Trend Health & Rehab Carthage: Medication Failure - MS
The resident, identified in inspection records only as Resident #1, had been living at the facility with a constellation of serious diagnoses: chronic obstructive pulmonary disease, pulmonary hypertension, diastolic heart failure, and chronic kidney disease. A mental status assessment completed in early April 2025 gave her a score of 4 out of 15, indicating severe cognitive impairment. She could not advocate for herself.
Her doctor had ordered an increase in her Lasix, a medication used to reduce fluid buildup in patients with heart failure. The increase never happened. A consultation sheet that should have been part of her record was missing entirely.
On the morning of May 12, the assistant director of nursing obtained orders to transfer her to the hospital. Her edema had worsened. She had developed a fever. Emergency department notes confirmed she arrived with edema and a urinary tract infection.
When inspectors interviewed the director of nursing on September 24, she confirmed the hospitalization and its cause.
The administrator said he had no idea the Lasix dose had never been increased, and no idea the consultation sheet was gone. His explanation for how that could happen: if staff didn't receive the forms, they should have followed up to get them. Nobody had.
That gap, between what a physician ordered and what staff actually did, sat undetected long enough for a woman with failing kidneys and a failing heart to accumulate enough fluid that she needed emergency care.
The inspection was triggered by a complaint. Federal inspectors rated the harm level as minimal harm or potential for actual harm, a designation that reflects the lower end of the agency's harm scale. Whether that rating captures the full weight of what happened to a woman who could not speak up for herself, who could not notice her own worsening condition and demand that someone check her chart, who depended entirely on the staff around her to carry out what her doctor had prescribed, is another question.
The facility sits in Leake County, a rural stretch of central Mississippi where hospital access is not immediate and where a transfer to the emergency department is not a minor inconvenience. For a woman with chronic kidney disease and diastolic heart failure, an untreated fluid buildup is not an abstraction.
Her cognitive score of 4 means she was unable to reliably answer even basic orientation questions. She could not have told a nurse she felt worse. She could not have asked why her medication hadn't changed. She could not have flagged the missing paperwork. The entire system of oversight that was supposed to protect her rested with the staff, and the staff did not follow through.
The administrator's framing, that employees who didn't receive forms should have followed up, places the responsibility on a process that clearly had no one accountable for completing it. A consultation sheet does not disappear without someone failing to file it. A medication order does not go unexecuted without someone failing to check it.
Inspectors noted the deficiency under F0684, which covers the standard requiring facilities to ensure residents receive care and treatment in accordance with professional standards of practice and physician orders.
By the time anyone at Trend Health & Rehab recognized what had not been done, Resident #1 was already in an emergency department, sixty-three days after the Lasix order was written, being treated for edema and a urinary tract infection she had also developed while in the facility's care.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Trend Health & Rehab of Carthage LLC from 2025-09-24 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 13, 2026 · Our methodology
TREND HEALTH & REHAB OF CARTHAGE LLC in CARTHAGE, MS was cited for violations during a health inspection on September 24, 2025.
A mental status assessment completed in early April 2025 gave her a score of 4 out of 15, indicating severe cognitive impairment.
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.