Nmmc Baldwyn Nursing Facility
NMMC BALDWYN NURSING FACILITY in BALDWYN, MS — inspection on November 4, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
was 13, indicating the resident was cognitively intact.
Record review revealed a Medical Doctor progress note dated 08/19/25 that stated, Vascular surgery did not recommend revascularization due to bedbound and comorbidities.
Patient will eventually require left (L) above the knee amputation (AKA).
Record review of wound care center physician order dated 09/20/25 for an order to change dressing from once daily to twice daily (BID).
Current treatment order is for left lower leg (LLL) cleanse with normal saline, pat dry with gauze, place Adaptic wound dressing to wound bed, cover with abdominal pad (ABD) and wrap with kerlix BID.An interview with the Assistant DON on 11/4/25 at 11:20 AM confirmed that staff failing to complete wound care as ordered could lead to worsening wounds.An interview with the DON on 11/5/25 at 11:30 AM confirmed she was aware the facility had concerns with treatments not being completed but not to the extent identified.
She also stated she was unsure of the reason the wound care was not being completed.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/04/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Nmmc Baldwyn Nursing Facility
739 4th Street South Baldwyn, MS 38824
SUMMARY STATEMENT OF DEFICIENCIES
Based on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure wound care treatments were completed as ordered for two (2) of three (3) residents reviewed for pressure ulcer wound care (Residents #2 and #3).
Findings include:
Review of the facility policy titled Skin and Wound Care, last reviewed 5/2/24, revealed: Policy: It is the policy that skin anomalies should be identified, and basic wound care should be provided.
Resident #2An interview with Resident #2 on 11/3/25 at 11:00 AM revealed she had a wound on the back of her right leg.
She confirmed there had been a few times over the past month that her treatment had not been completed.
Record review of wound care orders for Resident #2's right upper leg stage (4) pressure injury (PI) revealed orders dated 8/21/25 and 10/20/25, with treatment intervals of daily.
Record review of Resident #2's October/November 2025 Treatment Flow Sheet for the right upper posterior leg revealed the treatment was not completed as ordered five (5) times from 10/1/25 through 11/3/25.
Record review of the demographic sheet for Resident #2 revealed the facility admitted the resident on 2/3/25 with a diagnosis of paraplegia.
Record review of Resident #2's Section C of the Minimum Data Set (MDS) revealed that on 8/6/25, the Brief Interview for Mental Status (BIMS) score was 15, indicating the resident was cognitively intact.Resident #3Record review of wound care orders for Resident #3's sacral stage (4) pressure injury revealed orders dated 9/20/25, 10/14/25, and 10/22/25, with treatment intervals of two (2) times daily.
Record review of Resident #3's October/November 2025 Treatment Flow Sheet for the sacral stage (4) pressure injury revealed the treatment was not documented as completed as ordered nine (9) times from 10/1/25 through 11/3/25.
Record review of the demographic sheet for Resident #3 revealed the facility admitted the resident on 5/14/25 with a diagnosis of metastatic disease in the pelvis and a stage (4) pressure ulcer of the coccygeal region.On 11/4/25 at 11:20 AM, in an interview with the Assistant Director of Nursing (ADON) confirmed that staff failing to complete wound care as ordered could lead to worsening wounds.On 11/5/25 at 11:30 AM, an interview with the Director of Nursing (DON) confirmed she was aware the facility had concerns with treatments not being completed but not to the extent identified.
She also stated she was unsure of the reason the wound care was not being completed.
Facility ID: