Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Quitman Wellness & Rehabilitation during CMS and state inspections, most recent first.
The facility's kitchen failed to meet food safety standards, with expired food items found in storage and improper storage of raw meat. A mixing bowl with an unlabeled substance was also noted. Staff interviews revealed a lack of adherence to the facility's food storage policy, which requires proper labeling, dating, and storage of food items.
A facility failed to update a resident's care plan to reflect her DNR status, instead listing her as a full code. Despite having a DNR order and an out-of-hospital DNR form, the care plan was not updated due to communication lapses among staff, including the MDS nurse and SW. The DON acknowledged the error, noting that other records correctly indicated the DNR status, but the care plan documentation was incorrect.
A resident was injured during transport when a CNA failed to properly secure the resident in a wheelchair, leading to a fall and minor injuries. The resident, who was cognitively intact and required supervision for mobility, was not secured with a shoulder strap, resulting in a fall when the CNA made a sudden stop. The facility's policy required proper securing of wheelchairs and use of seatbelts, which was not followed in this instance.
A resident with a recent change in mental status and diagnosed with a UTI was able to leave the facility in her wheelchair without staff knowledge. Despite expressing a desire to leave, staff did not increase supervision, leading to her being found 800 feet away, attempting to cross a highway.
A facility failed to implement physician orders for a resident's immediate care, including wearing a knee brace and maintaining a non-weight bearing status on the right knee. The attending nurse did not thoroughly review the ER discharge paperwork, leading to the omission of critical care instructions. This lapse in procedure placed the resident at risk for not receiving appropriate care and treatment.
Food Safety Deficiencies in Facility Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety in their kitchen, as observed during a survey. Several deficiencies were noted, including the presence of expired food items in both the walk-in refrigerator and freezer. Specifically, a container of peas and a container of pinto beans in the freezer were past their expiration dates, as well as a container of cottage cheese in the refrigerator. Additionally, a mixing bowl containing a pink and white substance was found in the freezer without any labeling or dating, which is against the facility's policy. Furthermore, the facility did not properly store raw meat, as a pan of raw bacon was found on the top shelf of the refrigerator above bags of bread and cooked meat, which poses a risk of cross-contamination. Interviews with staff revealed a lack of awareness and adherence to the facility's food storage policy, which requires labeling, dating, and proper storage of food items. The Dietary Manager and Administrator both acknowledged the expectations for food safety, but the deficiencies indicate a failure to consistently implement these standards.
Failure to Update Care Plan for DNR Status
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, which included measurable objectives and timetables to meet the resident's highest practicable physical, mental, and psychosocial needs. Specifically, the care plan for a resident with a DNR order was not updated to reflect this status, instead indicating the resident was a full code. This discrepancy was identified during a review of the resident's records and interviews with facility staff. The resident in question was an elderly female with a history of cerebral infarction, heart failure, and vascular dementia with behaviors. Despite having a DNR order documented in the physician's orders and an out-of-hospital DNR form, the care plan continued to list her as a full code. Interviews with various staff members, including an LVN, ADON, MDS nurse, SW, and DON, revealed that the care plan had not been updated to reflect the DNR status due to communication lapses and oversight. The staff acknowledged the error, with the MDS nurse and SW indicating they were not informed of the change in the resident's advance directive. The DON admitted responsibility for ensuring the care plan was correct and noted that the error was not perceived as a risk to the resident because other records, such as the crash cart book and electronic chart, correctly indicated the DNR status. However, the care plan documentation was incorrect, highlighting a failure in the facility's process for updating care plans in response to changes in residents' conditions.
Resident Injury Due to Inadequate Wheelchair Securing During Transport
Penalty
Summary
The facility failed to ensure adequate supervision and assistance devices to prevent accidents for a resident during transportation. The incident occurred when a Certified Nursing Assistant (CNA) was transporting the resident from the hospital back to the facility. The CNA did not properly secure the resident in the wheelchair with a shoulder strap, believing it would not reach across the resident. As a result, when the CNA had to make a sudden stop, the resident fell forward onto his hands and knees, sustaining a scrape on the knee and a skin tear on the finger. The resident involved was an elderly male with a history of pneumonia, left bundle-branch block, and emphysema. At the time of the incident, the resident was cognitively intact and required supervision only with bed mobility and transfers. The care plan indicated that the resident was independent in transfers and should be encouraged to participate in physical activities for strengthening and improved mobility. Interviews revealed that the CNA had been working temporarily at the facility and was not fully familiar with the transportation procedures. The facility's policy required all wheelchairs to be secured with straps, and seatbelts to be placed around all residents, including those in wheelchairs. The CNA admitted to not using the shoulder strap, which led to the resident's fall and subsequent injuries. The facility identified this as past noncompliance with Immediate Jeopardy (IJ) and took corrective actions before the survey began.
Failure to Prevent Resident Elopement
Penalty
Summary
The facility failed to ensure that the resident environment remained as free of accident hazards as possible and provide adequate supervision to prevent avoidable accidents for a resident reviewed for quality of care. The resident, who had a change in mental status and expressed a desire to leave the facility, was able to leave the facility in her wheelchair without staff knowledge. She was found approximately 800 feet away from the facility, attempting to cross a four-lane state highway to reach a gas station. This incident occurred despite the resident's recent confusion and a diagnosis of a urinary tract infection, which had been identified during an ER visit the previous day. The resident's care plan did not indicate a history of wandering or elopement, and the facility's Wandering Risk Scale had assessed her as low risk for wandering. However, the resident had shown signs of confusion and had expressed a desire to leave the facility to multiple staff members. Despite this, the staff did not increase supervision or take additional precautions to prevent her from leaving. The facility's doors were not locked from the inside, allowing the resident to exit without difficulty. Interviews with staff revealed that they were aware of the resident's confusion and her statements about leaving the facility. However, they did not take appropriate actions to monitor her more closely or prevent her from eloping. The facility's policy on wandering and elopements was not effectively implemented, leading to the resident's unsupervised departure and subsequent hospitalization.
Failure to Implement Physician Orders for Resident's Immediate Care
Penalty
Summary
The facility failed to have physician orders for a resident's immediate care upon admission, specifically for wearing a knee brace and maintaining a non-weight bearing status on the right knee. The resident, an elderly female with a history of dementia, anxiety, and chronic obstructive pulmonary disease, was readmitted to the facility with a nondisplaced tibial plateau fracture and possible compression fractures to the spine. Despite the ER discharge instructions indicating the need for a knee brace and non-weight bearing status, these orders were not entered into the electronic health record by the attending nurse, LVN B, upon the resident's return from the ER. LVN B admitted to not thoroughly reviewing the ER discharge paperwork, which led to the omission of critical care instructions. The Director of Nursing (DON) and the Administrator confirmed that it was the responsibility of the nurse on duty to input these orders into the electronic health record. The DON also stated that she reviews admissions and ER records during weekdays, while the weekend RN is responsible for this task over the weekend. However, in this case, the necessary orders were not communicated or entered, resulting in the resident not receiving the appropriate care. Interviews with the staff revealed a breakdown in communication and procedural adherence. LVN A, who received the initial call from the ER, was unaware of the specific orders, and LVN B failed to input the orders into the system. The DON emphasized the importance of reviewing ER records for new orders and diagnoses to ensure proper treatment plans. The Administrator reiterated that charge nurses are expected to follow physician's orders to provide the required care for residents. This lapse in procedure placed the resident at risk for not receiving appropriate care and treatment.
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What surveyors actually found near you
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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 Quitman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Mineola | 8.8 mi | — | 17 | 0 |
| Mineola Gardens Wellness & Rehabilitation | 9.7 mi | — | 6 | 0 |
| Avir At Winnsboro | 13.4 mi | — | 0 | 0 |
| Lakeview Rehabilitation & Healthcare Center | 13.4 mi | — | 13 | 0 |
| Avir At Bradburn | 17.6 mi | — | 4 | 2 |
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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.