Nmmc Baldwyn Nursing Facility
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/04/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Nmmc Baldwyn Nursing Facility
739 4th Street South Baldwyn, MS 38824
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0686
F 0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Level of Harm - Minimal harm or potential for actual harm
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.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
NMMC BALDWYN NURSING FACILITY in BALDWYN, MS inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BALDWYN, MS, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from NMMC BALDWYN NURSING FACILITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.