Tupelo, MS

Cedars Health Center

3-star overall rating with 2-star inspections with abuse icon flag with 6 recent health deficiencies

2800 West Main Street, Tupelo, MS

(662) 844-1441

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 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

140

Certified beds

Average residents

133

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2004-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.63

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.06

Licensed practical nurse staffing · state 1.10 · national 0.87

Aide hours / resident day

3.37

Nurse aide staffing · state 2.48 · national 2.35

Total nurse hours

5.06

All reported nurse hours · state 4.21 · national 3.89

Licensed hours

1.69

RN + LPN hours · state 1.73 · national 1.54

Weekend hours

4.49

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.37 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.75

CMS adjusted RN staffing hours

Adjusted total hours

6.08

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

18%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,249

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

40.69

Composite VBP score used to determine payment impact.

Payment multiplier

0.9936

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.63

Baseline 22.62% · Performance 21.98% · Measure score 0.63 · Achievement 0 · Improvement 0.63

Healthcare-associated infections

2.53

Baseline 8.83% · Performance 7.67% · Measure score 2.53 · Achievement 0.56 · Improvement 2.53

Total nurse turnover

3.12

Baseline 39.76% · Performance 50.94% · Measure score 3.12 · Achievement 3.12 · Improvement 0

Adjusted total nurse staffing

10

Baseline 5.58 hours · Performance 5.88 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.12%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 456 · Observed rate 8.77% · Lower 95% interval 7.51%
Discharge to community	62.91%	50.57% 12.3 pts better	Better than the National Rate · Eligible stays 398 · Observed rate 59.55% · Lower 95% interval 57.25%
Medicare spending per beneficiary	1.1	1.02 0.1 pts worse
Drug regimen review with follow-up	96.28%	95.27% 1 pts better	Numerator 285 · Denominator 296
Falls with major injury	0.68%	0.77% 0.1 pts better	Numerator 2 · Denominator 296
Discharge self-care score	58.18%	53.69% 4.5 pts better	Numerator 96 · Denominator 165
Discharge mobility score	61.82%	50.94% 10.9 pts better	Numerator 102 · Denominator 165
Pressure ulcers or injuries, new or worsened	2.36%	2.29% 0.1 pts worse	Numerator 7 · Denominator 296 · Adjusted rate 2.46%
Healthcare-associated infections requiring hospitalization	7.67%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 283 · Observed rate 6.71% · Lower 95% interval 5.34%
Staff COVID-19 vaccination coverage	1.08%	8.2% 7.1 pts worse	Numerator 3 · Denominator 277
Staff flu vaccination coverage	27.3%	42% 14.7 pts worse	Numerator 86 · Denominator 315
Discharge function score	63.03%	56.45% 6.6 pts better	Numerator 104 · Denominator 165
Transfer of health information to provider	99.43%	95.95% 3.5 pts better	Numerator 173 · Denominator 174
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 77 · Denominator 77
Resident COVID-19 vaccinations up to date	6.33%	25.2% 18.9 pts worse	Numerator 10 · Denominator 158

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.0	2.4 0.6 pts worse	1.9 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.4 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	2.9 0.7 pts better	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.9 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.6%	95.7% 3.1 pts worse	93.4% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 96.4% · Q3 90.2% · Q4 90.3% · 4Q avg 92.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.2%	97.0% 2.2 pts better	95.5% 3.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
Percentage of long-stay residents experiencing one or more falls with major injury	4.3%	3.2% 1.1 pts worse	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.5% · Q3 4.5% · Q4 6.2% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.2%	1.6% 1.4 pts better	11.4% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.2%
Percentage of long-stay residents who lose too much weight	8.9%	6.1% 2.8 pts worse	5.4% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 10.5% · Q3 11.6% · Q4 0.0% · 4Q avg 8.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.6%	24.4% 0.8 pts better	19.6% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 25.0% · Q3 22.8% · Q4 23.3% · 4Q avg 23.6%
Percentage of long-stay residents who received an antipsychotic medication	23.6%	23.4% 0.2 pts worse	16.7% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 26.3% · Q3 23.4% · Q4 25.0% · 4Q avg 23.6% · 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	14.8%	22.8% 8 pts better	16.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 17.1% · Q3 8.8% · Q4 9.8% · 4Q avg 14.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.0%	20.6% 9.6 pts better	14.9% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 11.1% · Q3 9.1% · Q4 9.4% · 4Q avg 11.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.5% 1.5 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	2.5% 1.6 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.7%	21.4% 5.3 pts worse	19.8% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 28.1% · Q3 23.9% · Q4 26.8% · 4Q avg 26.7%
Percentage of long-stay residents with pressure ulcers	4.0%	6.9% 2.9 pts better	5.1% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 2.4% · Q3 4.7% · Q4 2.4% · 4Q avg 4.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.7%	87.9% 8.8 pts better	81.7% 15 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 95.9% · Q3 97.9% · Q4 98.4% · 4Q avg 96.7%
Percentage of short-stay residents who had an outpatient emergency department visit	11.3%	15.3% 4 pts better	12.0% 0.7 pts better	Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 11.1% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.6%	2.6% About the same	1.6% 1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.3% · Q3 4.5% · Q4 1.3% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.0%	84.6% 13.4 pts better	79.7% 18.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.2%	27.9% 1.7 pts better	23.9% 2.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 24.2% · Expected 22.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-20 · Fire 2025-11-20

6 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-08-08 · Fire 2024-08-08

7 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 3 Health 2023-04-13 · Fire 2023-04-13

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-20

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 2025-12-24

E · Potential for more than minimal harm 2025-11-20

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-12-24

D · Potential for more than minimal harm 2025-11-20

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-12-24

D · Potential for more than minimal harm 2025-11-20

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 2025-12-24

J · Immediate jeopardy 2025-10-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Not marked corrected

D · Potential for more than minimal harm 2025-05-05

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 2025-06-05