Federal inspection record · CMS data as of October 1, 2026
Edgewood Health & Rehabilitation
205 Byram Parkway, Byram, MS · (601) 362-5394
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 119
- Residents per day
- 110
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1989
1
How this home got 1 star
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Mississippi.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Mississippi homes
Edgewood Health & Rehabilitation carries 344.5 inspection points. That is fewer than 1% of Mississippi's 199 rated homes.
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
49 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (16)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
J
Respond appropriately to all alleged violations.
-
J
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide safe, appropriate pain management for a resident who requires such services.
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J
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
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G
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation6E
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning6D
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
Quality of Life and Care6D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Resident Rights5D
- 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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
Pharmacy Service3D
- 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.
- 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.
- D
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.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Administration1D
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
Inspection history
2026-07-23
15 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-08-01
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-07-27
21 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 3 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
5 h 3 min
Mississippi average
4 h 12 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 73% of nursing staff and 71% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$136,131 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-02 | Fine | $22,858 |
| 2025-10-29 | Fine | $6,435 |
| 2025-10-29 | Fine | $6,500 |
| 2025-06-19 | Fine | $12,428 |
| 2024-08-01 | Fine | $7,278 |
| 2024-08-01 | Fine | $7,279 |
| 2024-06-24 | Fine | $10,036 |
| 2024-04-03 | Fine | $63,317 |
| 2024-04-03 | Payment Denial · 21 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts worse | 3.4 | 2.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.9 | 2.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better | 98.8% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.9 pts worse | 96.4% | 97.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 1.4% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.6 pts better | 0.0% | 1.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts worse | 7.5% | 6.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.9 pts better | 16.9% | 23.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.6 pts worse | 27.4% | 21.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts worse | 0.5% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10 pts worse | 28.3% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.4 pts worse | 27.7% | 20.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse | 2.3% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 1.2% | 2.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts better | 16.3% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts better | 4.0% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.8 pts better | 91.8% | 89.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.3 pts better | 9.0% | 15.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.4 pts better | 0.0% | 2.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.8 pts worse | 72.2% | 85.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts better | 24.8% | 27.1% | 23.4% |
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Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Kelly, Charles | Corporate Director · Individual | 0% | 16 facilities |
| Kelly, Charles | Adp Of The SNF · Individual | 0% | 16 facilities |
| Kelly, Rita | Corporate Officer · Individual | 0% | 4 facilities |
| Trend Consultants LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Trend Consultants LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Warnock, Lori | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Warnock, Lori | Adp Of The SNF · Individual | 0% | 15 facilities |
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