Federal inspection record · CMS data as of October 1, 2026

Delta Rehabilitation And Healthcare Center

200 Dr Martin Luther King Jr Drive, Cleveland, MS · (662) 843-5347

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
75
Residents per day
66
Ownership
For-Profit
Chain
Nexion Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 1, 1996

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Mississippi.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    −1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Mississippi homes

Delta Rehabilitation And Healthcare Center carries 32 inspection points. That is fewer than 60% of Mississippi's 199 rated homes.

5★4★3★2★1★+6 homes above 196.505102550100inspection points → fewer is better on the leftThis home · 32 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Mississippi: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–15 pts
  • 4★ 15–30 pts
  • 3★ 30–47 pts
  • 2★ 47–78.5 pts
  • 1★ over 78.5 pts

Bars show every rated home in Mississippi by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

11 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 10 4 pts
E 0 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning3D
  1. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    July 31, 2025 · Standard · F640 · Corrected September 9, 2025

  2. D

    Ensure each resident receives an accurate assessment.

    July 31, 2025 · Standard · F641 · Corrected September 9, 2025

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 31, 2025 · Standard · F656 · Corrected September 9, 2025

Pharmacy Service3D
  1. D

    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.

    July 31, 2025 · Standard · F761 · Corrected September 9, 2025

  2. D

    Ensure that residents are free from significant medication errors.

    February 12, 2025 · Complaint · F760 · Corrected November 15, 2024

  3. D

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

    November 16, 2023 · Standard · F755 · Corrected December 8, 2023

Administration1F
  1. F

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

    July 31, 2025 · Standard · F851 · Corrected September 9, 2025

Quality of Life and Care1D
  1. D

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

    July 31, 2025 · Standard · F677 · Corrected September 9, 2025

Nutrition and Dietary1D
  1. D

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    July 31, 2025 · Standard · F810 · Corrected September 9, 2025

Resident Rights1D
  1. D

    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.

    October 28, 2022 · Standard · F584 · Corrected November 22, 2022

Environmental1D
  1. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    October 28, 2022 · Standard · F919 · Corrected November 22, 2022

Inspection history

  1. 2025-07-31

    7 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  2. 2023-11-16

    2 health deficiencies · 1 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  3. 2022-10-28

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Environmental (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 22 min of nursing staff time a day, 34 min of it from a registered nurse.

This home

3 h 22 min

Mississippi average

4 h 12 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 41% of nursing staff and 46% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better100.0%95.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better100.0%97.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better2.4%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms2.6 pts worse4.2%1.6%13.5%
Percentage of long-stay residents who lose too much weight11.3 pts worse17.6%6.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.7 pts better18.1%23.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.2 pts worse29.0%21.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8.2 pts better10.1%18.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts better16.1%20.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.7 pts worse4.0%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection2.1 pts better0.4%2.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts better19.7%19.9%18.3%
Percentage of long-stay residents with pressure ulcers4 pts worse10.2%6.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.2 pts better89.2%89.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts better15.0%15.3%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts worse4.0%2.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.7 pts better85.7%85.0%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.2 pts worse34.3%27.1%23.4%

·

Who owns and runs it

13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nexion Health Of Ohi Inc5% Or Greater Direct Ownership Interest · Organization100%31 facilities
Bolt, Bretton5% Or Greater Indirect Ownership Interest · Individual0%30 facilities
Herdrich, WilliamCorporate Director · Individual0%32 facilities
Kirley, Francis5% Or Greater Indirect Ownership Interest · Individual0%50 facilities
Kirley, FrancisCorporate Director · Individual0%50 facilities
Kirley, FrancisCorporate Officer · Individual0%50 facilities
Lee, BrianCorporate Director · Individual0%45 facilities
Lee, BrianCorporate Officer · Individual0%45 facilities
Matthews, WandaW-2 Managing Employee · Individual0%1 facilities
Nexion Health Leasing, Inc.5% Or Greater Indirect Ownership Interest · Organization0%33 facilities
Nexion Health, Inc.Operational/Managerial Control · Organization0%33 facilities
Riner, MeeraCorporate Director · Individual0%46 facilities
Riner, MeeraCorporate Officer · Individual0%46 facilities

·

Fire safety

2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke1D
  1. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    July 31, 2025 · K374 · Corrected August 22, 2025

Gas, Vacuum, and Electrical Systems1F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    November 16, 2023 · K918 · Corrected December 8, 2023

·

Other homes nearby

  1. Worst citation, 3 yrs
    F
    Nursing / resident / day
    4 h 22 min
    Fines
    $0
  2. Cleveland Community Care Center

    Cleveland, MS · Commcare Corporation

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 27 min
    Fines
    $0
  3. Worst citation, 3 yrs
    G
    Nursing / resident / day
    4 h 53 min
    Fines
    $0