Cycle 1
Health 2025-06-19 · Fire 2025-06-19
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Port Gibson, MS
Claiborne County Senior Care
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2124 Old Hwy 61 South, Port Gibson, MS
(601) 437-8737
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
75
Certified beds
Average residents
63
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trend Consultants
Operator or chain grouping
Approved since
1994-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 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
0.48
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.22
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
3.67
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
5.37
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
4.60
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
6.47
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,036
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
52.15
Composite VBP score used to determine payment impact.
Payment multiplier
1.0066
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.48% · Performance 22.08% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.24
Baseline 8.90% · Performance 7.44% · Measure score 3.24 · Achievement 1.33 · Improvement 3.24
Total nurse turnover
7.61
Baseline 45.20% · Performance 32.56% · Measure score 7.61 · Achievement 7.61 · Improvement 5.71
Adjusted total nurse staffing
10
Baseline 5.53 hours · Performance 5.91 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.03% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 85 · Observed rate 14.12% · Lower 95% interval 7.99% |
| Discharge to community | 36.27% |
50.57%
14.3 pts worse
|
Worse than the National Rate · Eligible stays 28 · Observed rate 21.43% · Lower 95% interval 25.19% |
| Medicare spending per beneficiary | 1.64 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 98.33% |
95.27%
3.1 pts better
|
Numerator 59 · Denominator 60 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 60 |
| Discharge self-care score | 52.94% |
53.69%
0.8 pts worse
|
Numerator 18 · Denominator 34 |
| Discharge mobility score | 55.88% |
50.94%
4.9 pts better
|
Numerator 19 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 60 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.44% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 7.35% · Lower 95% interval 4.36% |
| Staff COVID-19 vaccination coverage | 1.15% |
8.2%
7 pts worse
|
Numerator 1 · Denominator 87 |
| Staff flu vaccination coverage | 67.82% |
42%
25.8 pts better
|
Numerator 59 · Denominator 87 |
| Discharge function score | 58.82% |
56.45%
2.4 pts better
|
Numerator 20 · Denominator 34 |
| Transfer of health information to provider | 92% |
95.95%
4 pts worse
|
Numerator 23 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 8.7% |
25.2%
16.5 pts worse
|
Numerator 2 · Denominator 23 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.4 |
2.4
1 pts worse
|
1.9
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.3 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.5 |
2.9
2.6 pts worse
|
1.8
3.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.5 · Observed 5.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.9% |
95.7%
3.8 pts worse
|
93.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 89.6% · Q2 92.3% · Q3 93.7% · Q4 92.1% · 4Q avg 91.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.5% |
97.0%
1.5 pts better
|
95.5%
3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.2%
0.7 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.6% · Q3 3.2% · Q4 3.2% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
1.6%
1.6 pts better
|
11.4%
11.4 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 who lose too much weight | 10.7% |
6.1%
4.6 pts worse
|
5.4%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 12.7% · Q3 8.8% · Q4 13.0% · 4Q avg 10.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.1% |
24.4%
3.7 pts worse
|
19.6%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 25.0% · Q3 29.3% · Q4 30.4% · 4Q avg 28.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 39.5% |
23.4%
16.1 pts worse
|
16.7%
22.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.5% · Q2 44.7% · Q3 33.3% · Q4 41.2% · 4Q avg 39.5% · 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 | 12.8% |
22.8%
10 pts better
|
16.3%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 15.1% · Q3 10.0% · Q4 3.7% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.7% |
20.6%
7.9 pts better
|
14.9%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 17.3% · Q3 6.1% · Q4 10.4% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.5%
1 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
2.5%
0.5 pts better
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.3% · Q3 1.6% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.6% |
21.4%
7.2 pts worse
|
19.8%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 32.0% · Q3 28.9% · Q4 25.5% · 4Q avg 28.6% |
| Percentage of long-stay residents with pressure ulcers | 6.7% |
6.9%
0.2 pts better
|
5.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 7.6% · Q3 3.6% · Q4 8.5% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.6% |
87.9%
10.3 pts worse
|
81.7%
4.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 77.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.9% |
15.3%
5.4 pts better
|
12.0%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 10.4% · Expected 11.7% · 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 | 29.3% |
27.9%
1.4 pts worse
|
23.9%
5.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.3% · Observed 25.0% · Expected 20.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-29 · Fire 2024-02-29
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-10-28 · Fire 2021-10-28
3 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
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
2025-06-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-27
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-19
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-07-27
E · Potential for more than minimal harm
2025-06-19
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-07-27
D · Potential for more than minimal harm
2025-06-19
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 2025-07-27
D · Potential for more than minimal harm
2025-06-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-27
D · Potential for more than minimal harm
2024-02-29
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-04-08
D · Potential for more than minimal harm
2024-02-29
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-04-08
F · Potential for more than minimal harm
2021-10-28
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2021-11-29
F · Potential for more than minimal harm
2021-10-28
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2021-11-29
D · Potential for more than minimal harm
2021-10-28
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-11-29
Penalties and ownership
What sits behind the stars
Ownership
Claiborne County Senior Care LLC
Operational/Managerial Control · Organization
Kelly, Charles
5% Or Greater Direct Ownership Interest · Individual
Warnock, Lori
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Jefferson County Nursing Home
Fayette, MS
3-star overall rating with 4-star inspections with 4 recent health deficiencies
#2
Heritage House Nursing Center
Vicksburg, MS
4-star overall rating with 3-star inspections with 8 recent health deficiencies
#3
The Bluffs Rehabilitation And Healthcare Center
Vicksburg, MS
1-star overall rating with 1-star inspections with $8,000 in total fines with 13 recent health deficiencies
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