Fulton, MS

Courtyards Comm Living Center

1-star overall rating with 1-star inspections with $117,659 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

907 East Walker Street, Fulton, MS

(662) 862-6140

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Community Eldercare Services

Operator or chain grouping

Approved since

1995-12-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

17 facilities

Chain averages 2 overall / 2 health / 3 staffing / 2 quality stars

Changed ownership

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

0.53

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.71

Licensed practical nurse staffing · state 1.10 · national 0.87

Aide hours / resident day

2.36

Nurse aide staffing · state 2.48 · national 2.35

Total nurse hours

3.60

All reported nurse hours · state 4.21 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.73 · national 1.54

Weekend hours

2.99

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.37 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

4.09

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

75%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

66%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,127

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

Performance score

33.91

Composite VBP score used to determine payment impact.

Payment multiplier

0.9880

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 23.77% · Performance 24.11% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

7.13

Baseline 11.85% · Performance 6.62% · Measure score 7.13 · Achievement 4.07 · Improvement 7.13

Total nurse turnover

2.68

Performance 52.73% · Measure score 2.68 · Achievement 2.68 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

3.75

Baseline 3.66 hours · Performance 4.15 hours · Measure score 3.75 · Achievement 3.75 · Improvement 1.80

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	15.04%	10.72% 4.3 pts worse	Worse than the National Rate · Eligible stays 136 · Observed rate 22.06% · Lower 95% interval 10.89%
Discharge to community	56.13%	50.57% 5.6 pts better	No Different than the National Rate · Eligible stays 122 · Observed rate 49.18% · Lower 95% interval 47.1%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	98.44%	95.27% 3.2 pts better	Numerator 63 · Denominator 64
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 64
Discharge self-care score	61.76%	53.69% 8.1 pts better	Numerator 21 · Denominator 34
Discharge mobility score	47.06%	50.94% 3.9 pts worse	Numerator 16 · Denominator 34
Pressure ulcers or injuries, new or worsened	3.13%	2.29% 0.8 pts worse	Numerator 2 · Denominator 64 · Adjusted rate 2.61%
Healthcare-associated infections requiring hospitalization	6.62%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 58 · Observed rate 5.17% · Lower 95% interval 3.83%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 60
Staff flu vaccination coverage	35.71%	42% 6.3 pts worse	Numerator 25 · Denominator 70
Discharge function score	52.94%	56.45% 3.5 pts worse	Numerator 18 · Denominator 34
Transfer of health information to provider	96.88%	95.95% 0.9 pts better	Numerator 31 · Denominator 32
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 26 · Denominator 26
Resident COVID-19 vaccinations up to date	31.03%	25.2% 5.8 pts better	Numerator 9 · Denominator 29

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.2%	95.7% 1.5 pts better	93.4% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 92.5% · Q3 98.2% · Q4 100.0% · 4Q avg 97.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.3%	97.0% 1.3 pts better	95.5% 2.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury	4.1%	3.2% 0.9 pts worse	3.3% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.9% · Q3 3.6% · Q4 7.0% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.0%	1.6% 0.6 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 2.0% · Q4 0.0% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight	7.8%	6.1% 1.7 pts worse	5.4% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.0% · Q3 9.3% · Q4 8.5% · 4Q avg 7.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	43.2%	24.4% 18.8 pts worse	19.6% 23.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 45.7% · Q2 37.8% · Q3 44.4% · Q4 44.7% · 4Q avg 43.2%
Percentage of long-stay residents who received an antipsychotic medication	22.6%	23.4% 0.8 pts better	16.7% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 18.9% · Q3 19.4% · Q4 21.1% · 4Q avg 22.6% · 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	25.2%	22.8% 2.4 pts worse	16.3% 8.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 21.4% · Q3 42.2% · Q4 13.0% · 4Q avg 25.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.8%	20.6% 2.2 pts worse	14.9% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 23.8% · Q3 45.0% · Q4 14.6% · 4Q avg 22.8% · 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 0.0% · Q2 2.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.3%	21.4% 5.1 pts better	19.8% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 8.1% · Q3 14.8% · Q4 10.2% · 4Q avg 16.3%
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 1.7% · Q2 4.5% · Q3 5.5% · Q4 3.0% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.7%	87.9% 3.2 pts worse	81.7% 3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 78.5% · Q2 78.2% · Q3 93.5% · Q4 100.0% · 4Q avg 84.7%
Percentage of short-stay residents who had an outpatient emergency department visit	14.1%	15.3% 1.2 pts better	12.0% 2.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 15.9% · Expected 12.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.5%	2.6% 0.1 pts better	1.6% 0.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.9% · Q3 4.3% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	72.7%	84.6% 11.9 pts worse	79.7% 7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 72.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	38.7%	27.9% 10.8 pts worse	23.9% 14.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 38.7% · Observed 42.9% · Expected 26.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-22 · Fire 2025-05-22

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-20 · Fire 2024-02-20

27 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-08-04 · Fire 2022-08-04

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-05-22

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-06-20

E · Potential for more than minimal harm 2025-05-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-20

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-22

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 2025-06-20

E · Potential for more than minimal harm 2025-05-22

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 2025-06-20

E · Potential for more than minimal harm 2025-05-22

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-22

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-22

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 2025-06-20

D · Potential for more than minimal harm 2025-05-22

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-22

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 2025-06-20

D · Potential for more than minimal harm 2025-05-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-20

E · Potential for more than minimal harm 2024-12-12

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 2025-01-16

E · Potential for more than minimal harm 2024-12-12

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-01-16

G · Actual harm 2024-08-14

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.

Corrected 2024-09-09

G · Actual harm 2024-08-14

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-09-09

G · Actual harm 2024-08-14

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-14

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-09-09

G · Actual harm 2024-08-01

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 2024-09-09

K · Immediate jeopardy 2024-02-20

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.

Corrected 2024-03-19

K · Immediate jeopardy 2024-02-20

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-03-19

J · Immediate jeopardy 2024-02-20

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-03-19

J · Immediate jeopardy 2024-02-20

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 2024-03-19

J · Immediate jeopardy 2024-02-20

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-03-19

J · Immediate jeopardy 2024-02-20

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-03-19

G · Actual harm 2024-02-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-03-19

F · Potential for more than minimal harm 2024-02-20

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-03-19

F · Potential for more than minimal harm 2024-02-20

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-03-19

E · Potential for more than minimal harm 2024-02-20

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-03-19

E · Potential for more than minimal harm 2024-02-20