Cycle 1
Health 2024-06-27 · Fire 2024-06-27
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Durant, MS
Holmes County Long Term Care Center - Durant
2-star overall rating with 3-star inspections with $8,278 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
15481 Bowling Green Road, Durant, MS
(662) 653-4106
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
80
Certified beds
Average residents
73
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trend Consultants
Operator or chain grouping
Approved since
2011-04-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 3 overall / 3 health / 4 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
0.32
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.84
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.32
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.43
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
0.04
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
5.19
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
2,409
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.91
Composite VBP score used to determine payment impact.
Payment multiplier
1.0039
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.62
Performance 18.83% · Measure score 5.62 · Achievement 5.62 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
3.58
Baseline 8.42% · Performance 7.02% · Measure score 3.58 · Achievement 2.72 · Improvement 3.58
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
5.77
Baseline 4.29 hours · Performance 4.72 hours · Measure score 5.77 · Achievement 5.77 · Improvement 2.38
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.12% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 6.98% · Lower 95% interval 6.64% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.6 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 96.15% |
95.27%
0.9 pts better
|
Numerator 25 · Denominator 26 |
| Falls with major injury | 3.85% |
0.77%
3.1 pts worse
|
Numerator 1 · Denominator 26 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 3.85% |
2.29%
1.6 pts worse
|
Numerator 1 · Denominator 26 · Adjusted rate 2.6% |
| Healthcare-associated infections requiring hospitalization | 7.02% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 33 · Observed rate 6.06% · Lower 95% interval 3.5% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 96 |
| Staff flu vaccination coverage | 46.15% |
42%
4.1 pts better
|
Numerator 60 · Denominator 130 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
2.4
0.6 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.7 |
2.9
2.8 pts worse
|
1.8
3.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.7 · Observed 5.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
95.7%
1.6 pts better
|
93.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 97.2% · Q3 95.9% · Q4 98.7% · 4Q avg 97.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.7% |
97.0%
1.7 pts better
|
95.5%
3.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.2%
0.6 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.8% · Q3 4.1% · Q4 3.9% · 4Q avg 3.8% · 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 | 12.8% |
6.1%
6.7 pts worse
|
5.4%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 22.4% · Q3 17.4% · Q4 9.6% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.8% |
24.4%
1.6 pts better
|
19.6%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 22.9% · Q3 19.7% · Q4 24.0% · 4Q avg 22.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.4% |
23.4%
7 pts worse
|
16.7%
13.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 32.7% · Q3 31.6% · Q4 26.8% · 4Q avg 30.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 3.1% |
0.2%
2.9 pts worse
|
0.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.2% · Q3 1.4% · Q4 1.3% · 4Q avg 3.1% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.7% |
22.8%
9.1 pts better
|
16.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 9.0% · Q3 6.6% · Q4 14.1% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.7% |
20.6%
1.9 pts better
|
14.9%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 19.7% · Q3 13.6% · Q4 22.9% · 4Q avg 18.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.5%
About the same
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.9% · Q3 1.7% · Q4 1.3% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
2.5%
1.4 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 2.8% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.9% |
21.4%
1.5 pts worse
|
19.8%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 13.2% · Q3 18.7% · Q4 38.7% · 4Q avg 22.9% |
| Percentage of long-stay residents with pressure ulcers | 11.8% |
6.9%
4.9 pts worse
|
5.1%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 8.4% · Q3 11.0% · Q4 16.7% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.5% |
87.9%
5.6 pts better
|
81.7%
11.8 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 93.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.2% |
15.3%
1.9 pts worse
|
12.0%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 19.4% · Expected 12.6% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.1% |
27.9%
2.2 pts worse
|
23.9%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.1% · Observed 32.3% · Expected 25.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-15 · Fire 2023-06-15
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-08-05 · Fire 2021-08-05
2 health deficiencies
Top issue: Infection Control (1 deficiency)
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
2024-06-27
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-26
D · Potential for more than minimal harm
2024-06-27
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-07-26
Inspection history
Recent health citations
G · Actual harm
2025-01-13
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 2024-11-11
G · Actual harm
2025-01-13
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-06-27
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-26
D · Potential for more than minimal harm
2024-06-27
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-07-26
D · Potential for more than minimal harm
2024-06-27
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 2024-07-26
D · Potential for more than minimal harm
2024-06-27
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 2024-07-26
D · Potential for more than minimal harm
2024-06-27
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-26
D · Potential for more than minimal harm
2024-06-27
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-26
D · Potential for more than minimal harm
2023-06-15
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-07-20
D · Potential for more than minimal harm
2023-06-15
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 2023-07-20
D · Potential for more than minimal harm
2021-08-05
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2021-09-23
D · Potential for more than minimal harm
2021-08-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-09-23
Penalties and ownership
What sits behind the stars
$4,139
2025-01-13
Fine
Fine · fine $4,139
Fine
$4,139
2025-01-13
Fine
Fine · fine $4,139
Fine
Ownership
Kelly, Charles
5% Or Greater Direct Ownership Interest · Individual
Kelly, Charles
Operational/Managerial Control · Individual
Warnock, Lori
Corporate Director · Individual
Nearby options
Other facilities in reach
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4-star overall rating with 4-star inspections with 3 recent health deficiencies
#2
Attala County Nursing Center
Kosciusko, MS
2-star overall rating with 3-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Vaiden Community Living Center
Vaiden, MS
3-star overall rating with 3-star inspections with 6 recent health deficiencies
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