Trend Health And Rehab Of Natchez, LLC
587 John R Junkin Drive, Natchez, MS 39120 · For profit - Limited Liability company · 80 certified beds · (601) 446-8426 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- it has 3 actual-harm citations
- a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $9,770 in federal fines (most recent 2023-09-21)
- its independent health-inspection rating is low (2/5)
- its facility-reported quality-measure rating is low (1/5)
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 1 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 1 of 5 |
| Long-stay residentspeople who live here | 1 of 5 |
| Short-stay residentsrehab / post-hospital | 3 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 held steady at 1 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 24.2% | 20.5% | 15.4% | worse |
| Long-stay residents who lose too much weight | 1.0% | 6.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.6% | 1.4% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 4.0% | 2.5% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 2.8% | 1.6% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 6.0% | 3.1% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 23.0% | 19.6% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 28.0% | 23.8% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 97.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.6% | 6.3% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 21.9% | 20.7% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 24.5% | 21.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 2.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 96.0% | 84.6% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 27.4% | 27.7% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 16.5% | 15.5% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.12 | 2.43 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 3.86 | 2.86 | 1.80 | worse |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ 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.
39.3% 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 36 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Therapy staffing: this home’s payroll records show 0.43 therapist hours per resident per day in 2026Q1 — more than 73% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 59% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 39.3%CMS range 25.4–53.9 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.5%CMS range 7.9–16.8 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 69.6% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | not 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 discharge | not 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 stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.6%CMS range 4.0–12.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.06 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 80 beds and averages 64.6 residents a day — about 81% occupied, or roughly 15 beds typically open. It usually has some room. 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 3.72 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.21 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.35 is below 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 3.20 hrs/resident/day on weekends vs 3.93 on weekdays — 19% thinner on weekends. RN hours go from 0.21 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 53% 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
Deficiencies are more than at the previous inspection — worsening. 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.
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.
23 citations, most serious first. The 13 most serious are shown; the remaining 10 are one tap away and print in full.
- Actual harm · G2023-09-21 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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
Based on interviews, record reviews and facility policy reviews, the facility failed to ensure that the comprehensive care plan was implemented by leaving a dependent resident unsupervised while performing Activities of Daily Living (ADL) for one (1) of 20 sampled residents. Resident #52 Findings include: Review of the facility's, Care Plan Policy, revised 8/17, revealed . The care plan must include measurable objectives and time frames and must describe the services that are to be furnished to attain or maintain the resident's highest practical physical mental, and psychosocial well-being. The care plan must be reviewed and revised periodically, on an ongoing basis to reflect the services provided or arranged, and must be consistent with resident's written plan of care. The facility shall use the results of the assessment to develop, review and revise the resident's comprehensive plan of care. The facility staff shall follow the care plan . Record review of the facility's Care Plan for Resident #52 revealed the resident had a Problem/Need identified on 3/2/22, as Resident has a DX…
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.
- Actual harm · Gcited before2023-09-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 supervise and protect a dependent resident to prevent injury for one (1) of five (5) residents reviewed for accidents. Resident #52 Finding include: Review of the facility policy, titled Accident Prevention revealed, Each resident shall receive adequate supervision and assistive devices to prevent accidents. The environment will be free from accidental hazards for all residents, staff, and visitors through: . Record review of the facility's policy, Resident Rights with latest revision date 11/17 revealed, All residents in a long term care facility have rights guaranteed to them under Federal and State Law. Residents residing at this facility will be guaranteed a dignified existence, self determination, and communication with and access to persons and services inside and outside the facility. These rights include: . 37. To a safe .environment. On 9/18/23 at 08:45 AM, an observation revealed Resident #52 sitting in bed with the head of the bed elevated and dry shaving himself. There was…
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.
- Actual harm · G2023-09-21 · tag F0725 — failed to have enough nursing staff — isolatedProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, Payroll Based Journal review and facility policy review, the facility failed to ensure sufficient nursing staff were available to provide nursing services for the resident's highest practicable well-being for the third quarter of 2023 for eight (8) of 26 weekend days and for three (3) days in the past two (2) weeks. This has the potential to affect all 72 residents in the facility. Findings include: A record review of the facility's policy Nursing Services-Staffing with latest revision date 11/17 revealed 1. Staffing- The facility will have sufficient nursing staff twenty-four hours every day to provide nursing and nursing related services to attain or help maintain the highest practicable physical, mental, and psychosocial well-being of each resident as is determined in the comprehensive assessment and the resident care plan. 2. The facility will comply with established staffing requirements by the individual state governing agencies . On 09/18/23 at 09:06 AM, during an interview with Certified Nurse Aide (CNA) #1, he explained Resident #52 asked…
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.
- Potential for harm · Dcited before2025-10-30 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 interview, record review, and facility policy review, the facility failed to ensure that 1 (one) of three (3) residents reviewed for dignity and respect was treated in a manner that maintained and upheld her personal dignity. This failure resulted in the resident feeling embarrassed and uncomfortable when two Certified Nurse Assistants (CNAs) made an inappropriate comment during personal care. Resident #1. Findings include: A record review of the facility policy Resident Rights updated 4/4/25 revealed, Employees shall treat all residents with kindness, respect, and dignity.Resident #1:Record review of the admission Record revealed the facility admitted Resident #1 on 5/20/25 with diagnoses including cerebral infarction.Record review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 8/21/25 revealed a Brief Interview for Mental Status (BIMS) summary score is 13, indicating Resident #1 is cognitively intact.A review of the facility's investigation revealed that on 9/17/25 at approximately 12:17 PM, Resident #1 reported to Social Services that…
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.
- Potential for harm · E2025-04-24 · tag F0867 — failed to act on quality-improvement findings — patternSet 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 failed to ensure a resident's right to smoke within the facility's designated smoke times during an annual recertification survey on 9/21/2023 and was cited again for the same deficiency during the current survey, demonstrating that QAPI failed to sustain ongoing monitoring and oversight to prevent recurrence for one (1) of 11 deficiencies cited. (F550) Findings included: A review of the facility policy, Quality Assurance and Performance Improvement (QAPI) Plan of Action 2025, revealed, Purpose Statement .Quality Assurance and Performance Improvement .guides our organization's efforts to proactively provide the highest quality of care and services for residents, families, and staff .Feedback, Data Systems, and Monitoring .Quality Assurance Program Tools .This facility's QAPI systems and processes are maintained with an…
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.
- Potential for harm · Dcited before2025-04-24 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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, interview, record review, and facility policy review, the facility failed to honor a resident's preference related to smoking during the scheduled smoking times, in accordance with the facility's designated smoking schedule, for one (1) of eighteen (18) residents reviewed for resident rights, Resident #15. Findings included: A review of the facility policy titled, A Matter of RIGHTS, undated, revealed, A Guide to Your Rights and Responsibilities as a Resident .Dignity and Respect .You have the right to dignity and respect in the care you receive and the setting you live in. This right includes the right: to be treated as an individual .It also means you have a right to expect care and a residential setting .reflects your individual preferences . A record review of the admission Record revealed the facility admitted Resident #15 on 7/5/24 with diagnoses including Type 2 Diabetes Mellitus. A record review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 2/12/25 revealed Resident #15 had a Brief Interview for Mental Status (BIMS)…
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.
- Potential for harm · D2025-04-24 · tag F0576 — isolatedEnsure residents have reasonable access to and privacy in their use of communication methods.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure residents receive mail on Saturdays, which affected one (1) of one (1) resident council members reviewed and had the potential to affect all 61 residents residing in the facility. Resident #26. Findings included: A review of the facility's policy titled, A Matter of RIGHTS, undated, revealed, A Guide to Your Rights and Responsibilities as a Resident . Dignity and Respect, you have the right to dignity and respect in the care you receive and the setting you live in. This right includes the right: to be treated as an individual . It also means you have a right to expect care and a residential setting . that reflects your individual preferences . On 4/23/25 at 10:30 AM, during a resident council meeting, Resident #26, the council president, reported that residents did not consistently receive mail on Saturdays. She stated that this concern had been brought up at every council meeting and confirmed that although some nurses would deliver the mail in the past, it was not received every Saturday. All residents in…
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.
- Potential for harm · D2025-04-24 · tag F0646 — isolatedNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.
What the surveyor found here — an excerpt from the official record, may be distressing
Resident #45 PASARR Final Version Based on interview and record review the facility failed to update the Level II Preadmission Screening and Resident Review (PASSAR) to reflect recent mental health diagnoses for one (1) of 18 residents sampled. Resident #45 Findings include: A review of the facility policy, Pre-admission Screening Application for Long Term Care (PASRR), 2/2024 revealed . A PASRR is required for every resident admission to long term care .There should be a Change In Status Form completed if resident is sent to a psychiatric hospital or other significant change . A record review of the facility's admission Record revealed the facility admitted Resident #45 on 10/13/22 with diagnoses including Unspecified Psychosis not due to a substance or known physiological condition (onset date 11/16/23) and Paranoid Schizophrenia (onset date 11/16/23). A record review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/23/25 revealed the staff's assessment of the residents' cognitive status was severely impaired. A record review revealed Resident…
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.
- Potential for harm · D2025-04-24 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
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 follow the physician's order to provide a nutritional supplement with meals to support nutritional status for one (1) of eighteen (18) sampled residents, Resident #27. Findings included: A review of the facility's policy titled Initiation of Order Changes and Discontinuation of Medications, dated 2/2012, revealed, .Procedure .The nurse will assure that the order is complete with date, time, drug, dose, route, and how often to be administered . A record review of the admission Record revealed the facility admitted Resident #27 on 12/22/21 and she had current diagnoses including Unspecified Dementia. A record review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/22/25 revealed Resident #27 had a Brief Interview for Mental Status (BIMS) score of 7, which indicated her cognition was severely impaired. A record review of the Order Summary Report revealed Resident #27 had a Physician's Order, dated 8/29/24 for Regular diet .Add boast (Boost, a type of…
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.
- Potential for harm · D2025-04-24 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and policy review, the facility failed to ensure oxygen-in-use signage was posted on the door for one (1) of one (1) resident reviewed for oxygen safety, Resident #39. Findings included: A review of the facility's policy, Oxygen Safety (undated), revealed: .General Guidelines .5. 'No Smoking' signs must be clearly visible in areas where oxygen is stored or in use. On 4/21/25 at 11:00 AM, Resident #39 was observed lying in bed with oxygen flowing at three (3) liters per minute. There was no oxygen caution signage posted on the resident's door. On 4/21/25 at 1:42 PM, during an observation and interview with Licensed Practical Nurse (LPN) #2, she confirmed there was no oxygen caution signage on Resident #39's door. She stated there should be one since oxygen was in use. On 4/22/25 at 11:15 AM, during an interview with the Director of Nursing (DON), she stated, there had been signage on the doors and explained there is a resident who is a known wanderer and likely removed the signs. She stated they had run out of signage for a couple of…
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.
- Potential for harm · D2025-04-24 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure 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 observation, interview, record review, and facility policy review, the facility failed to assess residents' ability to safely self-administer medications for two (2) of five (5) residents reviewed for medication administration, Resident #37 and Resident #50. Findings included: A review of the facility's policy titled, Self Administration of Medications, revised 11/2000, revealed, When a resident requests to self administer his/her medication, the resident will be assessed by the interdisciplinary team to determine if this practice is safe. This decision will be made by the interdisciplinary team before the resident exercises this right .Determining factors regarding residents' capabilities for self administration of medication discussed by the interdisplinary (sic) team are: 1) Mental ability: A resident must be fully oriented to time, place and person. Cognitive skills for decision must be consistent and reasonable .3) Must be physically able to accept control of the medication .5) Must have a…
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.
- Potential for harm · D2025-04-24 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure medications were stored securely for two (2) of five (5) residents reviewed for medication storage and administration, Resident #37 and Resident #50. Findings included: A review of the facility's policy titled, Medication Storage in the Facility, revised January 2018, revealed, .Medications and biologicals are stored safely, securely, and properly .The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications .Procedures .B .Medication rooms, carts, and medication supplies are locked when not attended by persons with authorized access . Resident #37 During an observation and interview on 4/22/25 at 7:25 AM, Licensed Practical Nurse (LPN) #3 retrieved an inhaler from Resident #37's bedside drawer, where it had been stored. LPN #3 stated the resident always kept it in the drawer in case she needed it and stated the medication should probably be kept locked up in the medication cart when not in use. A record…
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.
- Potential for harm · Dcited before2025-04-24 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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, interview, and facility policy review, the facility failed to store food in accordance with professional standards for food safety by not discarding expired items, failing to refrigerate opened perishable items, and improperly storing dry goods, for one (1) of two (2) kitchen observations. Findings included: A review of the facility's policy, Food Safety Requirements, dated 02/2023 revealed, Policy .Food will be stored . in accordance with professional standards for food service safety . Policy Explanation and Compliance Guidelines: 1. Food safety practices shall be followed throughout the facility's entire food handling process .b. Storage of food in a manner that helps prevent deterioration or contamination of the food, including from growth of microorganisms . 3. Facility shall inspect all food .for safe transport and quality upon delivery/receipt and ensure timely and proper storage .c. Refrigerated storage - foods that require refrigeration shall be refrigerated immediately upon receipt or placed in freezer .Practices to maintain safe refrigerated storage…
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.
Show the remaining 10 citations
- Potential for harm · D2025-04-24 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, record review, and facility policy review, the facility failed to follow infection prevention practices by not ensuring respiratory equipment was properly stored when not in use for one (1) of two (2) residents reviewed for respiratory services. (Resident #37) Findings Included: A review of the facility's Nebulizer and Oxygen Tubing Storage Policy, dated April 2007, revealed, .It is the policy of this facility to decrease the risk of potential and/or direct exposure to infectious disease, air contaminants and bacterial exposure. We will provide our residents with the proper storage and cleaning of respiratory equipment. Procedure .These tubings will be .stored in a dated plastic bag when not in use . On 4/22/25 at 7:37 AM, during an observation, Resident #37's oxygen and nebulizer tubing were observed unbagged, lying on each piece of equipment. No clean storage method was in place. A record review of the admission Record revealed the facility admitted Resident #37 on 11/15/24 with diagnoses including Chronic Obstructive Pulmonary Disease. A…
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.
- Potential for harm · Ecited before2025-04-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 investigate or determine root causes for Resident #38 for three (3) of seven (7) falls. (1/12/25, 2/13/25, and 2/25/25) Findings included: A review of the facility's Responsibility for Accident/Incident Reports Policy, dated 07/2016, revealed, It is the policy of this facility for all Incident and Accidents involving resident's to be investigated immediately upon knowledge of the incident. Procedure. Staff are to be trained how to investigate and document assessment of possible causes for the accident/incident. They are to obtain written statements from staff on duty and an possible witnesses to the incident. They are to document on the proper forms . A record review of the admission Record revealed the facility initially admitted Resident #38 on 01/09/25 with diagnoses including Cardiac Arrest. A record review of the Comprehensive Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 4/7/25, revealed Resident #38 had a Brief Interview for Mental Status (BIMS) score of 12,…
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.
- Potential for harm · Ecited before2023-09-21 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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, interviews, and facility policy review, the facility failed to discard 30 cartons of chocolate milk that expired on 9/11/23 for one (1) of four (4) days of observations of the kitchen. Findings include Review of the facility policy Food Storage Labeling with a received date of 05/18, revealed, POLICY: The facility will ensure the safety and quality of food by following good storage .procedures .Identify the food item's use by date or expiration date . b. Foods stored in storage units will be survey routinely to identify and discard foods that have passed its manufacturer use-by date or expiration date .Refrigerator Storage--Weekly . Observation on 9/18/23 at 8:31 AM, during an initial tour of the kitchen with the dietary manager, observed 30 cartons of chocolate milk in the refrigerator with an expiration date of 9/11/23. The milk was sitting in a black milk crate on top of the white milk in the refrigerator. The Dietary Manager said the staff use the milk in this refrigerator for the residents. During an interview on 9/21/23 at 8:50 AM, the Dietary Manager…
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.
- Potential for harm · Dcited before2023-09-21 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 observations, interviews, record reviews, and the facility policy review the facility failed to honor a resident's right to smoke at the designated times to smoke per facility's policy for one (1) of four (4) residents that smoke. Resident #46. Finding include: Record review of the facility's Smoking Policy, revised 10/22 revealed, The decision with regard to smoking is a personal matter and should be treated as such . Residents will be supervised by facility staff . Record review of the facility's policy, Resident Rights with latest revision date 11/17 revealed, All residents in a long term care facility have rights guaranteed to them under Federal and State Law. Residents residing at this facility will be guaranteed a dignified existence, self determination, and communication with and access to persons and services inside and outside the facility. These rights include: 1. The right to exercise his/her rights without interference, coercion, discrimination, or reprisal and shall be supported by the facility in the exercise of these rights . 30. To be treated with dignity…
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.
- Potential for harm · Dcited before2023-09-21 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
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 show evidence of an accurate Level I Preadmission Screening (PAS) to determine if the resident had a mental illness prior to admission to the facility for one (1) of 20 sampled residents. Resident # 56. Findings include: Review of the facility's policy, Pre-admission Screening PAS/PASRR (MS only), with a revision date of 10/18, revealed, Anyone applying for admission into a nursing facility must be approved prior to the admission by the Division of Medicaid (DOM) and/or the appropriate Level II authority. The PAS (Preadmission Screening) with Level I PASRR (Preadmission Screening and Resident Review) must be submitted to DOM and approved prior to admission to a nursing facility regardless of payment source. Level I PASRR (Pre-admission Screening and Resident Review) 1. Anyone applying for admission into a Title XIX certified facility must have a Level I PASRR that is completed, signed and dated by a physician licensed in the State of Mississippi. 2. The Level I PASRR will be submitted…
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.
- Potential for harm · Fcited before2020-03-12 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 interview, record review and policy review the facility failed to maintain the kitchen in a clean and sanitary condition as evidenced by not cleaning the thermometer during tray line temps, and failure to have the dishwasher at recommended water temperatures for two (2) of three (3) kitchen observations. Findings include: A review of the facility's Guidelines for Using Thermometers policy, dated 04/2014, revealed: The facility shall monitor temperatures of hazardous foods to maintain quality and safety of food served. Thermometers are cleaned and sanitized before and after each use to prevent cross contamination. An observation, on 03/10/2020 at 11:00 AM, during tray line temperature checks, Dietary Staff (DS) #2 checked food items, and did not clean the thermometer between checking each item. DS #2 checked the roast beef, chopped roast beef, pureed roast beef, mixed vegetables, pureed vegetables, rice, pureed rice, chopped pork meat and beans. Four (4) of the food items (chopped roast beef, pureed vegetables, pureed rice and pork meat) were below 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.
- Potential for harm · D2020-03-12 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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 failed to accurately code the Minimum Data Set (MDS) related to anticoagulants for one (1) of 22 resident MDS assessments reviewed, Resident #49. Findings include: Review of the facility's Resident Minimum Data Set (MDS) Assessment policy, with a revision date of 09/2019, revealed, an assessment will be completed on each resident utilizing the MDS. The Registered Nurse is responsible for verifying the completion of the assessment. Any healthcare professional that completes a portion of the assessment must sign and certify the accuracy of the portion of the assessment that they have completed. A record review of Resident #49's admission MDS Assessment, with an Assessment Reference Date of 02/07/2020, revealed, Section N410E (Medications Received) was marked to indicate an anticoagulant was given for six (6) during the seven (7) day lookback period for this assessment. Review of Resident #49's Physician Orders List of active orders, revealed, orders dated 02/04/2020, for an antiplatelet medication,…
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.
- Potential for harm · Dcited before2020-03-12 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, record review and facility policy review the facility failed to ensure a Pre-admission Screening and Resident Review (PASRR) was completed accurately to reflect Resident #40's diagnosis of a Major Mental Illness, for one (1) of 22 residents reviewed. Findings include: A review of the facility's Pre-admission Screening PAS/PASRR policy, with a revision date of 10/2018, revealed, anyone applying for admission to a nursing facility must be approved prior to the admission by the Division of Medicaid (DOM) and/or the appropriate Level II authority. When Level I screening on the PAS indicates possible Mental Illness or Intellectual Disability/Developmental Disability and related conditions, the DOM will notify Ascend to review the case. The Level II evaluation must occur prior to admission and whenever the resident has a significant change in status. When Level II evaluation is required the facility must receive an authorization letter approving admission to the nursing facility. The nursing facility must submit the Mississippi Tracking Form to Ascend upon…
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.
- Potential for harm · D2020-03-12 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, resident interview, record review, and facility policy review, the facility failed to revise care plan related to dialysis treatment for Resident #63, and anticoagulant use for Resident #25, for two (2) of 22 resident care plans reviewed. Findings include: Review of the facility's Care Plan Process policy, revised 8/2017, revealed, results of the assessment must accurately reflect the resident's status and needs, to be used to develop, review and revise the resident's comprehensive person-centered plan of care. The comprehensive care plan is an interdisciplinary communication tool. The care plan must be reviewed and revised periodically, on an ongoing basis to reflect the services provided or arranged, and must be consistent with each resident's written plan of care. Review of Resident #25's Care Plan, revealed, a focused problem, with an onset date of 12/30/2019, that addressed the potential for injury related to anticoagulant, with the next review on 03/03/2019. Interventions included to give medications as ordered. A review of Resident #25 '…
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.
- No harm found · C2023-09-21 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and facility policy review, the facility failed to ensure staffing information was posted in a prominent place readily accessible to resident and visitors for four (4) of four (4) survey days. Findings include: Review of the facility's policy, Posting of Staff, with a revision date of 10/22, revealed, As required by Federal mandate, on a daily basis, the facility must post the following data: 1. Facility Name 2. Current Date 3. Resident Census 4. Facility-specific shifts for the 24 hour period 5. Categories of nursing staff employed or contracted by the facility, per shift 6. Actual time worked for the specified categories of nursing staff 7. Number of nursing staff working per shift . Facility will display nurse staffing data in a clear and readable format and must be posted at the beginning of each shift, in a prominent place readily accessible to residents and visitors . On 09/18/23 at 11:00 AM, an observation revealed there was no posting of staffing noted throughout the building. On 09/19/23 at 3:35 PM, and observation revealed no posting of…
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.
“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.
- 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.
Fines & penalties
$9,770 in federal fines across 2 penalties.
- $4,885 — penalty dated 2023-09-21
- $4,885 — penalty dated 2023-09-21
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to TREND CONSULTANTS — 15 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 1 of 5 | 3.5 | -2.5 vs chain |
| Health inspection | 2 of 5 | 3.5 | -1.5 vs chain |
| Staffing | 3 of 5 | 4.1 | -1.1 vs chain |
| Quality measures | 1 of 5 | 2.0 | -1.0 vs chain |
The other 14 homes this chain runs (chain average 3.5★, per CMS)
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 / manager | Type | Role | Since |
|---|---|---|---|
| WARNOCK, LORI | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2025 |
| KELLY, CHARLES | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF; ADP OF THE SNF | since 01/01/2025 |
| TREND CONSULTANTS LLC | Organization | ADP OF THE SNF | since 01/01/2025 |
CMS files one row per role, so the 6 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
1 organizational owner 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.
About 90% 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 $68K 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
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
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.
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 255169. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-24, 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.