Cycle 1
Health 2025-03-20 · Fire 2025-03-20
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Petal, MS
Bedford Care Center Of Petal
5-star overall rating with 5-star inspections with $22,198 in total fines with 2 recent health deficiencies
908 S George Street, Petal, MS
(601) 544-7441
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
58
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
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
0.54
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.34
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.23
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.45
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
4.97
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,320
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.78
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.76% · Performance 24.58% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.95% · Performance 9.57% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.23
Baseline 58.06% · Performance 54.55% · Measure score 2.23 · Achievement 2.23 · Improvement 0.56
Adjusted total nurse staffing
6.08
Baseline 4.48 hours · Performance 4.81 hours · Measure score 6.08 · Achievement 6.08 · Improvement 2.04
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.83% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 113 · Observed rate 13.27% · Lower 95% interval 8.14% |
| Discharge to community | 55.83% |
50.57%
5.3 pts better
|
No Different than the National Rate · Eligible stays 83 · Observed rate 54.22% · Lower 95% interval 44.53% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 93.22% |
95.27%
2 pts worse
|
Numerator 55 · Denominator 59 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 59 |
| Discharge self-care score | 68.57% |
53.69%
14.9 pts better
|
Numerator 24 · Denominator 35 |
| Discharge mobility score | 71.43% |
50.94%
20.5 pts better
|
Numerator 25 · Denominator 35 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 59 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.57% |
7.12%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 67 · Observed rate 13.43% · Lower 95% interval 5.25% |
| Staff COVID-19 vaccination coverage | 4.11% |
8.2%
4.1 pts worse
|
Numerator 3 · Denominator 73 |
| Staff flu vaccination coverage | 35.14% |
42%
6.9 pts worse
|
Numerator 26 · Denominator 74 |
| Discharge function score | 74.29% |
56.45%
17.8 pts better
|
Numerator 26 · Denominator 35 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 45 · Denominator 45 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 33.33% |
25.2%
8.1 pts better
|
Numerator 7 · Denominator 21 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.7 |
2.4
2.3 pts worse
|
1.9
2.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.7 · Observed 5.3 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.4 |
2.9
1.5 pts worse
|
1.8
2.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.4 · Observed 4.9 · Expected 1.9 · 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 | 100.0% |
97.0%
3 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.2%
0.6 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 2.3% · Q4 5.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.8% |
1.6%
12.2 pts worse
|
11.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 6.1% · Q3 18.4% · Q4 16.3% · 4Q avg 13.8% |
| Percentage of long-stay residents who lose too much weight | 11.5% |
6.1%
5.4 pts worse
|
5.4%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 6.1% · Q3 8.1% · Q4 15.2% · 4Q avg 11.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.2% |
24.4%
6.2 pts better
|
19.6%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 16.2% · Q3 18.4% · Q4 18.8% · 4Q avg 18.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 33.9% |
23.4%
10.5 pts worse
|
16.7%
17.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 46.2% · Q3 29.0% · Q4 35.1% · 4Q avg 33.9% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 42.1% |
22.8%
19.3 pts worse
|
16.3%
25.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 42.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.8% |
20.6%
5.2 pts worse
|
14.9%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 36.1% · Q3 29.7% · Q4 17.4% · 4Q avg 25.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.8% |
1.5%
1.3 pts worse
|
1.0%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 5.4% · Q3 4.8% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
2.5%
1.4 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.8% |
21.4%
11.4 pts worse
|
19.8%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.1% · Q2 34.6% · Q3 33.7% · Q4 33.4% · 4Q avg 32.8% |
| Percentage of long-stay residents with pressure ulcers | 2.4% |
6.9%
4.5 pts better
|
5.1%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.3% · Q3 3.9% · Q4 1.9% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
87.9%
9.1 pts better
|
81.7%
15.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 93.4% · Q4 97.8% · 4Q avg 97.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% |
15.3%
2 pts better
|
12.0%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 13.0% · Expected 10.9% · 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 · Q1 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
84.6%
15.4 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 41.3% |
27.9%
13.4 pts worse
|
23.9%
17.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 41.3% · Observed 37.0% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-05 · Fire 2023-10-05
3 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2021-02-04 · Fire 2021-02-04
1 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-10-05
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-24
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-25
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Not marked corrected
D · Potential for more than minimal harm
2025-03-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-26
E · Potential for more than minimal harm
2023-10-05
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-18
E · Potential for more than minimal harm
2023-10-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-18
D · Potential for more than minimal harm
2023-10-05
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-18
E · Potential for more than minimal harm
2021-02-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-03-01
Penalties and ownership
What sits behind the stars
$22,198
2023-12-08
Fine
Fine · fine $22,198
Fine
$0
2023-12-08
Payment Denial
Payment Denial · denial start 2024-01-02 · 13 days
13 day denial
Ownership
Bedford Health Properties, LLC
5% Or Greater Direct Ownership Interest · Organization
Bevon, Charles
Operational/Managerial Control · Individual
Bevon, Jack
Corporate Officer · Individual
Bevon, Nicole
5% Or Greater Direct Ownership Interest · Individual
Bevon, Nicole
Corporate Director · Individual
Blackledge, Richard
Operational/Managerial Control · Individual
Donald, Charlotte
Operational/Managerial Control · Individual
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
Mcelroy, Michael
5% Or Greater Direct Ownership Interest · Individual
Mcelroy, Sonya
Corporate Officer · Individual
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
Worrell, Stephen
5% Or Greater Indirect Ownership Interest · Individual
Worrell, Stephen
Operational/Managerial Control · Individual
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#3
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