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.
Reviews written on Mirador
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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 number
nh-255281
Facility type
Nursing Home
Special certification
Medicaid/Medicare – Dually certified
Inspection Reports
59
Reports
57
Citations
18
Complaints
7
Years
01 Jun 2026Complaint
01 Jun 2026Complaint
Investigated a complaint and found no deficiencies.
01 Jun 2026Complaint
01 Jun 2026Complaint
Found no deficiencies. The agency concluded compliance with Medicare and Medicaid participation after the investigation.
01 Apr 2026Revisit
01 Apr 2026Revisit
Verified compliance was restored after addressing a prior deficient practice.
01 Apr 2026Revisit
01 Apr 2026Revisit
Verified corrective actions addressed prior deficiencies and recommended returning to compliance.
01 Mar 2026Inspection
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
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
01 Mar 2026Inspection
Found no deficiencies. Emergency preparedness requirements were met.
01 Dec 2025Complaint
01 Dec 2025Complaint
Investigated a complaint alleging concerns about resident neglect and quality of care and found no deficiencies.
01 Dec 2025Complaint
01 Dec 2025Complaint
Determined that no deficiencies were cited after a complaint investigation.
01 Aug 2025Complaint
01 Aug 2025Complaint
Concluded that no deficiencies were cited in the complaint investigation.
01 Aug 2025Complaint
01 Aug 2025Complaint
Found no deficiencies after the complaint investigation.
01 Dec 2024Complaint
01 Dec 2024Complaint
Determined no deficiencies were cited during two complaint investigations conducted on 2024-12-31.
01 Dec 2024Complaint
01 Dec 2024Complaint
Found no deficiencies after a complaint investigation.
01 Nov 2024Revisit
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
01 Nov 2024Revisit
Determined the facility was in compliance with Medicare and Medicaid participation requirements following a revisit survey.
01 Nov 2024Revisit
01 Nov 2024Revisit
Found no deficiencies. Emergency preparedness requirements were met.
01 Nov 2024Revisit
01 Nov 2024Revisit
Concluded the site is back in compliance after a follow-up survey.
01 Oct 2024Inspection
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
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
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
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 483.21(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
01 Oct 2024Inspection
Found no deficiencies related to emergency preparedness.
01 Sept 2023Revisit
01 Sept 2023Revisit
Concluded that it was in compliance with the minimum standards. The agency recommended placing it back in compliance.
01 Sept 2023Revisit
01 Sept 2023Revisit
Concluded the provider was placed back in compliance after corrective actions.
01 Sept 2023Revisit
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
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
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
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
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
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
01 Aug 2023Inspection
Verified emergency preparedness requirements were met during the review.
01 Aug 2022Complaint
01 Aug 2022Complaint
Found no deficiencies during a complaint survey.
01 Aug 2022Complaint
01 Aug 2022Complaint
Determined no deficiencies were found regarding the complaints and compliance with Medicare/Medicaid participation was maintained.
01 Jun 2022Revisit
01 Jun 2022Revisit
Concluded corrective actions were in place and recommended restoration to compliance.
01 Jun 2022Revisit
01 Jun 2022Revisit
Confirmed no deficiencies were found and placed back in compliance.
01 Jun 2022Revisit
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
01 Jun 2022Revisit
Concluded that compliance was restored after prior deficiencies and recommended placing back in compliance.
01 May 2022Inspection
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
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
01 May 2022Inspection
Confirmed compliance with emergency preparedness requirements. No deficiencies were cited.
01 Apr 2022Inspection
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
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
01 Jan 2022Infection Control
Verified compliance with emergency preparedness requirements during a Covid-19 focused survey.
01 Jul 2021Complaint
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
01 Jul 2021Complaint
Determined compliance with applicable regulations; no deficiencies were cited.
01 Dec 2020Complaint
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
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
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
01 Dec 2020Infection Control
Found no deficiencies related to COVID-19 emergency preparedness.
01 Dec 2020Complaint
01 Dec 2020Complaint
Confirmed compliance with emergency preparedness requirements during a COVID-19 focused survey.
01 Aug 2020Infection Control
01 Aug 2020Infection Control
Found no deficiencies related to infection control and noted compliance with COVID-19 infection control practices.
01 Aug 2020Infection Control
01 Aug 2020Infection Control
Verified no deficiencies related to infection control during a COVID-19 focused survey.
01 May 2020Infection Control
01 May 2020Infection Control
Determined compliance with infection control requirements and noted implementation of CMS/CDC COVID-19 practices.
01 May 2020Infection Control
01 May 2020Infection Control
Found no deficiencies. The COVID-19 focused infection control survey showed compliance with infection control regulations.
01 Dec 2019Infection Control
01 Dec 2019Infection Control
Investigated a complaint and identified an infection-control deficiency; one complaint was substantiated.
—Infection control deficiency
01 Sept 2019Complaint
01 Sept 2019Complaint
Identified deficiencies related to participation requirements. The finding indicated noncompliance with Medicare and Medicaid participation rules.
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—
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01 Sept 2019Inspection
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
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
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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