Choctaw Residential Center: ADL Care Failures Found - MS
Inspectors documented the condition of Resident #74 on March 3, 2025, at noon. He was lying in bed. The nails on his left hand had a brown substance on each one. One had broken off and was hanging inside his palm. His upper teeth, lower teeth, and lower gum line were covered in what inspectors described as a thick white substance.
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On March 5 at 7:50 in the morning, inspectors returned and observed the same resident. His appearance was unchanged. He told them he had asked staff in the past to brush his teeth.
Resident #74 has been at Choctaw Residential Center since February 2, 2022. He suffered a cerebral infarction and has hemiplegia on his left side, the nondominant side, leaving his fingers contracted and turned inward toward his palm. His care records classified him as totally dependent on staff for personal hygiene, requiring two people to assist him. A cognitive assessment completed in February 2025 gave him a perfect score of 15 out of 15, meaning he was fully aware of his condition and his surroundings.
He knew what was happening. He asked for help. Nobody came.
Ten minutes after speaking with the resident, inspectors interviewed Registered Nurse #1. She confirmed what they had already seen. The nails on his left hand were long, she said, and the contracted fingers turning inward toward his palm meant those nails could cause skin breakdown. She said nurses or aides could trim them. She looked at his teeth and said, "They need brushing." She confirmed that failing to brush a resident's teeth could cause gingivitis and tooth decay. She said aides were responsible for brushing his teeth every day.
That afternoon, the administrator told inspectors her expectation was that staff perform care tasks and document them accordingly.
The March 2025 documentation survey report for Resident #74 showed the facility's own records required total-dependence personal hygiene care with two-staff assist. Whether that care was being recorded as completed, the inspection report does not say. What inspectors saw on two separate mornings told its own story.
This deficiency was cited at the level of minimal harm or potential for actual harm, affecting few residents. It applied to one of 25 residents sampled during the inspection. The violation falls under the federal requirement that nursing facilities ensure residents who cannot perform activities of daily living receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene.
The facility's own policy, last revised in July 2014, states that nursing staff will identify the level of care a resident requires for daily living activities and provide accordingly.
Choctaw Residential Center sits at 135 Residential Center Road in Choctaw, Mississippi. The inspection was completed March 6, 2025.
What the record does not show is anyone explaining to Resident #74, a man with a perfect cognitive score who had already asked for help, why two days passed without anyone brushing his teeth or addressing the broken nail pressing into his palm.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Choctaw Residential Center from 2025-03-06 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 13, 2026 · Our methodology
Choctaw Residential Center in CHOCTAW, MS was cited for violations during a health inspection on March 6, 2025.
Inspectors documented the condition of Resident #74 on March 3, 2025, at noon.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.