"I get nervous and stressed at night when I go to bed," the woman told federal inspectors on December 30. "I'm afraid to move and I try to lay as still as I can, so I don't urinate because I know they are always out of diapers."
The resident pays to live at Tishomingo Manor, where staff routinely tell her they have no incontinence supplies. When she asks for diapers, staff respond: "Well, they didn't give us anymore."
Her fear is specific and immediate. She cannot bear "the thought of having to urinate on a bedsheet."
Another resident described the daily scramble that unfolds when basic supplies disappear. This resident uses a suprapubic catheter but needs diapers for bowel movements.
"The diaper issue is just totally ridiculous," the resident said. "They run out all the time, and they run around different rooms trying to find me one when I need to have a bowel movement."
The resident is always incontinent of bowel and prefers wearing a brief at all times. Staff sometimes substitute a sheet between the resident's legs when diapers are unavailable.
"I don't like it when they try to do the sheet between my legs," the resident told inspectors.
Both residents are cognitively intact, according to their most recent assessments. The first resident scored 14 on a mental status evaluation, while the second scored 13. Both understand exactly what is happening to them.
The first resident lives with spinal stenosis, end-stage heart disease, and anxiety disorder. Medical records show she is always incontinent of both bowel and bladder. The second resident has polyneuropathy, atherosclerotic heart disease, and neuromuscular dysfunction of the bladder, requiring the indwelling catheter.
Federal inspectors documented these accounts during a complaint investigation at the Mississippi facility. The inspection revealed that some residents experienced actual harm from the supply shortages.
The frightened resident explained why she has not complained to facility management about the chronic shortage. "I try to get along, and I figured it wouldn't do any good anyway."
She asked inspectors directly for help. "Will you please do something about this?"
The resident described her situation as causing "a lot of mental anguish, not having the incontinent supplies that she needs." Her anxiety extends beyond the physical discomfort to the psychological burden of lying perfectly still each night, calculating whether any movement might trigger an accident.
For residents who cannot control their bodily functions, the absence of proper supplies transforms basic human dignity into a nightly ordeal. The fear of soiling bedsheets becomes a prison of immobility.
The facility's approach to the shortage appears haphazard. Staff members search "different rooms" looking for supplies when residents need them, suggesting no systematic inventory or distribution process exists.
The resident with the catheter emphasized the absurdity of the situation given the cost of care. "For what I'm paying to be in this facility, they should be providing my diapers."
Both residents revealed that supply shortages occur regularly, not as isolated incidents. The pattern suggests a facility that cannot maintain adequate inventory of basic necessities for residents who depend entirely on staff for their most fundamental needs.
The inspection occurred on December 30, documenting violations that affect the daily lives of people who have no alternative but to rely on Tishomingo Manor for their care. The residents' own words reveal the human cost of administrative failures that reduce dignified care to a desperate search through empty supply rooms.
One resident lies motionless each night, afraid to move. Another waits for staff to finish searching other rooms for a basic necessity. Both pay for care that leaves them managing fear and indignity instead of receiving the support they need.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Tishomingo Manor from 2025-12-30 including all violations, facility responses, and corrective action plans.