Cycle 1
Health 2024-03-14 · Fire 2024-03-14
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Vicksburg, MS
Heritage House Nursing Center
4-star overall rating with 3-star inspections with 8 recent health deficiencies
3103 Wisconsin Avenue, Vicksburg, MS
(601) 638-1514
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Beebe Family
Operator or chain grouping
Approved since
2002-03-06
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
Hours and turnover
RN hours / resident day
0.60
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.25
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
3.80
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.55
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
0.29
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
0.75
CMS adjusted RN staffing hours
Adjusted total hours
4.74
CMS adjusted total nurse staffing hours
Case-mix index
1.10
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,023
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.04
Composite VBP score used to determine payment impact.
Payment multiplier
0.9848
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.46% · Performance 21.59% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.96
Baseline 5.20% · Performance 7.55% · Measure score 0.96 · Achievement 0.96 · Improvement 0
Total nurse turnover
4.75
Baseline 50.00% · Performance 44.26% · Measure score 4.75 · Achievement 4.75 · Improvement 1.78
Adjusted total nurse staffing
5.50
Baseline 5.03 hours · Performance 4.64 hours · Measure score 5.50 · Achievement 5.50 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.4% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 118 · Observed rate 7.63% · Lower 95% interval 7.35% |
| Discharge to community | 57.92% |
50.57%
7.4 pts better
|
No Different than the National Rate · Eligible stays 107 · Observed rate 59.81% · Lower 95% interval 48.09% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 75 · Denominator 75 |
| Falls with major injury | 2.67% |
0.77%
1.9 pts worse
|
Numerator 2 · Denominator 75 |
| Discharge self-care score | 59.65% |
53.69%
6 pts better
|
Numerator 34 · Denominator 57 |
| Discharge mobility score | 64.91% |
50.94%
14 pts better
|
Numerator 37 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 75 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.55% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 87 · Observed rate 6.9% · Lower 95% interval 4.42% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 97 |
| Staff flu vaccination coverage | 72.15% |
42%
30.2 pts better
|
Numerator 57 · Denominator 79 |
| Discharge function score | 64.91% |
56.45%
8.5 pts better
|
Numerator 37 · Denominator 57 |
| Transfer of health information to provider | 97.22% |
95.95%
1.3 pts better
|
Numerator 35 · Denominator 36 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 39 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.4
0.4 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
2.9
0.6 pts better
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
95.7%
4.3 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
97.0%
1.1 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.6% |
3.2%
2.4 pts worse
|
3.3%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.0% · Q3 8.0% · Q4 2.2% · 4Q avg 5.6% · 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 | 1.8% |
6.1%
4.3 pts better
|
5.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 0.0% · Q3 0.0% · Q4 2.5% · 4Q avg 1.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.9% |
24.4%
2.5 pts worse
|
19.6%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 22.9% · Q3 28.3% · Q4 31.1% · 4Q avg 26.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.3% |
23.4%
0.1 pts better
|
16.7%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 22.5% · Q3 27.0% · Q4 25.0% · 4Q avg 23.3% · 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 | 32.5% |
22.8%
9.7 pts worse
|
16.3%
16.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.6% · Q2 21.7% · Q3 44.4% · Q4 31.3% · 4Q avg 32.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.9% |
20.6%
9.3 pts worse
|
14.9%
15 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 26.1% · Q3 35.7% · Q4 34.1% · 4Q avg 29.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.5%
1.5 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.5%
2.5 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.9% |
21.4%
2.5 pts better
|
19.8%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 12.1% · Q3 24.2% · Q4 25.2% · 4Q avg 18.9% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
6.9%
4.1 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.6% · Q3 0.0% · Q4 4.7% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.9%
12.1 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.7% |
15.3%
5.6 pts better
|
12.0%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 9.5% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.3% |
2.6%
2.7 pts worse
|
1.6%
3.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.2% · Q3 7.7% · Q4 5.1% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
84.6%
15.4 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.3% |
27.9%
9.6 pts better
|
23.9%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 17.9% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-11-09 · Fire 2022-11-09
2 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2019-07-02 · Fire 2019-07-02
2 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-11-09
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-11-30
D · Potential for more than minimal harm
2019-07-02
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2019-07-29
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-03-14
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-03-14
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-03-14
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 2024-04-11
D · Potential for more than minimal harm
2024-03-14
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 2024-04-11
D · Potential for more than minimal harm
2024-03-14
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-03-14
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-03-14
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-03-14
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-04-11
D · Potential for more than minimal harm
2022-11-09
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-12-15
D · Potential for more than minimal harm
2022-11-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-15
E · Potential for more than minimal harm
2019-07-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-29
D · Potential for more than minimal harm
2019-07-02
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2019-07-29
Penalties and ownership
What sits behind the stars
Ownership
Qsst Tr For Alison Beebe Sadler Danos And Her Descendants
5% Or Greater Indirect Ownership Interest · Organization
Qsst Tr For Felicia Beebe Stallard And Her Descendants
5% Or Greater Indirect Ownership Interest · Organization
Beebe, Elton
5% Or Greater Indirect Ownership Interest · Individual
Delaney, Steven
5% Or Greater Indirect Ownership Interest · Individual
Nugent, Shelly
5% Or Greater Indirect Ownership Interest · Individual
Account Management Services Inc
Operational/Managerial Control · Organization
Administrative Systems Inc
Operational/Managerial Control · Organization
Beebe, Bobby
5% Or Greater Direct Ownership Interest · Individual
Beebe, Bobby
Operational/Managerial Control · Individual
Beebe, Bobby
Corporate Officer · Individual
Beebe, Elton
5% Or Greater Direct Ownership Interest · Individual
Beebe, Elton
Limited Partnership Interest · Individual
Beebe, Elton
Operational/Managerial Control · Individual
Beebe, Nancy
5% Or Greater Direct Ownership Interest · Individual
Crump, Melissa
Operational/Managerial Control · Individual
Dns Properties, LLC
5% Or Greater Direct Ownership Interest · Organization
Grace, Lesley
Operational/Managerial Control · Individual
Medico LLC
5% Or Greater Direct Ownership Interest · Organization
Medico LLC
Operational/Managerial Control · Organization
Parkinson, Toni
Operational/Managerial Control · Individual
Parkinson, Toni
Corporate Officer · Individual
Pathway Management Inc
5% Or Greater Direct Ownership Interest · Organization
Pathway Management Inc
Operational/Managerial Control · Organization
Pierce, Samuel
Operational/Managerial Control · Individual
Providence Care LLC
Operational/Managerial Control · Organization
Provider Professional Services Inc
Operational/Managerial Control · Organization
Qsst Tr For Alison Beebe Sadler Danos And Her Descendants
5% Or Greater Direct Ownership Interest · Organization
Qsst Tr For Felicia Beebe Stallard And Her Descendants
5% Or Greater Direct Ownership Interest · Organization
Regional Care LLC
Operational/Managerial Control · Organization
Regional Services, Inc
Operational/Managerial Control · Organization
Stallard, David
5% Or Greater Direct Ownership Interest · Individual
Stallard, David
Limited Partnership Interest · Individual
Stallard, David
Operational/Managerial Control · Individual
Tristar Rehab Inc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
The Bluffs Rehabilitation And Healthcare Center
Vicksburg, MS
1-star overall rating with 1-star inspections with $8,000 in total fines with 13 recent health deficiencies
#2
Shady Lawn Health And Rehabilitation
Vicksburg, MS
5-star overall rating with 5-star inspections with 2 recent health deficiencies
#3
Vicksburg Convalescent Center
Vicksburg, MS
5-star overall rating with 5-star inspections with 1 recent health deficiencies
Jump out