No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Copiah Living Center

806 West Georgetown Street, Crystal Springs, MS 39059 · For profit - Corporation · 60 certified beds · (601) 892-1880 Medicare & Medicaid certified

Call the home — (601) 892-1880 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Nov 2021
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Nov 2021
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
123 Bo Bo Dr · (601) 892-2225 · Call to confirm hours
Pharmacy
Grocery
506 W Marion Ave · (601) 308-5017 · Call to confirm hours
Park
114 Chatauqua Dr · (601) 892-0007 · Typically dawn to dusk
Place of worship
720 W Georgetown St · (601) 892-4274

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 2 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 1 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased16.2%20.5%15.4%typical
Long-stay residents who lose too much weight0.0%6.2%5.4%check this — see note marked star below the table
Long-stay residents with a catheter left in their bladder0.3%1.4%0.9%better
Long-stay residents with a urinary tract infection0.6%2.5%2.0%better
Long-stay residents with depressive symptoms0.0%1.6%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury1.0%3.1%3.3%better
Long-stay residents whose ability to walk worsened17.2%19.6%16.1%typical
Long-stay residents on antianxiety or hypnotic medication18.2%23.8%18.9%typical
Long-stay residents given the seasonal flu vaccine98.1%97.0%95.3%typical
Long-stay residents with pressure ulcers6.3%6.3%4.7%worse
Long-stay residents with worsening bladder/bowel control16.6%20.7%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table24.8%21.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%2.5%1.4%better
Short-stay residents given the seasonal flu vaccine90.0%84.6%79.4%better
Short-stay residents rehospitalized after admission19.2%27.7%22.6%better
Short-stay residents with an outpatient ER visit15.8%15.5%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.592.431.67worse
Long-stay outpatient ER visits per 1,000 resident days2.952.861.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

41.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 37 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

41.7%U.S. median 51.5%
Got home and stayed home
11.8%U.S. median 10.7%
Went back to hospital
38.1%U.S. median 56.6%
Met the expected recovery
0.51U.S. median 0.31
Therapy hours / resident / day
0.20hours / resident / day
Physical therapy
0.20hours / resident / day
Occupational therapy
0.11hours / resident / day
Speech therapy

Met the expected recovery: 38.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 21 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.51 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF41.7%CMS range 28.8–54.951.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.8%CMS range 7.5–16.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge38.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge52.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge33.3%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.9%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened8.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.2%CMS range 5.5–13.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.281.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.42
RN hours/ resident / day
0.96
LPN hours/ resident / day
2.69
Aide hours/ resident / day
4.07
Total nurse hours/ resident / day
0.21
RN hoursweekends
43.4%
Total nursing turnover
57.1%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 51.0 residents a day — about 85% occupied, or roughly 9 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.07 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.42 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.69 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.64 hrs/resident/day on weekends vs 4.24 on weekdays — 14% thinner on weekends. RN hours go from 0.50 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

5
deficiencies at the latest standard inspection (2025-05-08)
5
at the previous standard inspection (2023-11-02)

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · D2025-09-25 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, facility policy review and interviews, the facility failed to ensure resident right to respectful, dignified care as evidenced by staff failed to position themselves at the resident's side while assisting the resident with eating for one (1) of four (4) sampled residents. Resident #2 Findings included:Record review of the facility policy, Tray Setup for Resident Who Will Dine Independently with Latest Review Date 01/24 (January 2024) PURPOSE To ensure that the resident obtains sufficient nourishment and fluids.7. Provide beverage from meal tray. 8. Be attentive to resident's needs during the meal: offer appropriate assistance as needed.Record review of the facility policy revealed, Feeding the Dependent Resident with latest review date 01/24 (January 2024) revealed the policy stated, PURPOSE To ensure adequate nutrition for resident who are unable to feed themselves.PROCEDURE.Ensure that resident is seated comfortable in upright position.Record review of the facility policy Resident's Rights Policy with latest review date 03/24 (March 2024)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-25 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, facility policy review and interviews, the facility failed to promote dignity for a resident during dining as evidenced by a resident was observed unsafely positioned during a meal and the call light was out of reach for one (1) of four (4) sampled residents. Resident #1. Findings include: Record review of the facility policy Call Light/Bell with the latest review date 01/24 (January 2024) revealed PURPOSE To provide the resident a means of communication with staff members.PROCEDURE 1. Ensure resident has call light in reach when in resident room.7. Place the call light within the resident's reach before leaving the room .Record review of the facility policy, Tray Setup for Resident Who Will Dine Independently with Latest Review Date 01/24 (January 2024) PURPOSE To ensure that the resident obtains sufficient nourishment and fluids.7. Provide beverage from meal tray. 8. Be attentive to resident's needs during the meal: offer appropriate assistance as needed.Record review of the facility policy Feeding the Dependent Resident with the latest review…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-05-08 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, and facility policy review, the facility failed to ensure incontinent residents received appropriate care and services to prevent the possibility of urinary tract infection for two (2) of two (2) residents reviewed for perineal care, Resident #20 and Resident #38. This deficiency was also cited on the last Recertification Survey, therefore the scope/severity was increased to E representing a pattern. Findings included: A review of the facility's policy, Perineal Care, revised 1/24, revealed, Purpose to cleanse the perineum, eliminate odor, prevent irritation and to enhance the resident's dignity and self-esteem . Female-without catheter .5. Wash genital area, moving from front to back, while using a clean portion of the washcloth or pre-moistened wash wipe for each stroke . Male without catheter .5. Using the other hand gently cleanse from the tip to the base of the penis. Use a clean portion of the washcloth or pre-moisturized wash wipe after each stroke . Resident #20 A record review of Resident #20's admission Record revealed the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-05-08 · tag F0867 — failed to act on quality-improvement findings — pattern
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, staff interview, and facility policy review, the facility's Quality Assurance and Performance Improvement (QAPI) Committee failed to sustain corrective actions to prevent recurrence of previously cited deficiencies, specifically, the facility was cited for failing to ensure an incontinent resident received appropriate care and services to prevent the possibility of a urinary tract infection and failed to ensure infection control measures were consistently implemented to prevent the development and/or transmission of infection during an annual recertification survey on 11/2/2023. The facility was cited again for the same deficiencies during the current survey, demonstrating that QAPI failed to sustain ongoing monitoring and oversight to prevent recurrence for two (2) of five (5) deficiencies cited. F690 and F880 Findings included: A review of the facility's policy, Quality Assurance Performance Improvement Program (QAPI) with a revision date of 11/22 revealed, This facility shall develop, implement, and maintain an effective, comprehensive, data driven Quality…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-05-08 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and facility policy review, the facility failed to follow infection control practices during the provision of perineal care for two (2) of two (2) residents observed for perineal care, Resident #20 and Resident #38, as evidenced by not performing hand hygiene, using gloves inappropriately stored in pockets, continuing care with soiled gloves, and retrieving wipes from the packet with contaminated gloves, placing residents at risk for cross-contamination and infection. This deficiency was also cited on the last Recertification Survey, therefore the scope/severity was increased to E representing a pattern. Findings included: A review of the facility's policy, Infection Prevention and Control Program, revised 8/21, revealed, This facility has developed and maintains an infection prevention and control program that provides a safe, sanitary and comfortable environment to help prevent the development and transmission of infection . A review of the facility's policy,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-08 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, record review, and facility policy review, the facility failed to ensure residents' rights for respect and dignity, as evidenced by staff entering resident rooms and providing care while using personal cell phones and wearing earbuds, which residents described as rude and disrespectful. This deficient practice affected two (2) of 18 sampled residents, Resident #4 and Resident #43. Findings Included: A review of the facility's policy, Resident's Rights, dated 3/24, revealed, Every resident in this facility has the right to .12. Be treated courteously, fairly and with the fullest measure of dignity . Resident #4 On 5/8/25 at 9:28 AM, during an interview with Resident #4, she confirmed her concerns shared during the Resident Council meeting and explained that staff often entered her room while on the phone or wearing earbuds. She stated that she felt this was disrespectful and rude. A record review of the admission Record revealed the facility admitted Resident #4 on 3/11/21 with diagnoses including Unspecified Atrial Fibrillation. A record review of the Quarterly…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-08 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record review, and facility policy review, the facility failed to accurately code antipsychotic medications on the Minimum Data Set (MDS) for one (1) of eighteen (18) sampled residents, Resident #17. Findings included: A review of the facility's policy, Resident Assessment, revised 9/19, revealed, An assessment will be completed on each resident utilizing the MDS .The Registered Nurse is responsible for the completion of the assessment. The completed assessment guide the staffing in identifying key information about the resident and serves as a basis for identifying resident specific issues and objectives in order to develop a care plan. This process assists the resident in reaching the highest practical physical, mental and psychosocial well-being . A record review of the admission Record revealed the facility admitted Resident #17 on 4/23/21 and she had current diagnoses including Schizoaffective Disorder. A record review of the Comprehensive MDS with an Assessment Reference Date (ARD) of 2/10/25, revealed Resident #17 had a Brief Interview for Mental Status…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-11-02 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interviews and facility policy review, the facility failed to ensure items in the kitchen refrigerators, freezers, and dry storage room were dated, labeled, and discarded by the expiration date for one (1) of three (3) dietary observations. This has a potential to affect all residents receiving meals prepared by the facility's dietary department. Findings include: A review of the facility's policy titled Food Storage Labeling, with a revision date of 05/18, revealed, Policy: The facility will ensure the safety and quality of food by following good storage and labeling procedures. Procedure: 1. Labeling a. All temperature-controlled foods and ready-to-eat foods prepared in the facility and held for longer than twenty-four hours will be labeled. Information included on the label: Name of the food, Date of storage . 3. Rotation .b. Food stored in storage units will be surveyed routinely to identify and discard foods that have passed its manufacturer's use-by date or expiration date. Suggested time frames: Dry storage - Weekly, Refrigerator storage- Weekly .…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-11-02 · tag F0865 — failed to run a quality-improvement (QAPI) program — pattern
    Have a plan that describes the process for conducting QAPI and QAA activities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and facility policy review the facility's Quality Assurance and Performance Improvement (QAPI) Committee failed to ensure the program was sustained during transitions in leadership and failed to maintain implemented procedures and monitor the interventions the committee put into place in November 2021. This was for one (1) recited deficiency originally cited in November 2021, on an annual recertification survey. The deficiency was in the area of Infection Control for failure to perform hand hygiene during perineal care. The facility's continued failure during two federal surveys shows a pattern of the facility's inability to sustain an effective QAPI Committee. Findings include: Record review of the facility's policy, QAPI (Quality Assurance and Performance Improvement) Introduction and Purpose, with a revision date of 08/15, revealed . The QAPI program has been developed to incorporate the Continuous Quality and Quality Assurance (QA) process consisting of ongoing analysis of clinical data and program results, identifying and prioritizing opportunities for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-11-02 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record review, and facility policy review, the facility failed to ensure infection control measures were consistently implemented to prevent the development and/or transmission of infection for two (2) of 17 sampled residents. Residents #26 and #33 Findings include: Record review of facility's policy, Hand Hygiene, with a revision date of 8/21, revealed, PURPOSE To cleanse hands to prevent transmission of infection or other conditions. To provide clean health environment for residents, staff, and visitor . INDICATIONS FOR HAND WASHING . 3. Before and after procedures 4. Before and after applying gloves . 9. Wearing gloves does not replace the need to perform hand hygiene . Resident #26 On 10/31/23 at 2:50 PM, an observation of Certified Nursing Aide (CNA) #2 performing perineal care for Resident #26 revealed she did not perform hand hygiene prior to applying gloves. After she applied gloves and before beginning care, the resident's call light fell on the floor and the CNA picked…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · D2023-11-02 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and facility policy review, the facility failed to complete a Significant Change Minimum Data Set (MDS) assessment within 14 days for a resident with a physical and mental decline for one (1) of 21 sampled residents. Resident # 6 Findings include: A record review of the facility's policy Resident Assessment, with revision date 9/2019, revealed .The assessment will describe the resident's physical and mental deficits, strengths, and the requirements of assistance to meet their needs. The assessment will also identify risk factors associated with possible functional decline and describe the resident's objectives for maintaining or improving their functional abilities . During an interview on 11/1/23 at 11:28 AM, with Resident # 6 she revealed she was admitted to the facility for rehabilitation following a stroke. The resident explained that since admission, she had a fall and broke her hip. The resident commented that prior to the fall, she was able to get up and go to the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-02 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, record review, and facility policy review, the facility failed to ensure an incontinent resident received appropriate care and services to prevent the possibility of a urinary tract infection for one (1) of four (4) residents observed for incontinent care. Resident #27 Findings include: Record review of the facility's policy, Perineal Care, revised 10/18, revealed, .Female- Without Catheter . 5. Wash genital area moving from front to back, while using a clean portion of the washcloth or pre-moistened wash wipe for each stroke . 7. Dry genital area moving from front to back with towel . On 10/31/23 at 3:30 PM, an observation of perineal care on Resident #27, revealed Certified Nursing Aide (CNA) #2 did not thoroughly clean the genital area. The CNA used a pre-moistened wash wipe, but only wiped the exterior genital area front to back one time and did not dry the area with a towel. On 10/31/23 at 4:43 PM, in an interview with CNA #1, she stated she did not clean the perineal area properly. She stated she should have cleaned the genital area by wiping…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-10 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident? interviews record review and facility policy review the facility failed to notify the physician that dialysis Residents were not receiving their morning medications as prescribed on dialysis days for two (2) of two (2) sampled residents reviewed. Resident #12 and Resident #51. Findings include: A record review of the facility's Change in Resident Medical Status policy revealed a revision date of 09/17 stated, facility must immediately inform the resident; consult with the resident's physician; and notify, consistent with the resident representative when there is . 3. A need to alter treatment significantly .or change an existing treatment due to adverse consequences .). Resident #51 On 11/10/21 at 10:51 AM, in an interview with Licensed Practical Nurse #2 (LPN), stated Resident #51 does not get his 9 :00 AM medication on the days he goes to dialysis. She stated she did not notify the physician the resident's medication was not given. She stated the resident goes to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interview, record review and facility policy review the facility failed to ensure residents were free from neglect by failing to administer medications ordered by the physician on dialysis days for two (2) of two (2) residents reviewed for dialysis. Resident # 12 and Resident #51. Findings include: Record review of the facility's policy, Seven Components to Reduce, Detect, and Prevent Abuse and Neglect with an origination date of 06/19 revealed The facility has a comprehensive program to reduce, detect and prevent neglect of the residents Prevent-The facility has policies and procedures in place .to detect and prevent .neglect .IDENTIFY-The facility .maintains a proactive approach for identifying events .that may constitute .neglect .The objective .is to address .neglect at critical points . Record review of the Employee Corporate Compliance Code of Conduct date (05/18) revealed .4. Quality of Care: All .residents .are to be provided care in compliance with all federal…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-10 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff and resident interviews, record review, and facility policy review, the facility failed to ensure two (2) of two (2) sampled residents received written notice of transfer following a transfer to the hospital. Resident # 51 and Resident # 57. Findings Include: Review of the facility's policy, Notice of Hospital Transfer/Therapeutic Leave, revised 8/21, revealed . 2. When a resident is transferred to the hospital, or goes out on therapeutic leave, a copy of the completed form (notice) is provided to the resident, specifying the duration of the bed-hold according to the state plan, and the facility's policy regarding bed-hold periods. In case of emergency transfer, notice at the time of transfer means that the family or resident representative are provided with written notification within 24 hours of the transfer. The requirement is met if the resident's copy of the notice is sent with other papers accompanying resident to the hospital. The staff member completing the transfer paperwork .should also…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-10 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, record review and facility policy review the facility failed to accurately code the Minimum Data Set (MDS) for three (3) of 16 resident MDS reviewed, Resident # 19, Resident #25, and Resident #50. Findings Include: A record review of a statement provided by the facility revealed the MDS assessment staff members of (Formal name of facility) uses the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual for researching and documenting information on the MDS 3.0 Assessment. Record review of the David Drug Guide for Rehabilitation Professionals revealed Aspirin .Classification Therapeutic: antipyretic, nonopioid analgesics . Pharmacologic: salicylates. Record review of the Resident Assessment Instrument (RAI) User's Manual for the MDS 3.0, dated October 2019, revealed Section P: Restraints and Alarms . Assessors will evaluate whether or not a device meets the definition of a physical restraint and code only the devices that meet the definitions in the appropriate categories .Definition Physical Restraints Any manual method or mechanical device,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-10 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and facility policy review the facility failed to follow the comprehensive care plan for three (3) of (16) care plans reviewed. Resident #12, Resident #39 and Resident #51. Findings include: Record review of the facility's policy, Care Plan Process with a revision date of 08/17 revealed, The care plan format includes the Problem Statement, the Goal, the Interventions, the staff responsible to carry out the interventions . Resident #39 Record review of Resident #39's care plan with a Problem onset date of 2/4/2020 revealed .Is at high risk for skin break down and is frequently incontinent of bowel and bladder .Approaches .Incontinent care every two (2) hours and PRN(as needed) .Provide peri care following each incontinence episode. During an incontinent care observation, on 11/09/21 at 10:00 AM, CNA # 3 failed to follow Resident #39's care plan by failure to provide care in a manner to prevent the possible spread of infection when she cleansed the residents peri area in a circular…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-10 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, records review, and facility policy review the facility failed to provide care and services for residents receiving dialysis for two (2) of two (2) sampled residents. Resident #12 and Resident #51. Finding include: A record review of the facility's policy Hemodialysis-Care of Resident latest revision date 12/20, revealed Goal: . Dialysis center shall provide to the facility information on all aspects of the management of the resident's care related to the provision of dialysis services . Evaluation: 3. Notify physician immediately of problems . follow physician orders . Resident #51 On 11/10/21 at 10:45 AM, during interview with LPN #2, she explained none of Resident #51's morning medications are given for the morning medication pass on the days Resident #51 goes to dialysis due to Resident #51 is not in the building. When asked if meds are given when the resident returns to the facility, she explained no, the medications are not given at all on days Resident #51 goes to dialysis…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-10 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record reviews, and facility policy review, the facility's pharmacy consultant failed to review Electronic Medication Administration Records (EMAR) to ensure the correct medication process was completed for two (2) of two (2) dialysis residents reviewed. Resident #51 and Resident #12. Findings include: A record review of the facility's Pharmacist Services Policy with latest revision date of 11/17 revealed The facility shall have a written agreement for the provision of pharmaceutical services in order to meet the needs of the residents . B) Consultant: The facility will provide Pharmacy Consultation on all aspects of the provision of Pharmacy Services in the facility; i.e., there will be a monthly audit of medication processes in the facility to ensure the correct procedures are being followed. The Consultant Pharmacist shall .inspect medication processes . ensure proper administration of medications . On 11/10/21 at 11:05 AM, during a phone interview with the Pharmacy Consultant, she…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-10 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff and resident interview, record review, and facility policy review the facility failed to administer significant medications as ordered for two (2) of two (2) dialysis residents. Resident #12 and Resident #51. Findings include: Record review of the facility's policy, Drug Administration and Documentation, revision date 4/021, revealed .If a dose of regularly scheduled medication is refused, held or for some reason not given for more than two (2) doses in a row, notify the attending physician. Record review of the facility's policy, Medication Errors, revision date 03/2015, revealed .Note: a significant medication error is one that cause resident discomfort and or jeopardizes his/her health and or safety . Resident #51 On 11/10/21 at 10:51 AM, in an interview with Licensed Practical Nurse #2 (LPN), she stated Resident #51 does not get his 9:00 AM medication on the days he goes to dialysis. She stated she did not notify the physician the resident's medication was not given. She stated…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-10 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, record review and facility policy review the facility failed to prevent the possible spread of infection for two (2) of five (5) resident care observations (peri care and wound care). Resident #5 and Resident #39. Findings include: Record review of the facility's policy, Infection Prevention and Control Surveillance Policy, revision date 8/2021, it is policy of this facility to prevent infections whenever possible . Record review of the facility's policy, Hand Hygiene, with a revision date of 10/2017, revealed, Purpose . To cleanse hands to prevent transmission of infection or other conditions . Procedure .4. Before and after applying gloves . After contact with inanimate objects (including medical equipment). Review of the facility's, Perineal Care, policy revised 10/18 revealed . Female without a catheter . 5. Wash genital area, moving from front to back, while using a clean portion of the washcloth or pre-moistened wash wipe for each stroke. 6. When soap is used, rinse…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to THE BEEBE FAMILY — 48 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.8+0.2 vs chain
Health inspection 3 of 53.0≈ chain avg
Staffing 4 of 53.3+0.7 vs chain
Quality measures 2 of 52.0≈ chain avg
The other 47 homes this chain runs (chain average 2.8★, per CMS)
1 of 5Gulfport Care CenterGulfport, MS 1 of 5Heritage Manor Of Baton Rouge IIBaton Rouge, LA 1 of 5Heritage Manor Of OpelousasOpelousas, LA 1 of 5Humphreys Co Nursing CenterBelzoni, MS 1 of 5Lawrence Co Nursing CenterMonticello, MS 1 of 5Lexington HouseAlexandria, LA 1 of 5Riverview Care CenterBossier City, LA 1 of 5Southern Hills Healthcare And RehabilitationShreveport, LA 1 of 5The SummitAlexandria, LA 1 of 5Tishomingo ManorIuka, MS 2 of 5Attala County Nursing CenterKosciusko, MS 2 of 5Heritage Manor WestShreveport, LA 2 of 5Highland HomeRidgeland, MS 2 of 5Landmark Nursing Center HammondHammond, LA 2 of 5Landmark Of DesotoHorn Lake, MS 2 of 5Matthews Memorial Health Care CenterAlexandria, LA 2 of 5Myrtles Nursing Center, LLCColumbia, MS 2 of 5Perry County Nursing CenterRichton, MS 2 of 5Sardis Community NhSardis, MS 2 of 5Tunica County Health & Rehab, LLCTunica, MS 3 of 5Clarksdale Nursing CenterClarksdale, MS 3 of 5Heritage Manor Of Ville PlatteVille Platte, LA 3 of 5Heritage Manor of HoumaHouma, LA 3 of 5J G Alexander Nursing CenterUnion, MS 3 of 5Landmark Of RayneRayne, LA 3 of 5Landmark of Baton RougeBaton Rouge, LA 3 of 5Landmark of Lake CharlesLake Charles, LA 3 of 5Senior Village Nursing & Rehabilitation CenterOpelousas, LA 3 of 5Washington Care CenterGreenville, MS 4 of 5Audubon Health and RehabThibodaux, LA 4 of 5Brandon CourtBrandon, MS 4 of 5Camellia EstatesMcComb, MS 4 of 5Forest Manor Nursing and Rehabilitation CenterCovington, LA 4 of 5Heritage House Nursing CenterVicksburg, MS 4 of 5Heritage Manor Of SlidellSlidell, LA 4 of 5Heritage Manor Of Stratmore Nursing & Rehab CtrShreveport, LA 4 of 5Heritage Manor SouthShreveport, LA 4 of 5Hillcrest Nursing CenterMagee, MS 4 of 5Landmark Of AcadianaSaint Martinville, LA 4 of 5Landmark Of CollinsCollins, MS

Showing 40 of 47; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
ELTON G BEEBE SR IRRV GRNDCHILDRENS TROrganization5% OR GREATER DIRECT OWNERSHIP INTEREST15%since 01/01/2010
MEDICO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF85%since 01/01/2010
PARKINSON, TONIIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
ACCOUNT MANAGEMENT SERVICES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
ADMINISTRATIVE SYSTEMS INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
PROVIDENCE CARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
PROVIDER PROFESSIONAL SERVICES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
REGIONAL CARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2014
REGIONAL SERVICES, INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2023
TRISTAR REHAB INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
BEEBE, BOBBYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2023
BEEBE, ELTONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
BLACKARD, BOBBYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/16/2021
FLIPPIN, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2014
GALLAGHER, LIZABETHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 02/15/2022
STALLARD, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
WALKER, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/27/2010
COPIAH COMMUNITY CARE CENTER, LLCOrganizationADP OF THE SNFsince 01/01/2025
LINDA MAYNOROrganizationADP OF THE SNFsince 01/01/2011
NUTRITION SYSTEMS CONSULTING INCOrganizationADP OF THE SNFsince 01/31/2008
PHARMACEUTICAL CONSULTING SERVICES OF AMERICA LLCOrganizationADP OF THE SNFsince 03/28/2018
QSST TR FOR ALISON BEEBE SADLER DANOS AND HER DESCENDANTSOrganizationADP OF THE SNFsince 01/01/2025
QSST TR FOR FELICIA BEEBE STALLARD AND HER DESCENDANTSOrganizationADP OF THE SNFsince 01/01/2025

CMS files one row per role, so the 38 rows in the source record cover these 23 parties — each is shown once here with every role it holds. Nothing is omitted.

15 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$6.1M
Net patient revenuemost recent cost report
-1.1%
Operating marginrevenue minus expenses
$484K
Related-party expense8% of expenses
Who pays — share of resident-days
Medicaid 79%Medicare 18%Other / private 2%

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $484K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$353per resident / day
operating cost
$10,739per month
≈ monthly operating cost
$349per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MS

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Mississippi Medicaid page.

Typical monthly cost in Mississippi
$9,581/mo
Nursing home (semi-private)
$9,885/mo
Nursing home (private)
$4,369/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 255291. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-08, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

What to do next