10 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Gulfport, MS
1-star overall rating with 1-star inspections with $24,281 in total fines with 10 recent health deficiencies
11240 Canal Road, Gulfport, MS
(228) 701-1500
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
65
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Beebe Family
Operator or chain grouping
Approved since
2014-08-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
48 facilities
Chain averages 3 overall / 3 health / 3 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
RN hours / resident day
0.45
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.49
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.13
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.08
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.94
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.18
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
4.46
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
75%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
75%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
7,451
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.71
Composite VBP score used to determine payment impact.
Payment multiplier
0.9856
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.76% · Performance 22.90% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.14
Baseline 7.07% · Performance 6.30% · Measure score 5.14 · Achievement 5.14 · Improvement 3.21
Total nurse turnover
2.25
Baseline 80.85% · Performance 65.43% · Measure score 2.25 · Achievement 0 · Improvement 2.25
Adjusted total nurse staffing
4.49
Baseline 4.45 hours · Performance 4.36 hours · Measure score 4.49 · Achievement 4.49 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.74% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 166 · Observed rate 14.46% · Lower 95% interval 9.02% |
| Discharge to community | 48.47% |
50.57%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 143 · Observed rate 41.26% · Lower 95% interval 39.66% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.22% |
95.27%
2 pts better
|
Numerator 105 · Denominator 108 |
| Falls with major injury | 0.93% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 108 |
| Discharge self-care score | 44.19% |
53.69%
9.5 pts worse
|
Numerator 19 · Denominator 43 |
| Discharge mobility score | 37.21% |
50.94%
13.7 pts worse
|
Numerator 16 · Denominator 43 |
| Pressure ulcers or injuries, new or worsened | 0.93% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 108 · Adjusted rate 0.67% |
| Healthcare-associated infections requiring hospitalization | 6.3% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 93 · Observed rate 5.38% · Lower 95% interval 3.68% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 78 |
| Staff flu vaccination coverage | 19.87% |
42%
22.1 pts worse
|
Numerator 30 · Denominator 151 |
| Discharge function score | 51.16% |
56.45%
5.3 pts worse
|
Numerator 22 · Denominator 43 |
| Transfer of health information to provider | 94.59% |
95.95%
1.4 pts worse
|
Numerator 35 · Denominator 37 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 44 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 1.79% |
25.2%
23.4 pts worse
|
Numerator 1 · Denominator 56 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
2.4
0.8 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.4 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
2.9
0.1 pts better
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 3.0 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 48.3% |
95.7%
47.4 pts worse
|
93.4%
45.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.8% · Q2 40.0% · Q3 67.3% · Q4 46.2% · 4Q avg 48.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.3% |
97.0%
2.7 pts worse
|
95.5%
1.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
3.2%
1.2 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 1.9% · Q4 1.9% · 4Q avg 2.0% · 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 | 6.9% |
6.1%
0.8 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 11.4% · Q3 7.1% · Q4 2.1% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.0% |
24.4%
11.4 pts better
|
19.6%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 12.5% · Q3 12.5% · Q4 10.2% · 4Q avg 13.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.8% |
23.4%
7.6 pts better
|
16.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 21.1% · Q3 12.8% · Q4 7.3% · 4Q avg 15.8% · 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 | 21.6% |
22.8%
1.2 pts better
|
16.3%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.0% |
20.6%
0.6 pts better
|
14.9%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 20.9% · Q3 22.2% · Q4 11.1% · 4Q avg 20.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.2% |
1.5%
1.7 pts worse
|
1.0%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.3% · Q3 5.1% · Q4 3.1% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.4% |
2.5%
2.9 pts worse
|
1.7%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.5% · Q3 6.5% · Q4 3.9% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.8% |
21.4%
0.4 pts worse
|
19.8%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 24.0% · Q3 19.0% · Q4 29.2% · 4Q avg 21.8% |
| Percentage of long-stay residents with pressure ulcers | 6.7% |
6.9%
0.2 pts better
|
5.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.3% · Q3 8.3% · Q4 10.3% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.8% |
87.9%
41.1 pts worse
|
81.7%
34.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 63.6% · Q2 42.6% · Q3 40.5% · Q4 41.9% · 4Q avg 46.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.1% |
15.3%
1.8 pts worse
|
12.0%
5.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.1% · Observed 16.9% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.0% |
2.6%
0.4 pts worse
|
1.6%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 3.2% · Q3 3.5% · Q4 2.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 46.4% |
84.6%
38.2 pts worse
|
79.7%
33.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 46.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.4% |
27.9%
4.5 pts worse
|
23.9%
8.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.4% · Observed 33.8% · Expected 24.8% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (6 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-13
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-07
Health
Respond appropriately to all alleged violations.
Corrected 2025-07-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-07
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-07-07
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-07
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-07-07
Health
Assess the resident when there is a significant change in condition
Corrected 2025-07-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-25
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 2024-03-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-13
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-03-13
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-03-13
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 2024-03-13
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-03-13
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-03-13
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 2024-03-13
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 2024-03-13
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 2024-03-13
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-03-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-30
Health
Respond appropriately to all alleged violations.
Corrected 2023-06-30
Penalties and ownership
Fine · fine $8,672
Fine
Fine · fine $8,673
Fine
Fine · fine $6,936
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Nearby options
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1-star overall rating with 1-star inspections with $450,136 in total fines with 3 recent health deficiencies
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Gulfport, MS
3-star overall rating with 4-star inspections with 3 recent health deficiencies
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