Federal inspection record · CMS data as of October 1, 2026
Grand Trace Health And Rehabilitation
555 John R. Junkin Drive, Natchez, MS · (601) 442-4396
- Certified beds
- 96
- Residents per day
- 66
- Ownership
- For-Profit
- Chain
- Avardis Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1994
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 (already 1)
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.
2
Where it sits among Mississippi homes
Grand Trace Health And Rehabilitation carries 114 inspection points. That is fewer than 10% 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
38 health citations on record since 2022. 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 (3)
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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
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Resident Rights10E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning9D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure each resident receives an accurate assessment.
- 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 Care8E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services3F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Administration1D
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
Nutrition and Dietary1E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspection history
2025-03-27
17 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-03-07
14 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2022-01-20
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 31 min of it from a registered nurse.
This home
3 h 34 min
Mississippi average
4 h 12 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 80% of registered nurses left in the past year, along with 3 administrators.
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
$26,397 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-27 | Fine | $26,397 |
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 days0.2 pts better | 2.1 | 2.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 3.6 | 2.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 98.3% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better | 100.0% | 97.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 3.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.7 pts worse | 4.3% | 1.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts better | 3.7% | 6.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts worse | 25.9% | 23.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.5 pts worse | 33.3% | 21.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2 pts worse | 20.3% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7 pts worse | 27.3% | 20.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts better | 0.2% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.5 pts better | 0.0% | 2.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7 pts worse | 26.9% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4 pts worse | 10.2% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 95.4% | 89.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.3 pts worse | 17.6% | 15.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts worse | 4.2% | 2.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15 pts better | 100.0% | 85.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.4 pts better | 25.7% | 27.1% | 23.4% |
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Who owns and runs it
24 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 |
|---|---|---|---|
| Adams Holdco LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Borum, Charles | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Borum, Charles | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fc Encore Natchez, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Fc Encore Natchez, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hoback, Tiffany | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Adp Of The SNF · Individual | 0% | 45 facilities |
| Jones, Tequilla | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Jones, Tequilla | Adp Of The SNF · Individual | 0% | 40 facilities |
| Mize, Gary | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Mize, Gary | Adp Of The SNF · Individual | 0% | 3 facilities |
| Msop Holdco LLC | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Natchez Parentco LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Nu C Ii Irrevocable Trust | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Nu C Irrevocable Trust | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Snf Care Centers LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Snf Mgr LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Snf Mgr LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Thomas, John | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Thomas, John | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Thomas, John | Adp Of The SNF · Individual | 0% | 18 facilities |
| Zenith Holdco Ii LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Zenith Holdco LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1E
- E
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
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Trend Health And Rehab Of Natchez, LLC
Natchez, MS · Trend Consultants
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0
-
Natchez Rehabilitation And Healthcare Center
Natchez, MS · Nexion Health
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 37 min
- Fines
- $8,281
-
Camelot Leisure Living
Ferriday, LA · Paramount Healthcare Consultants
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 44 min
- Fines
- $47,067