Landmark of Desoto

    3068 Nail Rd, Horn Lake, MS 38637
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.50·(86)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.2
    • Staff

      4.6
    • Meals

      3.0
    • Amenities

      4.2
    • Value

      4.5

    Pros

    • Compassionate, attentive nursing staff
    • Strong administrator and leadership presence
    • Skilled rehabilitation and physical-therapy program
    • Friendly, welcoming caregiving staff
    • Active social and recreational programming
    • Personalized grooming and salon-style services
    • Clean, well-maintained interior and common areas
    • Hotel-like appearance and pleasant first impression
    • Spacious rooms and accessible outdoor seating
    • Responsive admission and acute-response practices
    • Effective maintenance and housekeeping teams
    • Smooth rehab admission and sign-in process
    • Family-like resident–staff relationships
    • Professional and courteous communication

    Cons

    • Variable staff professionalism and phone responsiveness
    • Gaps in family communication about clinical incidents
    • Inconsistent infection-control adherence
    • Food-service quality variability
    • Dated furnishings and cosmetic maintenance needs
    • Limited continuous observation and 24-hour monitoring capability
    • Staff workload pressures affecting responsiveness and medication workflows
    • Accessibility and sign-in interface challenges
    • Weaknesses in fall-risk management and transfer safety
    • Allegations of serious incidents and regulatory or legal action

    Summary of reviews

    Overall impression: Reviews show a facility with many operational strengths alongside several recurring concerns. Strengths center on caregiving and therapy: families and visitors commonly describe nursing, therapy, and direct-care staff as compassionate, attentive, and effective—with specific praise for physical therapy outcomes and mobility gains. The facility presents well on tours (described as hotel-like and clean), and maintenance and housekeeping receive consistent positive remarks. Social engagement and personal-care offerings such as activities, events, grooming (nails and hair), and resident-centered touches are frequent positives that contribute to a family-like atmosphere.

    Care and staff: Clinical and frontline staff are frequently characterized as thorough, kind, and responsive. Reviewers highlight decisive actions in acute situations, clear therapy-team communication, and an administrator who is engaged. At the same time, there are recurring concerns about variability in staff professionalism and telephone responsiveness. Several comments indicate that staff can be stretched thin—medication workflows and competing priorities were mentioned as factors that may affect responsiveness. Families should ask about staffing levels, shift coverage, and protocols for medication administration and urgent concerns during tours.

    Dining and activities: Activity programming and resident engagement are consistently praised, with many mentions of events, outings, and on-site social activities. Personalized attention—such as grooming services and special events—was highlighted as a quality-of-life strength. Dining feedback is mixed: while some residents enjoy meals, other reviewers described variability in food quality. Prospective residents may want to request a sample meal or ask about menu rotation, special-diet accommodations, and resident dining satisfaction measures.

    Facilities and safety: The facility is often described as very clean and pleasantly appointed, with spacious rooms and outdoor porches. However, a subset of reviewers noted cosmetic maintenance needs including dated furniture and repainting, which suggests uneven capital-maintenance prioritization. Safety-related operational issues also appear: references to falls, limited continuous observation, and concerns about transfer safety indicate potential gaps in fall-risk management and continuous supervision capabilities. Accessibility and sign-in processes were flagged by some visitors as awkward or difficult for those with certain disabilities; confirm accessibility features and visitor procedures during your visit.

    Management and notable patterns: Leadership receives mixed-but-often-positive marks for responsiveness and engagement, and some families reported that management acted quickly when notified of issues. Conversely, there are documented lapses in family communication about clinical incidents and care decisions; this includes dissatisfaction with how behavior-related admissions or incident notifications were handled. Importantly, a small number of reviewers raised serious concerns, including legal or regulatory complaints and questions about end-of-life care and incident handling. Those are significant issues that merit follow-up: ask management about licensing, recent surveys or citations, complaint resolution procedures, and any ongoing legal or regulatory matters.

    Recommendation for families: The facility shows clear strengths in rehabilitation, daily personal care, and resident engagement, and may be a strong match for residents who prioritize therapy and an active social environment. Before deciding, families should schedule an in-person tour, meet key clinical leaders, review staffing and infection-control policies, request recent inspection reports, inquire about fall-prevention programs and monitoring capabilities, sample meal service, and clarify communication protocols for clinical incidents and transitions of care.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Landmark of Desoto is located at 3068 Nail Rd, Horn Lake, MS, 38637.

    About Landmark of Desoto

    Landmark of Desoto sits at 3068 Nail Road West in Horn Lake, MS and has space for up to 60 residents, offering nursing home care for seniors who need extra help each day, especially with tasks like bathing, dressing, or keeping up with their medicines, and you'll find a range of caregiving services here, including skilled nursing, wound care, and memory care along with long-term care, hospice, and short-term rehabilitation for those recovering from surgery or medical events, and the community is built to offer a homelike atmosphere where people can age in place with regular medical monitoring and therapies to help keep or improve strength and movement, and what's important is that each resident has care that's tailored for their own physical or mental health needs that call for 24-hour attention, and there are different residential options depending on what fits best, plus people living here can join activities meant to nurture the body, mind, and spirit, and staff help with guidance and resources for long-term care, and while Landmark of Desoto gets a 3.4 rating from 17 reviews, that's part of the picture when considering care for older adults or for those needing recovery or rehabilitation, and the environment is calm, focused on wellness, and structured to support residents' day-to-day journeys, with amenities and services built for senior living.

    People often ask...

    Landmark of Desoto offers assisted living, memory care, and skilled nursing.

    There are 3 photos of Landmark of Desoto on Mirador.

    The full address for this community is 3068 Nail Rd, Horn Lake, MS 38637.

    No, Landmark of Desoto does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Mississippi, the State Department of Health licenses care facilities and publishes the survey, complaint, and infection-control reports from its inspections.

    License numbernh-255281
    Facility typeNursing Home
    Special certificationMedicaid/Medicare – Dually certified

    Inspection Reports

    59

    Reports

    57

    Citations

    18

    Complaints

    7

    Years

    01 Jun 2026Complaint
    Investigated a complaint and found no deficiencies.
    01 Jun 2026Complaint
    Found no deficiencies. The agency concluded compliance with Medicare and Medicaid participation after the investigation.
    01 Apr 2026Revisit
    Verified compliance was restored after addressing a prior deficient practice.
    01 Apr 2026Revisit
    Verified corrective actions addressed prior deficiencies and recommended returning to compliance.
    01 Mar 2026Inspection
    A detailed survey identified multiple deficiencies, including lack of informed consent for psychotropic medications, inadequate care planning, medication administration issues, improper catheter and ROM device management, infection control gaps, and storage problems.
    • CFR 483.10(c)(1)(4)(5)Right to be Informed/Make Treatment Decisions
    • CFR 483.60(a) or relatedCare/Residence Environment – Reasonable Accommodations Needs/Preferences
    • CFR 483.45(e) and relatedPsychotropic Drugs/Gradual Dose Reduction
    • CFR 483.20(g)(h)(i)(j)Accuracy of Assessments
    • CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • CFR 483.25(c)(1)-(3)Mobility
    • CFR 483.25(e)Incontinence/Catheter Management
    • CFR 483.45(f)(1)Medication Errors
    • CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
    • CFR 483.80(a)(1)-(4); (e); (f)Infection Prevention & Control
    01 Mar 2026Inspection
    Found deficiencies across residents' rights, medication management, range of motion, insulin labeling, infection control, and catheter care.
    • —Residents' Rights
    • —Urinary incontinence
    • —Range of motion
    • —Labeling of drugs
    • —Infection Control
    01 Mar 2026Inspection
    Found no deficiencies. Emergency preparedness requirements were met.
    01 Dec 2025Complaint
    Investigated a complaint alleging concerns about resident neglect and quality of care and found no deficiencies.
    01 Dec 2025Complaint
    Determined that no deficiencies were cited after a complaint investigation.
    01 Aug 2025Complaint
    Concluded that no deficiencies were cited in the complaint investigation.
    01 Aug 2025Complaint
    Found no deficiencies after the complaint investigation.
    01 Dec 2024Complaint
    Determined no deficiencies were cited during two complaint investigations conducted on 2024-12-31.
    01 Dec 2024Complaint
    Found no deficiencies after a complaint investigation.
    01 Nov 2024Revisit
    Determined that corrective measures were in place to address deficiencies and sustain compliance; recommended placing the provider back in compliance.
    01 Nov 2024Revisit
    Determined the facility was in compliance with Medicare and Medicaid participation requirements following a revisit survey.
    01 Nov 2024Revisit
    Found no deficiencies. Emergency preparedness requirements were met.
    01 Nov 2024Revisit
    Concluded the site is back in compliance after a follow-up survey.
    01 Oct 2024Inspection
    Found lack of a bypass isolation switch for the generator, affecting all residents.
    • NFPA 110, 6.4.4 and Annex BBypass isolation switch for generator
    01 Oct 2024Inspection
    Identified multiple deficiencies, including lack of privacy for residents, inadequate prevention and treatment of pressure ulcers, improper perineal care, incomplete management of urinary incontinence, and unsafe storage of medications at bedside.
    • 45.17.2Residents' Rights
    • 45.21.3Pressure sores
    • 45.21.4Urinary incontinence
    • 45.24.2Policies and procedures
    01 Oct 2024Inspection
    Found the generator lacked a bypass isolation switch, preventing proper transfer of load to alternate power sources.
    • NFPA 110 Chapter 6.4.4; Annex B; NFPA 101 Electrical Systems - OtherBypass isolation switch for generator
    01 Oct 2024Inspection
    An annual recertification survey identified multiple deficiencies, including violations of resident rights privacy, advance directives, comprehensive care planning, skin and wound care, catheter hygiene, medication control, bedside medications, and PBJ reporting.
    • CFR 483.10Resident Rights/Exercise of Rights
    • CFR 483.10(c)(6)(g)(12)(i)-(v)Request/Refuse/Discontinue Treatments; Formulate Advance Directives
    • CFR 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
    • CFR 483.25(b)(1)(ii)(iii)Treatment/Svcs to Prevent/Heal Pressure Ulcer
    • CFR 483.25(e)(1)-(3)Bowel/Bladder Incontinence, Catheter, UTI
    • CFR 483.45(a)-(c)Pharmacy Services
    • CFR 483.45(h)(1)-(2)Label/Store Drugs and Biologicals
    • CFR 483.70(p)(1)-(5)Payroll Based Journal
    01 Oct 2024Inspection
    Found no deficiencies related to emergency preparedness.
    01 Sept 2023Revisit
    Concluded that it was in compliance with the minimum standards. The agency recommended placing it back in compliance.
    01 Sept 2023Revisit
    Concluded the provider was placed back in compliance after corrective actions.
    01 Sept 2023Revisit
    Concluded that the operation was back in compliance after reviewing information related to the annual survey completed on 08/17/23.
    01 Aug 2023Inspection
    Identified deficiencies in care planning, personal hygiene, and infection prevention, including incomplete care plans for oral and nail care, inadequate ADL care, and improper cleaning of equipment between residents.
    • §483.21(b)(1), §483.21(b)(3)Develop/Implement Comprehensive Care Plan
    • §483.24(a)(2)ADL Care Provided for Dependent Residents
    • §483.80(a)(1)-(a)(2)(4)(e)(f)Infection Prevention & Control
    01 Aug 2023Inspection
    Found deficiencies related to generator electrical systems, including a missing bypass isolation switch and lack of documented annual testing records.
    • NFPA 110 Chapter 6.4.4 and Annex BElectrical Systems - Other
    • NFPA 110 Section 8.4.2Electrical Systems - Essential Electric System
    01 Aug 2023Inspection
    Found that the generator lacked a bypass isolation switch, preventing transfer power testing for the site. A contractor installed the switch and staff were briefed on Life Safety Code requirements.
    • NFPA 110, Chapter 6.4.4 and Annex BBypass isolation switch requirement for generator
    01 Aug 2023Inspection
    Investigated deficiencies in resident hygiene and infection control during the survey. Found inadequate ADL hygiene for two residents and failure to clean reusable equipment between residents.
    • 45.21.2Activities of daily living
    • 48.58.1Infection Control
    01 Aug 2023Inspection
    Identified deficiencies in care planning, personal hygiene, and infection prevention/control. Investigations found missing or not followed care plans for residents needing oral and nail care, inadequate ADL care, and improper cleaning of equipment between residents.
    • CFR 483.21(b)(1) and 483.21(b)(3)Develop/Implement Comprehensive Care Plan
    • CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
    • CFR 483.80(a)(1)-(2)(4)(e)(f)Infection Prevention & Control
    01 Aug 2023Inspection
    Verified emergency preparedness requirements were met during the review.
    01 Aug 2022Complaint
    Found no deficiencies during a complaint survey.
    01 Aug 2022Complaint
    Determined no deficiencies were found regarding the complaints and compliance with Medicare/Medicaid participation was maintained.
    01 Jun 2022Revisit
    Concluded corrective actions were in place and recommended restoration to compliance.
    01 Jun 2022Revisit
    Confirmed no deficiencies were found and placed back in compliance.
    01 Jun 2022Revisit
    Placed back in compliance after a desk review confirmed corrective measures addressing the deficient practice from the annual survey. The agency recommended compliance be effective 2022-06-02.
    01 Jun 2022Revisit
    Concluded that compliance was restored after prior deficiencies and recommended placing back in compliance.
    01 May 2022Inspection
    Identified a deficiency in maintaining a complete manual fire alarm system, including a tamper signal that could not be reset, potentially affecting all residents.
    • —Manual fire alarm system not maintained
    01 May 2022Inspection
    Found a failure to maintain a complete manual fire alarm system, with a tamper signal that could not be reset, potentially affecting all residents.
    • NFPA 101; NFPA 72; NFPA 70Fire Alarm System - Installation
    01 May 2022Inspection
    Confirmed compliance with emergency preparedness requirements. No deficiencies were cited.
    01 Apr 2022Inspection
    Found deficiencies in the accuracy of a resident MDS assessment and in enforcing staff COVID-19 vaccination requirements.
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.80(i)COVID-19 Vaccination of Facility Staff
    01 Apr 2022Inspection
    Determined compliance with Mississippi regulations for Minimum Standards for Institutions for Aged and Infirm; no deficiencies were cited.
    01 Jan 2022Infection Control
    Verified compliance with emergency preparedness requirements during a Covid-19 focused survey.
    01 Jul 2021Complaint
    Found no deficiencies after a complaint survey conducted from 7/13/21 to 7/14/21. The agency determined compliance with Medicare and Medicaid participation.
    01 Jul 2021Complaint
    Determined compliance with applicable regulations; no deficiencies were cited.
    01 Dec 2020Complaint
    Investigated failure to notify a resident's representative about a significant health status change after a COVID-19 positive test. Found deficiencies in timely notification and documentation.
    • §483.10(g)(14)Notification of Changes
    • §483.10(g)(15)Admission to a composite distinct part
    01 Dec 2020Complaint
    Investigated a complaint about failing to inform a resident's representative of a significant health status change. Found a deficiency related to residents' rights due to not notifying the representative of a positive COVID-19 test.
    • 45.17.2 Residents' RightsResidents' Rights
    01 Dec 2020Complaint
    Found that a resident's representative was not notified of a significant change in the resident's COVID-19 status, violating residents' rights.
    • 45.17.2Residents' Rights
    01 Dec 2020Infection Control
    Found no deficiencies related to COVID-19 emergency preparedness.
    01 Dec 2020Complaint
    Confirmed compliance with emergency preparedness requirements during a COVID-19 focused survey.
    01 Aug 2020Infection Control
    Found no deficiencies related to infection control and noted compliance with COVID-19 infection control practices.
    01 Aug 2020Infection Control
    Verified no deficiencies related to infection control during a COVID-19 focused survey.
    01 May 2020Infection Control
    Determined compliance with infection control requirements and noted implementation of CMS/CDC COVID-19 practices.
    01 May 2020Infection Control
    Found no deficiencies. The COVID-19 focused infection control survey showed compliance with infection control regulations.
    01 Dec 2019Infection Control
    Investigated a complaint and identified an infection-control deficiency; one complaint was substantiated.
    • —Infection control deficiency
    01 Sept 2019Complaint
    Identified deficiencies related to participation requirements. The finding indicated noncompliance with Medicare and Medicaid participation rules.
    • —
    • —
    • —
    01 Sept 2019Inspection
    Identified deficiencies in hospice communication affecting care planning and in medical records management for a discontinued medication. These findings indicated gaps in care coordination and medication record accuracy.
    • CFR 483.21(b)(1)Comprehensive Care Plans
    • CFR 483.25Quality of Care
    • CFR 483.70(i)(1)-(5); 483.20(f)(5)Medical Records; Identifiable Information
    01 Sept 2019Complaint
    Identified deficiencies in medical records management related to discontinuing a medication and documenting it correctly. Found inconsistent transcription of orders and failure to promptly remove discontinued medications from records.
    • 45.25.1Medical Records Management
    01 Sept 2019Inspection
    Identified deficiencies in medical records management due to a discontinued medication not being removed from the MAR and conflicting orders, risking continued administration.
    • 45.25.1Medical Records Management

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    Mirador Living is not affiliated with the owner or operator(s) of Landmark of Desoto. The information above has not been verified or approved by the owner or operator. For exact information, please contact Landmark of Desoto directly. There is no cost for this service. We are compensated by the community you select.

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