Cycle 1
Health 2025-11-20 · Fire 2025-11-20
7 health deficiencies
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Clinton, MS
Clinton Healthcare LLC - SNF
3-star overall rating with 3-star inspections with 7 recent health deficiencies
1251 Pinehaven Road, Clinton, MS
(601) 924-2996
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
121
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trend Consultants
Operator or chain grouping
Approved since
2001-12-01
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
0.29
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.07
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.52
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
3.89
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.36
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
2.92
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.14
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
4.40
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,338
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.56
Composite VBP score used to determine payment impact.
Payment multiplier
0.9899
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.90% · Performance 23.50% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.16
Baseline 10.27% · Performance 9.39% · Measure score 1.16 · Achievement 0 · Improvement 1.16
Total nurse turnover
8.31
Baseline 44.71% · Performance 29.73% · Measure score 8.31 · Achievement 8.31 · Improvement 7.04
Adjusted total nurse staffing
5.15
Baseline 4.76 hours · Performance 4.54 hours · Measure score 5.15 · Achievement 5.15 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.01% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 220 · Observed rate 10.45% · Lower 95% interval 8.65% |
| Discharge to community | 55.9% |
50.57%
5.3 pts better
|
No Different than the National Rate · Eligible stays 207 · Observed rate 51.21% · Lower 95% interval 47.32% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.19% |
95.27%
2.9 pts better
|
Numerator 163 · Denominator 166 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 166 |
| Discharge self-care score | 51.82% |
53.69%
1.9 pts worse
|
Numerator 57 · Denominator 110 |
| Discharge mobility score | 36.36% |
50.94%
14.6 pts worse
|
Numerator 40 · Denominator 110 |
| Pressure ulcers or injuries, new or worsened | 3.61% |
2.29%
1.3 pts worse
|
Numerator 6 · Denominator 166 · Adjusted rate 2.87% |
| Healthcare-associated infections requiring hospitalization | 9.39% |
7.12%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 181 · Observed rate 10.5% · Lower 95% interval 6.36% |
| Staff COVID-19 vaccination coverage | 1.94% |
8.2%
6.3 pts worse
|
Numerator 2 · Denominator 103 |
| Staff flu vaccination coverage | 87.41% |
42%
45.4 pts better
|
Numerator 118 · Denominator 135 |
| Discharge function score | 48.18% |
56.45%
8.3 pts worse
|
Numerator 53 · Denominator 110 |
| Transfer of health information to provider | 96.08% |
95.95%
0.1 pts better
|
Numerator 49 · Denominator 51 |
| Transfer of health information to patient | 97.4% |
96.28%
1.1 pts better
|
Numerator 75 · Denominator 77 |
| Resident COVID-19 vaccinations up to date | 10.59% |
25.2%
14.6 pts worse
|
Numerator 9 · Denominator 85 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.4
0.3 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.3 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
2.9
2.2 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · 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 | 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 | 2.3% |
3.2%
0.9 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.1% · Q3 2.1% · Q4 2.9% · 4Q avg 2.3% · 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 | 9.0% |
6.1%
2.9 pts worse
|
5.4%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 8.5% · Q3 7.2% · Q4 6.9% · 4Q avg 9.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.6% |
24.4%
1.8 pts better
|
19.6%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 21.2% · Q3 24.1% · Q4 23.7% · 4Q avg 22.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.8% |
23.4%
4.6 pts better
|
16.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 17.2% · Q3 20.6% · Q4 16.0% · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.5% |
0.2%
0.3 pts worse
|
0.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.5% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.2% |
22.8%
17.6 pts better
|
16.3%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 10.4% · Q3 3.3% · Q4 3.2% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.0% |
20.6%
16.6 pts better
|
14.9%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.4% · Q3 4.2% · Q4 2.6% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.5%
0.4 pts better
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.7% · Q3 0.8% · Q4 0.6% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.0% |
2.5%
1.5 pts worse
|
1.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 3.2% · Q3 1.0% · Q4 5.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.7% |
21.4%
6.7 pts better
|
19.8%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 17.1% · Q3 11.5% · Q4 15.8% · 4Q avg 14.7% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
6.9%
1.1 pts better
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.0% · Q3 7.2% · Q4 5.3% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
87.9%
11 pts better
|
81.7%
17.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.9% · Q3 97.7% · Q4 98.9% · 4Q avg 98.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.7% |
15.3%
4.6 pts better
|
12.0%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 9.7% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
2.6%
0.7 pts better
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.7% |
84.6%
10.1 pts better
|
79.7%
15 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.5% |
27.9%
5.4 pts better
|
23.9%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.5% · Observed 17.9% · Expected 19.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-13 · Fire 2024-06-13
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-10-06 · Fire 2022-10-06
9 health deficiencies
Top issue: Resident Rights (6 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
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 2025-12-19
D · Potential for more than minimal harm
2025-11-20
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-12-19
D · Potential for more than minimal harm
2025-11-20
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-12-19
D · Potential for more than minimal harm
2025-11-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-19
D · Potential for more than minimal harm
2025-11-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-19
E · Potential for more than minimal harm
2025-04-10
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-14
E · Potential for more than minimal harm
2025-04-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-14
D · Potential for more than minimal harm
2024-06-13
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-07-17
D · Potential for more than minimal harm
2024-06-13
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-07-17
D · Potential for more than minimal harm
2024-06-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-17
D · Potential for more than minimal harm
2024-06-13
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 2024-07-17
D · Potential for more than minimal harm
2023-12-13
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-10
D · Potential for more than minimal 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 2024-01-10
D · Potential for more than minimal harm
2022-10-06
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-11-08
D · Potential for more than minimal harm
2022-10-06
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2022-11-08
D · Potential for more than minimal harm
2022-10-06
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-11-08
D · Potential for more than minimal harm
2022-10-06
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-11-08
D · Potential for more than minimal harm
2022-10-06
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 2022-11-08
D · Potential for more than minimal harm
2022-10-06
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-11-08
C · Minimal harm
2022-10-06
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2022-11-08
Penalties and ownership
What sits behind the stars
Ownership
Clinton Healthcare LLC
5% Or Greater Direct Ownership Interest · Organization
Kelly, Charles
5% Or Greater Direct Ownership Interest · Individual
Kelly, Charles
Corporate Director · Individual
Warnock, Lori
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Woodlands Rehabilitation And Healthcare Center
Clinton, MS
2-star overall rating with 2-star inspections with $35,648 in total fines with 10 recent health deficiencies
#2
Magnolia Senior Care, LLC
Jackson, MS
4-star overall rating with 4-star inspections with $8,542 in total fines with 2 recent health deficiencies
#3
Chadwick Community Care Center
Jackson, MS
1-star overall rating with 2-star inspections with $8,281 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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