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 Senatobia Healthcare & Rehab during CMS and state inspections, most recent first.
A resident's personal funds were misappropriated when a former Assistant Housekeeping Supervisor, responsible for storing the resident's belongings during a hospital stay, used the resident's debit card to make unauthorized withdrawals exceeding $8,200. The theft was substantiated through surveillance footage and staff identification, and the incident was reported as elder abuse. The resident, who was cognitively intact, experienced significant emotional distress as a result.
Two residents did not receive their prescribed controlled pain medications after an agency LPN signed out the drugs on the controlled substance log but failed to administer them or document administration on the MAR. Video evidence confirmed the LPN did not access the narcotic lock box or enter the residents’ rooms at the relevant times, and staff interviews supported the residents’ reports of not receiving their medications.
Six residents did not receive their scheduled medications when an agency LPN documented administration in the electronic record, but the medications were later found unopened on the cart. The missed medications included treatments for heart failure, epilepsy, hypertension, and infection. Staff interviews confirmed the medications were not given as documented, and one resident reported not receiving pain medication or a return visit from the nurse.
Two residents with ADL self-care deficits did not receive scheduled showers as outlined in their care plans, despite being cognitively intact and requiring assistance with personal hygiene. Facility records and staff interviews confirmed multiple missed showers and inadequate tracking of personal care, resulting in unmet hygiene needs.
Two residents who required assistance with ADLs did not receive scheduled showers as documented by facility records and confirmed by their own reports. Both residents, who were cognitively intact and had medical conditions necessitating personal care support, experienced missed showers on multiple occasions. Staff interviews and documentation review revealed gaps in the process for tracking and ensuring completion of showers, resulting in the failure to maintain personal hygiene for these residents.
A resident at risk for elopement was left unattended on the facility's porch, leading to an unsupervised exit and subsequent discovery at a nearby grocery store. Despite wearing a Wander Guard, the resident's care plan was not followed, as confirmed by interviews with facility staff. The State Agency identified an Immediate Jeopardy situation due to the facility's failure to adhere to its elopement prevention policy.
A resident identified as an elopement risk left the facility unsupervised and was found at a nearby grocery store. Staff interviews revealed that the resident often sat outside unattended, and the door alarm was turned off without ensuring supervision. The resident, who is cognitively intact, left to buy tobacco, highlighting a failure to follow the facility's elopement prevention policy.
Failure to Prevent Misappropriation of Resident Funds by Staff
Penalty
Summary
The facility failed to protect a resident's right to be free from exploitation and misappropriation of personal funds. After being hospitalized and discharged to a specialty hospital, a resident's belongings were boxed and stored by a former Assistant Housekeeping Supervisor. Upon the resident's return, he reported missing items, including a cell phone, wallet with debit card, and clothing. The facility determined the phone had accompanied the resident to the hospital and replaced the missing clothing, but the resident later discovered that his debit card had been used without his consent. Interviews and record reviews confirmed that the former Assistant Housekeeping Supervisor, who had access to the resident's belongings, used the resident's debit card to make multiple unauthorized withdrawals totaling over $8,200. Surveillance footage from the bank showed the same individual making thirteen separate ATM transactions, and both the Administrator and DON identified the person as the former employee. The bank and law enforcement substantiated the exploitation, and the matter was referred as an elder abuse case. The resident, who was cognitively intact according to his MDS assessment, expressed feelings of betrayal and anger upon learning of the theft. Staff interviews confirmed that the act violated residents' rights and that the employee responsible had previously attended in-service training on abuse and misappropriation. The resident's account was eventually refunded by the bank, but the misappropriation of funds occurred while the resident's property was under the facility's care.
Failure to Prevent Misappropriation of Controlled Medications
Penalty
Summary
The facility failed to protect residents from misappropriation of medications, resulting in two residents not receiving their prescribed controlled substances as documented. An agency LPN signed out an oxycodone tablet for a resident with a femur fracture on the controlled substance log, but there was no documentation on the Medication Administration Record (MAR) that the medication was administered. Video surveillance confirmed that the LPN did not access the narcotic lock box when preparing and delivering medications to the resident’s room at the time in question. In a separate incident, another resident with a diagnosis of osteomyelitis reported not receiving his pain medication during the evening shift. The controlled substance log showed that a hydrocodone tablet was signed out and documented as administered by the same agency LPN, but video evidence revealed that the LPN did not enter the resident’s room after an early evening visit. The resident, who was cognitively intact, confirmed he did not receive his night medications, including pain medication, and that the nurse never returned after the initial visit. The Director of Nursing (DON) audited narcotic records for all residents assigned to the agency LPN and confirmed discrepancies, including medications signed out without corresponding MAR documentation and lack of observed access to the narcotic box. Staff interviews corroborated that residents reported not receiving their medications, and the DON acknowledged the risks associated with diversion of narcotics and the importance of safeguarding residents’ medications.
Significant Medication Errors Due to Missed Administration and Falsified Documentation
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors, as evidenced by six residents not receiving their scheduled medications on a specific evening shift. An agency LPN documented in the electronic medication administration record that all medications were given, but the next morning, multiple sealed medication packets were found unopened on the medication cart. The medications involved included treatments for conditions such as low blood pressure, Candida infection, epilepsy, hypertension, and muscle spasms. The residents affected had diagnoses including heart failure, symptomatic epilepsy, osteomyelitis, and hypertensive heart disease. Interviews with facility staff confirmed that the medications were not administered as documented. The DON reviewed the records and confirmed that the missed doses for the six residents constituted significant medication errors. One resident reported not receiving his night medications, including pain medication, and stated that the nurse did not return to his room despite his calls. The LPN involved later claimed to have experienced computer issues and signed off medications in the system after giving them, not realizing some remained on the cart. Other staff, including another LPN and the Registered Charge Nurse, corroborated that the unopened medication packets were found and that the affected residents were assessed for adverse consequences, with only one resident voicing a complaint. The facility's policy required that residents receive care and services safely and in an environment free of significant medication errors, which was not followed during this incident.
Failure to Implement Comprehensive Care Plans for Personal Hygiene
Penalty
Summary
The facility failed to implement comprehensive care plans for two residents with personal hygiene needs, resulting in missed scheduled showers. One resident, who had a self-care performance deficit related to muscle weakness and required assistance with activities of daily living (ADLs), reported missing several scheduled showers and documented only receiving one shower per week during the month in question. Facility records confirmed that this resident did not receive showers on multiple scheduled days, despite care plan interventions indicating the need for assistance with hygiene and bathing. The resident was cognitively intact and able to recall and document missed showers. Another resident, with a history of cerebral infarction, hemiplegia, and limited mobility, also reported not receiving scheduled showers and could not recall receiving any showers during the previous week. Documentation showed that this resident received only a few showers during the month, with several scheduled showers missed. Both residents' care plans specified the need for assistance with personal care, but the plans were not followed. Facility staff interviews confirmed the missed showers and acknowledged the lack of a reliable system for tracking and ensuring completion of personal hygiene care.
Failure to Provide Scheduled Showers and Maintain Personal Hygiene for Two Residents
Penalty
Summary
The facility failed to provide necessary care and assistance with activities of daily living (ADLs), specifically personal hygiene, for two residents who required help with these tasks. Both residents were cognitively intact and able to report their experiences. One resident reported missing several scheduled showers, stating that she was supposed to receive showers three times a week but had only been receiving about one per week during the month in question. She kept a personal record and noted specific dates when showers were missed, and also reported that staff did not offer or mention showers on those days. The resident described feeling dirty and socially withdrawn as a result. Review of facility documentation, specifically the Continuous Pressure Ulcer Monitoring Sheets used to track showers and baths, confirmed that both residents missed multiple scheduled showers. The records showed gaps on days when showers were supposed to be provided, and there was no documentation of refusals or alternative care being offered. Both residents had medical conditions requiring assistance with personal care, including chronic obstructive pulmonary disease, muscle weakness, cerebral infarction, and hemiplegia. Interviews with staff, including LPNs, CNAs, and supervisors, revealed that the process for documenting showers involved CNAs filling out sheets and nurses signing off, but there were missing records for the affected residents. Staff acknowledged the documentation gaps and confirmed that the lack of records likely indicated the showers were not provided. Supervisory staff were unaware of the missed care until the issue was brought to their attention during the survey.
Failure to Implement Effective Elopement Prevention Measures
Penalty
Summary
The facility failed to implement effective comprehensive care plan interventions for a resident at risk for wandering and elopement. The resident, who had a history of cerebral vascular accident and was cognitively intact with a BIMS score of 14, was left unattended on the facility's front porch. Despite wearing a Wander Guard, the resident exited the premises unnoticed and was later found at a grocery store approximately 0.3 miles from the facility. Interviews with facility staff, including the Director of Nursing, a CNA, and an LPN, confirmed that the resident was often left unattended on the porch, despite being at risk for elopement. The care plan for the resident, which included the use of a Wander Guard and regular checks, was not followed, leading to the resident's unsupervised departure from the facility. The State Agency identified an Immediate Jeopardy situation due to the facility's failure to adhere to its policy on elopement and wandering residents. The deficiency was noted as a serious risk to the resident's safety, as well as to other residents at risk for wandering and elopement.
Removal Plan
- A passerby notified Certified Nursing Assistant #1 that she observed an individual walking up the hill that she suspected to be a resident of the center. CNA #1 immediately came into the facility and notified the receptionist. A search by staff was initiated.
- The Center's Infection Control Preventionist got in her car to go off premises to look for Resident #1. Resident #1 was observed by the Infection Control Preventionist approximately a quarter mile from the facility outside a local grocery store and successfully encouraged to get in the car.
- Resident #1 returned to the facility.
- The Licensed Practical Nurse completed a body audit on the resident with no injuries noted.
- Resident #1 was placed on hourly staff monitoring for 24 hours.
- Licensed Nurses ensured all residents were in-house via visual observation.
- Education was initiated by the Director of Nursing and a Registered Nurse Supervisor on the elopement prevention policy to include the provision that any resident at risk for elopement will receive ongoing staff supervision while outside the center for all staff. No staff will be allowed to work until in serviced.
- The State Survey Agency and Attorney General's office was notified by the interim Director of Nursing.
- Resident #1, who is alert and oriented, was provided education by the Director of Nursing to notify staff anytime she wished to go outside or leave the center.
- The Director of Nursing and a Registered Nurse Supervisor completed elopement risk assessments on all residents to determine their risk of leaving the center without adequate staff supervision.
- The Quality Assurance and Performance Improvement (QAPI) Committee attended by the Director of Nursing, the Medical Director via phone, Infection Control Preventionist, and the Nursing Home Administrator updated the facility's policy on Elopement Prevention to include any resident at risk for elopement would receive ongoing staff supervision while outside the center.
- A new Nursing Home Administrator started.
- A Resident Council meeting was held by the Activities Director to provide education to residents to notify their licensed nurse and to sign out prior to leaving the center.
- Care plans on all residents at risk for elopement were reviewed and updates initiated by the Administrator and Minimum Data set (MDS) Coordinator to ensure they reflect individualized interventions for those residents at risk for wandering and elopement.
- The Director of Nursing initiated education on importance of accuracy of care plan interventions related to wandering/elopement prevention to Minimum Data Set Nurses (MDS), Infection Control Preventionist, Registered Nurse Supervisors, and Medical Records Coordinator.
- A 100 percent (%) Care Plan audit was conducted by the Administrator and MDS Nurses with updates for current interventions made to care plans to ensure compliance for residents at risk for elopement.
- Resident #1's care plan was updated by the MDS Coordinator with current interventions for elopement prevention.
- An Ad Hoc Quality Assurance meeting was held to discuss the Immediate Jeopardy Removal Plan and corrective actions, interventions, and education to ensure compliance. As part of the Ad Hoc QAPI Meeting, in-service completion for both the all-staff education on the elopement prevention policy and the importance of accurate and effective care plan interventions related to wandering/elopement prevention education for the Interdisciplinary Team (IDT) was reviewed by the Administrator and QAPI Committee Members with further instruction that no staff will be allowed to work until in serviced. It was attended by the Medical Director, Director of Nursing, Infection Control Nurse, Administrator, and RN Supervisor.
Resident Elopement Due to Inadequate Supervision
Penalty
Summary
The facility failed to provide adequate supervision to prevent a resident, identified as an elopement and wandering risk, from leaving the premises unnoticed and unsupervised. The resident was left on the front patio and subsequently exited the facility without staff awareness. Video surveillance footage confirmed that the resident left the facility at 4:05 PM and was later found at a grocery store approximately 0.3 miles away at 4:25 PM. This incident placed the resident and potentially other residents at risk for serious harm or injury. Interviews with staff revealed that the resident frequently sat outside on the porch unattended, despite being at risk for elopement. The Director of Nursing confirmed that the resident should not have been left unattended, and staff should have been present. The Front Office Receptionist admitted to turning off the door alarm to allow the resident to sit on the porch without staff supervision, and no one was monitoring the resident during this time. The resident, who is cognitively intact, recounted that she left the facility to buy tobacco and walked through parking lots without going near the street. The facility's policy on elopement and wandering residents was not followed, as the resident was not provided with adequate supervision in accordance with her person-centered plan of care. The failure to adhere to this policy resulted in the resident's unsupervised departure from the facility.
Removal Plan
- A passerby notified Certified Nursing Assistant #1 that she observed an individual walking up the hill that she suspected to be a resident of the center. CNA #1 immediately came into the facility and notified the receptionist. A search by staff was initiated.
- The Center's Infection Control Preventionist got in her car to go off premises to look for Resident #1. Resident #1 was observed by the Infection Control Preventionist approximately a quarter mile from the facility outside a local grocery store and successfully encouraged to get in the car.
- Resident #1 returned to the facility.
- The Licensed Practical Nurse completed a body audit on the resident with no injuries noted.
- Resident #1 was placed on hourly staff monitoring for 24 hours.
- Licensed Nurses ensured all residents were in-house via visual observation.
- Education was initiated by the Director of Nursing and a Registered Nurse Supervisor on the elopement prevention policy to include the provision that any resident at risk for elopement will receive ongoing staff supervision while outside the center for all staff. No staff will be allowed to work until in serviced.
- The State Survey Agency and Attorney General's office was notified by the interim Director of Nursing.
- Resident #1, who is alert and oriented, was provided education by the Director of Nursing to notify staff anytime she wished to go outside or leave the center.
- The Director of Nursing and a Registered Nurse Supervisor completed elopement risk assessments on all residents to determine their risk of leaving the center without adequate staff supervision.
- The Quality Assurance and Performance Improvement (QAPI) Committee attended by the Director of Nursing, the Medical Director via phone, Infection Control Preventionist, and the Nursing Home Administrator updated the facility's policy on Elopement Prevention to include any resident at risk for elopement would receive ongoing staff supervision while outside the center.
- A new Nursing Home Administrator started.
- A Resident Council meeting was held by the Activities Director to provide education to residents to notify their licensed nurse and to sign out prior to leaving the center.
- Care plans on all residents at risk for elopement were reviewed and updates initiated by the Administrator and Minimum Data set (MDS) Coordinator to ensure they reflect individualized interventions for those residents at risk for wandering and elopement.
- The Director of Nursing initiated education on importance of accuracy of care plan interventions related to wandering/elopement prevention to Minimum Data Set Nurses (MDS), Infection Control Preventionist, Registered Nurse Supervisors, and Medical Records Coordinator.
- A 100 percent (%) Care Plan audit was conducted by the Administrator and MDS Nurses with updates for current interventions made to care plans to ensure compliance for residents at risk for elopement.
- Resident #1's care plan was updated by the MDS Coordinator with current interventions for elopement prevention.
- An Ad Hoc Quality Assurance meeting was held to discuss the Immediate Jeopardy Removal Plan and corrective actions, interventions, and education to ensure compliance. As part of the Ad Hoc QAPI Meeting, in-service completion for both the all-staff education on the elopement prevention policy and the importance of accurate and effective care plan interventions related to wandering/elopement prevention education for the Interdisciplinary Team (IDT) was reviewed by the Administrator and QAPI Committee Members with further instruction that no staff will be allowed to work until in serviced. It was attended by the Medical Director, Director of Nursing, Infection Control Nurse, Administrator, and RN Supervisor.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 31 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Senatobia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sardis Community Nh | 13.5 mi | — | 4 | 0 |
| Diversicare Of Batesville | 22 mi | — | 0 | 0 |
| Great Oaks Rehabilitation And Healthcare Center | 22.5 mi | — | 4 | 0 |
| Landmark Of Desoto | 22.8 mi | — | 10 | 0 |
| Desoto Healthcare Center | 23.4 mi | — | 3 | 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.