Cycle 1
Health 2025-11-20 · Fire 2025-11-20
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Newton, MS
Bedford Care Center Of Newton
5-star overall rating with 5-star inspections with 1 recent health deficiencies
1009 South Main Street, Newton, MS
(601) 683-6601
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Bedford Care Centers
Operator or chain grouping
Approved since
1992-08-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 3 overall / 3 health / 4 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.67
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
3.03
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.69
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.66
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
4.24
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
5.49
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
410
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
70.52
Composite VBP score used to determine payment impact.
Payment multiplier
1.0226
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
6.81
Baseline 61.84% · Performance 35.85% · Measure score 6.81 · Achievement 6.81 · Improvement 6.53
Adjusted total nurse staffing
7.29
Baseline 4.85 hours · Performance 5.15 hours · Measure score 7.29 · Achievement 7.29 · Improvement 2.77
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.59% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 33 · Observed rate 9.09% · Lower 95% interval 7.05% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.39 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 76.19% |
95.27%
19.1 pts worse
|
Numerator 16 · Denominator 21 |
| Falls with major injury | 4.76% |
0.77%
4 pts worse
|
Numerator 1 · Denominator 21 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 4.76% |
2.29%
2.5 pts worse
|
Numerator 1 · Denominator 21 · Adjusted rate 2.92% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 5.41% |
8.2%
2.8 pts worse
|
Numerator 4 · Denominator 74 |
| Staff flu vaccination coverage | 32.56% |
42%
9.4 pts worse
|
Numerator 28 · Denominator 86 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.4
0.3 pts better
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.5 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.9
1.4 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.4% |
97.0%
0.6 pts worse
|
95.5%
0.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.4% |
3.2%
4.2 pts worse
|
3.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.4% · Q3 9.1% · Q4 13.0% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.5% |
1.6%
1.9 pts worse
|
11.4%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 6.1% · Q3 2.0% · Q4 2.1% · 4Q avg 3.5% |
| Percentage of long-stay residents who lose too much weight | 7.3% |
6.1%
1.2 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.0% · Q3 11.3% · Q4 11.8% · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.4% |
24.4%
1 pts worse
|
19.6%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 23.1% · Q3 27.8% · Q4 27.8% · 4Q avg 25.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.5% |
23.4%
3.9 pts better
|
16.7%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 14.0% · Q3 18.2% · Q4 28.6% · 4Q avg 19.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.9% |
0.2%
0.7 pts worse
|
0.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 1.8% · Q4 0.0% · 4Q avg 0.9% |
| Percentage of long-stay residents whose ability to walk independently worsened | 33.6% |
22.8%
10.8 pts worse
|
16.3%
17.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.7% · Q2 43.3% · Q3 22.1% · Q4 16.7% · 4Q avg 33.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.8% |
20.6%
10.2 pts worse
|
14.9%
15.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 28.6% · Q3 26.0% · Q4 36.0% · 4Q avg 30.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.0% |
1.5%
0.5 pts worse
|
1.0%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.7% · Q3 1.2% · Q4 1.6% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
2.5%
0.1 pts better
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.7% · Q3 1.9% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% |
21.4%
2.1 pts worse
|
19.8%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 26.8% · Q3 15.0% · Q4 23.9% · 4Q avg 23.5% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
6.9%
3.3 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.2% · Q3 1.7% · Q4 2.2% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.9%
12.1 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.6% |
15.3%
6.7 pts better
|
12.0%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 10.0% · Expected 13.0% · Used in QM five-star |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.0% |
27.9%
7.1 pts worse
|
23.9%
11.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.0% · Observed 36.7% · Expected 25.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-30 · Fire 2024-05-30
5 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-11-16 · Fire 2022-11-16
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-20
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-12-18
E · Potential for more than minimal harm
2024-05-30
F564 · Resident Rights Deficiencies
Health
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Corrected 2024-07-05
D · Potential for more than minimal harm
2024-05-30
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-07-05
D · Potential for more than minimal harm
2024-05-30
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-07-05
D · Potential for more than minimal harm
2024-05-30
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 2024-07-05
D · Potential for more than minimal harm
2024-05-30
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 2024-07-05
D · Potential for more than minimal harm
2022-11-16
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-12-23
D · Potential for more than minimal harm
2022-11-16
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-12-23
D · Potential for more than minimal harm
2022-11-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-23
Penalties and ownership
What sits behind the stars
Ownership
Janet F Mcelroy Family Trust Fbo Nicole Mcelroy Bevon
5% Or Greater Indirect Ownership Interest · Organization
Janet F. Mcelroy Family Trust Fbo Michael E. Mcelroy, Jr.
5% Or Greater Indirect Ownership Interest · Organization
Michael E Mcelroy Family Trust Fbo Nicole Mcelroy Bevon
5% Or Greater Indirect Ownership Interest · Organization
Michael E. Mcelroy Family Trust Fbo Michael E. Mcelroy, Jr.
5% Or Greater Indirect Ownership Interest · Organization
Bean, Lisa
Operational/Managerial Control · Individual
Bedford Health Properties, LLC
5% Or Greater Direct Ownership Interest · Organization
Bevon, Jack
Corporate Director · Individual
Bevon, Jack
Corporate Officer · Individual
Bevon, Nicole
5% Or Greater Direct Ownership Interest · Individual
Bevon, Nicole
Corporate Director · Individual
Gilbert, Heather
Operational/Managerial Control · Individual
Mcelroy, Michael
5% Or Greater Direct Ownership Interest · Individual
Mcelroy, Michael
Corporate Director · Individual
Mcelroy, Sonya
Corporate Director · Individual
Worrell, Stephen
Operational/Managerial Control · Individual
Nearby options
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#2
Hilltop Manor Health And Rehabilitation Center
Union, MS
4-star overall rating with 3-star inspections with 7 recent health deficiencies
#3
Reginald P White Nursing Facility
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2-star overall rating with 2-star inspections with abuse icon flag with $10,364 in total fines with 5 recent health deficiencies
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