Cycle 1
Health 2024-06-20 · Fire 2024-06-20
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Ridgeland, MS
Highland Home
2-star overall rating with 2-star inspections with $10,033 in total fines with 7 recent health deficiencies
638 Highland Colony Parkway, Ridgeland, MS
(601) 853-0415
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
111
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Beebe Family
Operator or chain grouping
Approved since
2001-07-02
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
0.30
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.34
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.15
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
3.79
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.64
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.34
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
4.07
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,968
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.89
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.56
Baseline 22.86% · Performance 19.91% · Measure score 4.56 · Achievement 3.28 · Improvement 4.56
Healthcare-associated infections
0
Baseline 7.42% · Performance 8.37% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.31
Baseline 59.13% · Performance 58.33% · Measure score 1.31 · Achievement 1.31 · Improvement 0
Adjusted total nurse staffing
2.89
Baseline 4.15 hours · Performance 3.90 hours · Measure score 2.89 · Achievement 2.89 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.43% |
10.72%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 365 · Observed rate 13.7% · Lower 95% interval 10.36% |
| Discharge to community | 56.2% |
50.57%
5.6 pts better
|
Better than the National Rate · Eligible stays 374 · Observed rate 50% · Lower 95% interval 51.29% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 96.82% |
95.27%
1.5 pts better
|
Numerator 213 · Denominator 220 |
| Falls with major injury | 1.36% |
0.77%
0.6 pts worse
|
Numerator 3 · Denominator 220 |
| Discharge self-care score | 35.03% |
53.69%
18.7 pts worse
|
Numerator 55 · Denominator 157 |
| Discharge mobility score | 29.94% |
50.94%
21 pts worse
|
Numerator 47 · Denominator 157 |
| Pressure ulcers or injuries, new or worsened | 4.57% |
2.29%
2.3 pts worse
|
Numerator 10 · Denominator 219 · Adjusted rate 3.71% |
| Healthcare-associated infections requiring hospitalization | 8.37% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 216 · Observed rate 9.26% · Lower 95% interval 5.46% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 115 |
| Staff flu vaccination coverage | 36.94% |
42%
5.1 pts worse
|
Numerator 41 · Denominator 111 |
| Discharge function score | 32.48% |
56.45%
24 pts worse
|
Numerator 51 · Denominator 157 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 108 · Denominator 108 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 81 · Denominator 81 |
| Resident COVID-19 vaccinations up to date | 6.6% |
25.2%
18.6 pts worse
|
Numerator 7 · Denominator 106 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.4
0.9 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.3 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
2.9
1.6 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.2% |
95.7%
6.5 pts worse
|
93.4%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 63.8% · Q2 96.3% · Q3 98.8% · Q4 97.6% · 4Q avg 89.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.0% |
97.0%
6 pts worse
|
95.5%
4.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
3.2%
2.6 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · 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 | 7.2% |
6.1%
1.1 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 5.9% · Q3 9.6% · Q4 7.1% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.1% |
24.4%
0.3 pts better
|
19.6%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 19.4% · Q3 26.0% · Q4 32.9% · 4Q avg 24.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.2% |
23.4%
11.2 pts better
|
16.7%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 11.5% · Q3 9.4% · Q4 17.5% · 4Q avg 12.2% · 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 | 15.6% |
22.8%
7.2 pts better
|
16.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 16.8% · Q3 17.8% · Q4 14.1% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.0% |
20.6%
1.6 pts better
|
14.9%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 25.9% · Q3 20.3% · Q4 13.3% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
1.5%
0.1 pts better
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.9% · Q3 2.2% · Q4 0.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.8% |
2.5%
1.3 pts worse
|
1.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 1.3% · Q3 3.7% · Q4 3.8% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.9% |
21.4%
7.5 pts worse
|
19.8%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.7% · Q2 34.6% · Q3 32.9% · Q4 16.6% · 4Q avg 28.9% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
6.9%
About the same
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 9.3% · Q3 4.5% · Q4 7.4% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.6% |
87.9%
2.3 pts worse
|
81.7%
3.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 82.3% · Q2 82.6% · Q3 88.2% · Q4 89.6% · 4Q avg 85.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.1% |
15.3%
5.2 pts better
|
12.0%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 9.5% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
2.6%
1.8 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 0.6% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.6% |
84.6%
2 pts worse
|
79.7%
2.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
27.9%
6.2 pts better
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 20.9% · Expected 22.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-09 · Fire 2023-03-09
8 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-10-31 · Fire 2019-10-31
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
G · Actual harm
2024-06-20
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 2024-07-12
G · Actual harm
2024-06-20
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-07-12
D · Potential for more than minimal harm
2024-06-20
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 2024-07-12
D · Potential for more than minimal harm
2024-06-20
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 2024-07-12
D · Potential for more than minimal harm
2024-06-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-12
D · Potential for more than minimal harm
2024-06-20
F761 · Pharmacy Service Deficiencies
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 2024-07-12
D · Potential for more than minimal harm
2024-06-20
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-12
E · Potential for more than minimal harm
2023-03-09
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-04-28
E · Potential for more than minimal harm
2023-03-09
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-04-28
E · Potential for more than minimal harm
2023-03-09
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 2023-04-28
D · Potential for more than minimal harm
2023-03-09
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 2023-04-28
D · Potential for more than minimal harm
2023-03-09
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 2023-04-28
D · Potential for more than minimal harm
2023-03-09
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 2023-04-28
D · Potential for more than minimal harm
2023-03-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-03-09
F758 · Pharmacy Service Deficiencies
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 2023-04-28
D · Potential for more than minimal harm
2019-10-31
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-11-14
D · Potential for more than minimal harm
2019-10-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-14
Penalties and ownership
What sits behind the stars
$10,033
2024-06-20
Fine
Fine · fine $10,033
Fine
Ownership
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
Dyess, Samantha
Operational/Managerial Control · Individual
Elton G Beebe Sr Irrv Grndchildrens Tr
5% Or Greater Direct Ownership Interest · Organization
Elton G. Beebe Sr Irrv Childrens Tr
5% Or Greater Direct Ownership Interest · Organization
Estes, Timothy
Operational/Managerial Control · Individual
Health Care Services, Inc.
5% Or Greater Direct Ownership Interest · Organization
Health Care Services, Inc.
Operational/Managerial Control · Organization
Miciello, Jennifer
Operational/Managerial Control · Individual
Parkinson, Toni
Operational/Managerial Control · Individual
Parkinson, Toni
Corporate Officer · Individual
Providence Care LLC
Operational/Managerial Control · Organization
Provider Professional Services Inc
Operational/Managerial Control · Organization
Regional Services, Inc
Operational/Managerial Control · Organization
Stallard, David
5% Or Greater Direct Ownership Interest · Individual
Stallard, David
Operational/Managerial Control · Individual
Tristar Rehab Inc
Operational/Managerial Control · Organization
Nearby options
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#3
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1-star overall rating with 2-star inspections with $8,788 in total fines with 11 recent health deficiencies
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