliation Center | 6.2 mi | — | 2 | 0 |
| Lakeview Nursing Center | 6.6 mi | — | 3 | 0 |
| The Pillars Of Biloxi | 9.3 mi | — | 2 | 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.