NMMC Baldwyn Nursing Facility: Wound Care Failures - MS
Federal inspectors cited NMMC Baldwyn Nursing Facility in November 2025 for failing to provide care in accordance with physician orders, rating the deficiency as causing actual harm. The resident at the center of the finding was cognitively intact, with a Brief Interview for Mental Status score of 13, meaning he understood what was happening to him and what he stood to lose.
His situation had already been assessed as dire. A physician progress note from August 19, 2025, documented that vascular surgery had declined to recommend revascularization because the resident was bedbound and had too many comorbidities to withstand the procedure. The note stated plainly that the resident would eventually require a left above-the-knee amputation.
A month later, on September 20, 2025, a wound care center physician issued a new order. Staff were to cleanse the left lower leg with normal saline, pat it dry with gauze, apply an Adaptic wound dressing to the wound bed, cover it with an abdominal pad, and wrap it with Kerlix. That was to happen twice daily.
It was not happening twice daily.
The assistant director of nursing, interviewed by inspectors on November 4, confirmed what the records showed. She acknowledged that staff failing to complete wound care as ordered could lead to worsening wounds. That was not a disputed point. The wound care was ordered precisely because the leg was already in serious trouble, already on a documented path toward amputation.
The director of nursing spoke with inspectors the following morning. She said she was aware the facility had concerns about treatments not being completed, but not to the extent that inspectors had identified. Then she said she was unsure of the reason the wound care was not being completed.
That answer, offered by the person responsible for overseeing nursing care at the facility, is what the inspection record preserves.
The resident knew his prognosis. A BIMS score of 13 out of 15 indicates full cognitive function. He was not confused about his circumstances. Vascular surgeons had already closed the door on saving the limb through revascularization. What remained was wound management, keeping the tissue as stable as possible for as long as possible, slowing what the physician's note had already described as inevitable.
The twice-daily dressing changes were the plan. Cleanse, dry, dress, wrap. Twice a day. It is not a complicated protocol. It is the kind of task that gets logged in a treatment record, which is precisely how inspectors were able to determine it was not being done.
The director of nursing did not offer a staffing explanation. She did not cite a supply problem or a documentation error or a miscommunication between shifts. She said she did not know.
Inspectors rated the deficiency under F0684, which covers the requirement that residents receive care consistent with professional standards, including following physician orders. The level of harm was marked actual, not potential. The number of residents affected was listed as few.
The facility, operated under the NMMC health system and located at 739 Fourth Street South in Baldwyn, had no explanation in the public record for why the ordered care was not delivered to a man who already knew he was going to lose his leg.
He was cognitively intact throughout.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Nmmc Baldwyn Nursing Facility from 2025-11-04 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 6, 2026 · Our methodology
NMMC BALDWYN NURSING FACILITY in BALDWYN, MS was cited for violations during a health inspection on November 4, 2025.
His situation had already been assessed as dire.
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.