Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around January 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 Jasper County Nh during CMS and state inspections, most recent first.
An LPN in a long-term care facility failed to follow professional standards by preparing medications for two residents simultaneously, resulting in the administration of incorrect medications to a resident. This error led to the resident being admitted to the ICU due to an adverse reaction, including bradycardia and hypotension. The resident, with a history of COPD and hypertension, required immediate medical intervention and hospital transfer.
A significant medication error occurred when an LPN administered blood pressure medications to a resident that were intended for his roommate, resulting in the resident's admission to the ICU due to an adverse reaction. The LPN had pre-poured medications for both residents simultaneously, leading to the confusion and administration of the wrong medications. The resident, with a history of COPD and hypertension, experienced hypotension and bradycardia, necessitating emergency hospital transfer.
The facility failed to maintain resident dignity and privacy in two incidents. A CNA entered a resident's room without knocking or introducing herself, contrary to protocol. Additionally, clinical documentation with a resident's name was posted in a room, raising dignity concerns. The involved resident had severely impaired cognition.
The facility failed to resolve resident grievances over six months, including staff noise, premature meal tray removal, and a broken bus lift preventing outings. Despite repeated complaints, these issues remained unaddressed, leading to dissatisfaction and resignations within the resident council. Interviews revealed a lack of awareness and action from staff, with the DON acknowledging persistent issues despite previous in-servicing.
A facility failed to implement Enhanced Barrier Precautions (EBP) for a high-risk resident with a PEG tube, as observed when an LPN administered medication without wearing a gown. The LPN acknowledged the oversight and the lack of signage or accessible PPE. Interviews with staff revealed that the facility was revising its infection control policies to include EBP guidelines, and a Performance Improvement Plan (PIP) for EBP training was underway.
A resident reported that her bathroom was not cleaned appropriately, with dust observed on the ceramic tile and her recliner. The housekeeper admitted to occasionally forgetting to clean some residents' furniture and tiles, and the Housekeeping Supervisor confirmed the oversight. The resident was cognitively intact and had a diagnosis of Type 2 Diabetes.
A resident with Parkinson's Disease and severely impaired cognition was found to be using a seatbelt in a wheelchair that functioned as a restraint, as the resident could not remove it independently. Despite being a fall risk, the resident had not experienced recent falls, and the facility failed to assess or document the seatbelt as a restraint. Staff confirmed the resident's inability to consistently remove the seatbelt, and no assessment or consent for its use was documented.
A facility failed to provide written notification to a resident's representative about the resident's transfer to a hospital. The DON acknowledged that the facility relied on phone communication instead of written documentation. The resident's representative confirmed they were informed in person but did not receive written notice. The resident had a diagnosis of Anoxic Brain Damage.
A facility failed to conduct a Level II PASARR for a resident who was prescribed Seroquel for new psychotic behaviors and hallucinations, despite the requirement for such an evaluation following significant changes in mental health status. The DON was unaware of the need for a new screening, while the Administrator expected compliance with regulations.
A facility failed to maintain a functional call light system in a resident room on Unit 4 hall. The call light was found hanging from the outlet and did not illuminate or sound when activated. A housekeeper and an LPN were unaware of the malfunction, and the residents resorted to yelling for assistance. The Maintenance Director confirmed the issue but was unaware of it prior to the incident.
Medication Administration Error Leads to ICU Admission
Penalty
Summary
The facility failed to ensure that services provided met current professional standards when an LPN prepared medications for two residents simultaneously, resulting in the administration of incorrect medications to a resident. This error led to the resident being admitted to the ICU of a local acute care hospital due to an adverse reaction. The facility's policy on medication administration, which requires identifying residents by photo in the electronic medication administration record, was not followed. The incident occurred when the LPN pre-poured medications for two residents at the same time and took them into the room together, leading to confusion and the administration of the wrong medications. The resident received medications prescribed for another resident, including Lisinopril, Lipitor, Carvedilol, Hydroxyzine, and Seroquel, which caused bradycardia and hypotension. The resident's condition required immediate medical intervention, including IV fluids and Levophed, and resulted in a transfer to the hospital's ICU. The resident involved had a history of COPD and hypertension and was moderately cognitively impaired. The error was identified when the resident's blood pressure dropped significantly, prompting the nursing staff to notify the physician and arrange for the resident's transfer to the hospital. The facility's Director of Nursing confirmed that the LPN did not adhere to the standards of practice or facility policy, which contributed to the medication error.
Medication Error Leads to ICU Admission
Penalty
Summary
A significant medication error occurred when an LPN administered blood pressure medications to a resident that were intended for his roommate. This error resulted in the resident being admitted to the ICU of a local acute care hospital due to an adverse reaction. The facility's policy on medication administration, which requires identifying residents by photo in the electronic medication administration record (EMAR), was not followed. The LPN had pre-poured medications for both residents simultaneously and took both cups into the room, leading to the confusion and administration of the wrong medications. The incident note from the facility detailed the sequence of events following the error. The resident was initially awake, alert, and oriented, but his blood pressure decreased significantly after receiving the wrong medications. Despite being placed in the Trendelenburg position to manage his blood pressure, the resident's condition worsened, leading to difficulty breathing and further decrease in blood pressure. Emergency services were called, and the resident was transferred to the hospital for treatment of hypotension and bradycardia, where he was admitted to the ICU. Interviews with the resident, the resident's representative, and the Director of Nursing (DON) confirmed the sequence of events and the failure to adhere to medication administration standards. The DON's investigation revealed that the LPN had not followed the facility's policy by preparing medications for more than one resident at a time, which led to the error. The resident, who had a history of COPD and hypertension, experienced a significant adverse reaction due to the administration of medications not prescribed for him.
Failure to Maintain Resident Dignity and Privacy
Penalty
Summary
The facility failed to uphold residents' rights to dignity and privacy in two separate incidents. In the first incident, a Certified Nurse Aide (CNA) entered a resident's room without knocking, addressing the resident, or introducing herself. This action was observed by a Licensed Practical Nurse (LPN), who noted that the CNA's behavior did not align with the facility's protocol, which requires knocking, waiting for a response, and explaining the purpose of the visit. The CNA admitted to skipping this step due to familiarity with the resident, despite being aware of the facility's policy. The Director of Nursing (DON) confirmed that the CNA should have followed the protocol to maintain the resident's dignity. In the second incident, clinical documentation containing a resident's name and care details was posted on a wall in the resident's room. This documentation was intended to assist staff in providing specific care, but its visibility raised concerns about the resident's dignity. The LPN and DON acknowledged that the information, which was also available in the Electronic Medical Record (EMR), could be considered a dignity issue. The resident involved had a severely impaired cognition, as indicated by a Brief Interview for Mental Status (BIMS) score of 3.
Unresolved Resident Grievances Over Six Months
Penalty
Summary
The facility failed to consistently resolve grievances raised by resident council members over a six-month period. The resident council minutes from May to October documented recurring complaints about staff noise, premature removal of meal trays, and a malfunctioning lift on the facility bus, which hindered resident outings. Despite these issues being raised repeatedly, they remained unresolved, leading to dissatisfaction among residents and the resignation of the council's president and vice president. Interviews with facility staff revealed a lack of awareness and action regarding these grievances. The Social Services Director confirmed that department heads were responsible for addressing complaints but had not done so effectively. The Activity Director was unaware of the transportation issues, and the Administrator acknowledged the bus had been out of service for six months. The DON admitted that staff had been previously in-serviced on noise reduction and meal tray timing, but these issues persisted, indicating a failure to implement and monitor corrective measures effectively.
Failure to Implement Enhanced Barrier Precautions for High-Risk Resident
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) for a resident identified as high risk for acquiring multi-drug-resistant organisms (MDROs). During an observation, a Licensed Practical Nurse (LPN) entered the resident's room to administer medication via a Percutaneous Endoscopic Gastrostomy (PEG) tube without wearing a gown, which is required under EBP protocols. The LPN admitted to forgetting to wear a gown and noted the absence of signage or indicators to alert staff about the need for EBP, as well as the lack of readily accessible personal protective equipment (PPE). Interviews with facility staff, including the Director of Nursing (DON) and a Registered Nurse (RN), revealed that while the facility follows standard precautions and uses transmission-based precautions, there were no existing policies incorporating EBP. The facility was in the process of revising its infection control policies to include EBP guidelines. The Licensed Nursing Home Administrator (LNHA) confirmed that the facility was under a Performance Improvement Plan (PIP) for EBP training, initiated in September 2024, to enhance compliance with EBP guidelines.
Failure to Maintain a Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean, sanitary, and homelike environment for one of the resident rooms on Unit 2, affecting a resident. During an observation and interview, the resident reported that her bathroom was not cleaned appropriately, with a thick white substance, identified as dust, observed on the ceramic tile in her bathroom and on the back of her recliner. The facility's Environmental Policy emphasizes the importance of providing a safe, clean, comfortable, and homelike environment, which was not adhered to in this instance. Interviews with the housekeeper and the Housekeeping Supervisor confirmed the oversight in cleaning the resident's bathroom and furniture. The housekeeper admitted to occasionally forgetting to clean some residents' furniture and ceramic tiles, while the supervisor acknowledged the failure to clean the dust in the resident's bathroom and on her recliner. The resident involved was cognitively intact, as indicated by a BIMS score of 15, and had a diagnosis of Type 2 Diabetes.
Failure to Identify and Document Seatbelt as Restraint
Penalty
Summary
The facility failed to ensure a resident's right to be free from physical restraints by not identifying and documenting the use of a seatbelt as a restraint for one of the sampled residents. The facility's Restraint Policy defines physical restraints as any device that the resident cannot remove easily, which restricts freedom of movement. During observations, it was noted that the resident was unable to remove the seatbelt independently, indicating it functioned as a restraint. Interviews with staff confirmed that the resident could not consistently remove the seatbelt on command, and the facility had not assessed or documented the seatbelt as a restraint. The resident involved had a history of Parkinson's Disease and was admitted to the facility with severely impaired cognition, as indicated by a low BIMS score. Despite being a fall risk, the resident had not experienced recent falls. The facility's staff, including CNAs, LPNs, and the DON, acknowledged the resident's inability to remove the seatbelt independently and confirmed that the seatbelt was not identified as a restraint. The facility had not conducted an assessment or obtained consent for the seatbelt's use, and the resident's medical records lacked documentation of any restraint assessment.
Failure to Provide Written Notification of Hospital Transfer
Penalty
Summary
The facility failed to provide written notification to a resident's representative regarding the resident's transfer to an acute care hospital. This deficiency was identified for one of the sampled residents. The Discharge Minimum Data Set indicated that the resident was discharged to a hospital with the anticipation of returning to the facility. During interviews, the Director of Nursing acknowledged that the facility did not provide written documentation to the resident's representative, instead relying on phone communication. The resident's representative confirmed that while they were informed in person about the hospitalization, they did not receive any written documentation. The facility's administrator also acknowledged the failure to provide written notification regarding the hospitalization. The resident involved was admitted to the facility with a diagnosis of Anoxic Brain Damage. The deficiency was identified through staff and resident representative interviews, as well as a review of the resident's records.
Failure to Conduct Level II PASARR for Resident with New Mental Health Diagnosis
Penalty
Summary
The facility failed to obtain a Level II Preadmission Screening and Resident Review (PASARR) for a resident who was receiving psychotropic medications and had a new mental health diagnosis. The resident was initially admitted with no indication of mental illness or the use of psychotropic medications, as per the Pre-Admission Screening (PAS) dated March 25, 2022. However, on August 7, 2023, the resident was prescribed Seroquel for increased psychotic behaviors and hallucinations, and was diagnosed with Unspecified Psychosis Not Due to a Substance or Known Physiological Condition and Unspecified Hallucinations. The Director of Nursing (DON) confirmed that the initial PAS did not indicate the need for a Level II evaluation and acknowledged that the resident experienced a change in mental health status with a new diagnosis and prescription of psychotropic medication. The DON was unaware that such changes necessitated another screening for a Level II evaluation. The Administrator confirmed awareness of the requirement for a Level II PASARR in cases of significant change, including new diagnoses or medications, and expected staff to adhere to these regulations.
Nonfunctional Call Light System in Resident Room
Penalty
Summary
The facility failed to maintain a functional call light system in one of the rooms on Unit 4 hall. During an observation, the call light in the room was found hanging from the outlet and did not illuminate or sound when activated by the resident. A housekeeper and an LPN both attempted to activate the call light without success, and neither was aware of the malfunction prior to the observation. The residents in the room were also unaware of how long the call light had been nonfunctional and resorted to yelling for assistance when the call light did not work. The Maintenance Director confirmed the call light was not working and required replacement, but he was unaware of the issue before the incident.
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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 Bay Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Care Center Of Laurel | 18.8 mi | — | 0 | 0 |
| Laurelwood Community Living Center | 19 mi | — | 3 | 0 |
| Comfort Care Nursing Center | 19 mi | — | 7 | 0 |
| Ms Care Center Of Raleigh | 19.3 mi | — | 0 | 0 |
| Jones Co Rest Home | 23.4 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.