Choctaw Residential Center: Medication Error - MS
The resident, identified in inspection records only as Resident #90, was admitted to the facility on January 4, 2025, with diagnoses that included end-stage renal disease. The condition matters here because the kidneys filter medications from the blood, and a patient whose kidneys have failed entirely processes drugs differently than other patients. What form a medication takes, and how it is absorbed, is not a minor detail for someone in that situation.
Advertisement
Losing sleep over a loved one's care?
The Derila Ergo memory foam pillow supports your neck in any sleep position. 60-day return policy.
See the Derila PillowThe nurse involved, identified as LPN #4, administered Aspirin EC 81 mg, which is an enteric-coated tablet designed to pass through the stomach before dissolving. What the resident was supposed to receive was the chewable form of the same dose. The two are not interchangeable in the way the error might initially sound. Enteric-coated aspirin is absorbed more slowly and less predictably than chewable aspirin, and the distinction exists for clinical reasons.
She signed the medication administration record indicating the correct medication had been given. It had not been.
When a federal inspector interviewed LPN #4 on March 5, 2025, the nurse confirmed what had happened. She said she had given the incorrect form of aspirin and that she had realized it afterward. She also confirmed she had not thoroughly checked the six rights of medication administration before giving the drug. The six rights, a basic framework taught in nursing school, require a nurse to verify the right patient, the right drug, the right dose, the right route, the right time, and the right documentation before administering anything. LPN #4 told the inspector that if she had checked all six, she likely would not have made the error.
That admission is the core of what inspectors documented. Not a system that failed invisibly, not a chain of miscommunications, not a staffing collapse that left one exhausted nurse making a desperate judgment call. A nurse skipped a standard check, gave the wrong medication to a patient with a serious chronic illness, recorded it as correct, and only acknowledged the mistake when asked about it during an inspection.
The Centers for Medicare and Medicaid Services rated the harm level as minimal harm or potential for actual harm, and noted that few residents were affected. Those classifications are part of a formal deficiency scoring system, and they place this incident toward the lower end of the severity scale. The inspection was completed March 6, 2025.
What the record does not contain is any account of whether Resident #90 was informed that the wrong medication had been given. It does not say whether a physician was notified. It does not say whether anyone reviewed the resident's condition in the aftermath or whether the signed medication record was corrected before the inspection brought the error to light.
End-stage renal disease is a condition with no recovery. Patients manage it, they do not resolve it. Every medication decision for someone living with it carries weight that it might not carry for another patient, because the body's ability to process and clear drugs is permanently compromised. A chewable aspirin and an enteric-coated aspirin are both 81 milligrams, and in many patients the difference might be clinically modest. In a patient whose kidneys have stopped working, the question of how a drug is absorbed and how quickly is a more serious one.
Resident #90 was two months into a stay at Choctaw Residential Center when the error occurred. The inspection report does not say how they are doing now.
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.
What form a medication takes, and how it is absorbed, is not a minor detail for someone in that situation.
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.