Mendenhall, MS

Bedford Care Center Of Mendenhall

1-star overall rating with 1-star inspections with $39,354 in total fines with 5 recent health deficiencies

925 West Mangum Avenue, Mendenhall, MS

(601) 847-1311

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

56

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Bedford Care Centers

Operator or chain grouping

Approved since

1992-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing

LPN hours / resident day

1.03

Licensed practical nurse staffing

Aide hours / resident day

2.23

Nurse aide staffing

Weekend hours

3.45

Weekend nurse staffing

RN turnover

67%

Annual RN turnover

Total nurse turnover

66%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 4.3
2.4
1.9 pts worse
1.9
2.4 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 5.4
2.9
2.5 pts worse
1.8
3.6 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
95.7%
4.3 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4%
97.0%
1.4 pts better
95.5%
2.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 8.1%
3.2%
4.9 pts worse
3.3%
4.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 8.4%
1.6%
6.8 pts worse
11.4%
3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.9%
6.1%
0.2 pts better
5.4%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 29.1%
24.4%
4.7 pts worse
19.6%
9.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 24.4%
23.4%
1 pts worse
16.7%
7.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 35.4%
22.8%
12.6 pts worse
16.3%
19.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 22.5%
20.6%
1.9 pts worse
14.9%
7.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
1.5%
1.1 pts better
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.5%
2.5%
2 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 28.2%
21.4%
6.8 pts worse
19.8%
8.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.7%
6.9%
1.2 pts better
5.1%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
87.9%
10.5 pts better
81.7%
16.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 23.0%
15.3%
7.7 pts worse
12.0%
11 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.6%
2.6 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were rehospitalized after a nursing home admission 35.6%
27.9%
7.7 pts worse
23.9%
11.7 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-06 · Fire 2025-02-06

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-09-07 · Fire 2023-09-07

14 health deficiencies

Top issue: Resident Rights (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-04-30 · Fire 2021-04-30

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

G · Actual harm 2025-12-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-01-12

E · Potential for more than minimal harm 2025-02-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-21

D · Potential for more than minimal harm 2025-02-06

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-03-21

D · Potential for more than minimal harm 2025-02-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-03-21

D · Potential for more than minimal harm 2025-02-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-03-21

K · Immediate jeopardy 2024-08-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-09-10

K · Immediate jeopardy 2024-08-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-10

G · Actual harm 2024-08-05

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-09-10

G · Actual harm 2023-12-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-12

G · Actual harm 2023-12-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-12

D · Potential for more than minimal harm 2023-09-07

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-09-07

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-09-07

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-09-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-09-07

F761 · Pharmacy Service Deficiencies

Health

Ensure 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.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-09-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-09-07

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-09-07

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2023-10-12

C · Minimal harm 2023-09-07

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2023-10-12

C · Minimal harm 2023-09-07

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2023-10-12

C · Minimal harm 2023-09-07

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-10-12

E · Potential for more than minimal harm 2021-04-30

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-05-31

D · Potential for more than minimal harm 2021-04-30

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-05-31

Penalties and ownership

What sits behind the stars

$30,602 2024-08-05

Fine

Fine · fine $30,602

Fine

$0 2024-08-05

Payment Denial

Payment Denial · denial start 2024-08-30 · 11 days

11 day denial

$4,376 2023-12-13

Fine

Fine · fine $4,376

Fine

$4,376 2023-12-13

Fine

Fine · fine $4,376

Fine

Ownership

Bedford Health Properties, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 7 facilities 2001-11-01
Bean, Lisa

Operational/Managerial Control · Individual

0% 2 facilities 2008-04-28
Bevon, Charles

Operational/Managerial Control · Individual

0% 4 facilities 2005-01-01
Bevon, Jack

Corporate Director · Individual

0% 7 facilities 2021-01-21
Bevon, Jack

Corporate Officer · Individual

0% 7 facilities 2021-01-21
Bevon, Nicole

5% Or Greater Indirect Ownership Interest · Individual

0% 7 facilities 2001-11-01
Bevon, Nicole

Corporate Director · Individual

0% 7 facilities 2001-12-01
Blackledge, Richard

Operational/Managerial Control · Individual

0% 2 facilities 2016-05-04
Gibson, Rhonda

Operational/Managerial Control · Individual

0% 2 facilities 1996-07-29
Gilbert, Heather

Operational/Managerial Control · Individual

0% 2 facilities 2024-12-01
Hattiesburg Medical Park Management Corp.

Operational/Managerial Control · Organization

0% 4 facilities 2001-11-01
Janet F Mcelroy Family Trust Fbo Nicole Mcelroy Bevon

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2025-01-27
Janet F. Mcelroy Family Trust Fbo Michael E. Mcelroy, Jr.

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2025-01-27
Martin, Robert

Operational/Managerial Control · Individual

0% 6 facilities 2022-06-08
Mcelroy, Michael

5% Or Greater Indirect Ownership Interest · Individual

0% 7 facilities 2001-11-01
Mcelroy, Michael

Operational/Managerial Control · Individual

0% 7 facilities 2022-02-15
Mcelroy, Michael

Corporate Director · Individual

0% 7 facilities 2022-02-15
Mcelroy, Michael

Corporate Officer · Individual

0% 7 facilities 2001-11-01
Mcelroy, Sonya

Corporate Officer · Individual

0% 7 facilities 2021-01-21
Michael E Mcelroy Family Trust Fbo Nicole Mcelroy Bevon

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2025-01-27
Michael E. Mcelroy Family Trust Fbo Michael E. Mcelroy, Jr.

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2025-04-25
Trustmark National Bank

5% Or Greater Mortgage Interest · Organization

0% 3 facilities 2015-01-26
Worrell, Stephen

5% Or Greater Indirect Ownership Interest · Individual

0% 7 facilities 2025-01-27

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