Cycle 1
Health 2025-12-11 · Fire 2025-12-11
3 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Hattiesburg, MS
Hattiesburg Health & Rehab Center
4-star overall rating with 4-star inspections with $8,021 in total fines with 3 recent health deficiencies
514 Bay Street, Hattiesburg, MS
(601) 544-4230
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
164
Certified beds
Average residents
139
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2007-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
0.61
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.45
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.91
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.97
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
4.20
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
4.81
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
99%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,699
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9919
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.29% · Performance 21.45% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.33
Baseline 9.31% · Performance 6.79% · Measure score 5.33 · Achievement 3.49 · Improvement 5.33
Total nurse turnover
3.49
Baseline 49.66% · Performance 49.41% · Measure score 3.49 · Achievement 3.49 · Improvement 0
Adjusted total nurse staffing
6.74
Baseline 4.12 hours · Performance 5 hours · Measure score 6.74 · Achievement 6.74 · Improvement 4.78
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 15.78% |
10.72%
5.1 pts worse
|
Worse than the National Rate · Eligible stays 113 · Observed rate 25.66% · Lower 95% interval 12.09% |
| Discharge to community | 32.39% |
50.57%
18.2 pts worse
|
Worse than the National Rate · Eligible stays 60 · Observed rate 16.67% · Lower 95% interval 22.64% |
| Medicare spending per beneficiary | 1.4 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 86.15% |
95.27%
9.1 pts worse
|
Numerator 56 · Denominator 65 |
| Falls with major injury | 1.54% |
0.77%
0.8 pts worse
|
Numerator 1 · Denominator 65 |
| Discharge self-care score | 34.29% |
53.69%
19.4 pts worse
|
Numerator 12 · Denominator 35 |
| Discharge mobility score | 17.14% |
50.94%
33.8 pts worse
|
Numerator 6 · Denominator 35 |
| Pressure ulcers or injuries, new or worsened | 1.54% |
2.29%
0.8 pts better
|
Numerator 1 · Denominator 65 · Adjusted rate 1.09% |
| Healthcare-associated infections requiring hospitalization | 6.79% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 55 · Observed rate 7.27% · Lower 95% interval 4.4% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 236 |
| Staff flu vaccination coverage | 16.53% |
42%
25.5 pts worse
|
Numerator 39 · Denominator 236 |
| Discharge function score | 25.71% |
56.45%
30.7 pts worse
|
Numerator 9 · Denominator 35 |
| Transfer of health information to provider | 75% |
95.95%
21 pts worse
|
Numerator 21 · Denominator 28 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 11.11% |
25.2%
14.1 pts worse
|
Numerator 4 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.4
0.3 pts better
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.9
0.7 pts better
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.6% |
95.7%
5.1 pts worse
|
93.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.2% · Q2 89.4% · Q3 97.1% · Q4 97.8% · 4Q avg 90.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.3% |
97.0%
2.3 pts better
|
95.5%
3.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.2%
1.5 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.1% · Q3 1.4% · Q4 2.2% · 4Q avg 1.7% · 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 | 2.3% |
6.1%
3.8 pts better
|
5.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.8% · Q3 2.4% · Q4 3.2% · 4Q avg 2.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.7% |
24.4%
7.7 pts better
|
19.6%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 15.7% · Q3 17.6% · Q4 16.4% · 4Q avg 16.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.3% |
23.4%
0.9 pts worse
|
16.7%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 28.0% · Q3 24.5% · Q4 24.2% · 4Q avg 24.3% · 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 | 9.6% |
22.8%
13.2 pts better
|
16.3%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 11.0% · Q3 9.6% · Q4 12.4% · 4Q avg 9.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.4% |
20.6%
11.2 pts better
|
14.9%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 11.5% · Q3 13.0% · Q4 7.2% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
1.5%
0.7 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 3.9% · Q3 2.1% · Q4 1.5% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
2.5%
1.9 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.7% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.2% |
21.4%
5.2 pts better
|
19.8%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 17.0% · Q3 14.1% · Q4 10.9% · 4Q avg 16.2% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
6.9%
1.6 pts better
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 6.5% · Q3 4.8% · Q4 5.8% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
87.9%
10.9 pts better
|
81.7%
17.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.5% · Q3 97.2% · Q4 100.0% · 4Q avg 98.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
15.3%
6 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 10.4% · 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 4.8% · Q4 4.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.5% |
84.6%
7.9 pts better
|
79.7%
12.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.7% |
27.9%
2.8 pts worse
|
23.9%
6.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.7% · Observed 35.8% · Expected 27.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-26 · Fire 2024-09-26
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2022-10-13 · Fire 2022-10-13
3 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-09-26
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-09-30
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-12-11
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2026-01-30
D · Potential for more than minimal harm
2025-12-11
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-01-30
D · Potential for more than minimal harm
2025-12-11
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-01-30
D · Potential for more than minimal harm
2024-09-26
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-10-27
D · Potential for more than minimal harm
2024-09-26
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-27
D · Potential for more than minimal harm
2024-09-26
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-27
J · Immediate jeopardy
2024-01-05
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 2023-12-23
D · Potential for more than minimal harm
2022-10-13
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-11-25
D · Potential for more than minimal harm
2022-10-13
F625 · Resident Rights Deficiencies
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 2022-11-25
Penalties and ownership
What sits behind the stars
$8,021
2024-01-05
Fine
Fine · fine $8,021
Fine
Ownership
R & S Management, LLC
5% Or Greater Direct Ownership Interest · Organization
Mohp, LLC
5% Or Greater Direct Ownership Interest · Organization
Medikey, LLC
5% Or Greater Direct Ownership Interest · Organization
Miles Healthcare, LLC
5% Or Greater Direct Ownership Interest · Organization
Speetjens, Joseph
5% Or Greater Direct Ownership Interest · Individual
Long Term Care Management LLC
Operational/Managerial Control · Organization
Meador, Ty
Operational/Managerial Control · Individual
Shelton, Rebecca
Corporate Director · Individual
Nearby options
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5-star overall rating with 5-star inspections with $22,198 in total fines with 2 recent health deficiencies
#2
Bedford Care Center Of Hattiesburg
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4-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
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4-star overall rating with 4-star inspections with $66,700 in total fines
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