Cycle 1
Health 2025-03-20 · Fire 2025-03-20
6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Ellisville, MS
Jones Co Rest Home
2-star overall rating with 2-star inspections with $12,735 in total fines with 6 recent health deficiencies
683 County Home Road, Ellisville, MS
(601) 477-3334
Overall
2 / 5
CMS overall stars
Health inspections
2 / 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
122
Certified beds
Average residents
111
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2012-09-13
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
0.52
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.23
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.81
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.56
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.75
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.69
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.24
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
0.60
CMS adjusted RN staffing hours
Adjusted total hours
5.31
CMS adjusted total nurse staffing hours
Case-mix index
1.18
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
10,246
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.57% · Performance 24.06% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.84% · Performance 7.77% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.06
Baseline 42.62% · Performance 47.10% · Measure score 4.06 · Achievement 4.06 · Improvement 0
Adjusted total nurse staffing
4.34
Baseline 4.51 hours · Performance 4.31 hours · Measure score 4.34 · Achievement 4.34 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.39% |
10.72%
3.7 pts worse
|
Worse than the National Rate · Eligible stays 153 · Observed rate 16.99% · Lower 95% interval 10.75% |
| Discharge to community | 48.21% |
50.57%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 151 · Observed rate 45.7% · Lower 95% interval 40.49% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 94.38% |
95.27%
0.9 pts worse
|
Numerator 84 · Denominator 89 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 89 |
| Discharge self-care score | 64.29% |
53.69%
10.6 pts better
|
Numerator 36 · Denominator 56 |
| Discharge mobility score | 51.79% |
50.94%
0.9 pts better
|
Numerator 29 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 1.12% |
2.29%
1.2 pts better
|
Numerator 1 · Denominator 89 · Adjusted rate 0.91% |
| Healthcare-associated infections requiring hospitalization | 7.77% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 100 · Observed rate 8% · Lower 95% interval 5.12% |
| Staff COVID-19 vaccination coverage | 0.97% |
8.2%
7.2 pts worse
|
Numerator 2 · Denominator 206 |
| Staff flu vaccination coverage | 44.74% |
42%
2.7 pts better
|
Numerator 85 · Denominator 190 |
| Discharge function score | 60.71% |
56.45%
4.3 pts better
|
Numerator 34 · Denominator 56 |
| Transfer of health information to provider | 96.36% |
95.95%
0.4 pts better
|
Numerator 53 · Denominator 55 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 41.3% |
25.2%
16.1 pts better
|
Numerator 19 · Denominator 46 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.9 |
2.4
1.5 pts worse
|
1.9
2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 3.5 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.3 |
2.9
1.4 pts worse
|
1.8
2.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.3 · Observed 3.9 · 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 | 99.1% |
97.0%
2.1 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
3.2%
0.1 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 2.9% · Q3 1.9% · Q4 2.9% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.0% |
1.6%
5.4 pts worse
|
11.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 5.8% · Q3 5.9% · Q4 8.0% · 4Q avg 7.0% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
6.1%
0.7 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 6.1% · Q3 4.9% · Q4 6.1% · 4Q avg 5.4% |
| 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 22.8% · Q2 26.0% · Q3 25.2% · Q4 22.5% · 4Q avg 24.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.1% |
23.4%
12.3 pts better
|
16.7%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 10.5% · Q3 10.0% · Q4 14.5% · 4Q avg 11.1% · 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 | 20.1% |
22.8%
2.7 pts better
|
16.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 25.1% · Q3 16.5% · Q4 17.5% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.4% |
20.6%
4.8 pts worse
|
14.9%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 32.1% · Q3 26.1% · Q4 27.3% · 4Q avg 25.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.5%
0.7 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 2.3% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
2.5%
0.5 pts better
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.0% · Q3 2.9% · Q4 1.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.1% |
21.4%
4.3 pts better
|
19.8%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 17.0% · Q3 14.7% · Q4 21.2% · 4Q avg 17.1% |
| 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 7.2% · Q2 10.0% · Q3 5.5% · Q4 5.0% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.1% |
87.9%
6.2 pts better
|
81.7%
12.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.2% · Q2 92.5% · Q3 97.4% · Q4 94.8% · 4Q avg 94.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.1% |
15.3%
4.2 pts better
|
12.0%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 10.4% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
2.6%
1.5 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 2.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.8% |
84.6%
7.8 pts worse
|
79.7%
2.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.8% |
27.9%
5.9 pts worse
|
23.9%
9.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.8% · Observed 32.3% · Expected 22.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-26 · Fire 2023-10-26
6 health deficiencies
Top issue: Resident Rights (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2021-03-05 · Fire 2021-03-05
4 health deficiencies
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-10-26
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-12-05
D · Potential for more than minimal harm
2023-10-26
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-12-05
Inspection history
Recent health citations
G · Actual harm
2025-03-20
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 2025-04-16
G · Actual harm
2025-03-20
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-20
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-20
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 2025-04-16
D · Potential for more than minimal harm
2025-03-20
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-20
F646 · Resident Assessment and Care Planning Deficiencies
Health
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2025-04-16
F · Potential for more than minimal harm
2023-10-26
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 2023-12-06
E · Potential for more than minimal harm
2023-10-26
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-12-06
E · Potential for more than minimal harm
2023-10-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-06
D · Potential for more than minimal harm
2023-10-26
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 2023-12-06
D · Potential for more than minimal harm
2023-10-26
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 2023-12-06
B · Minimal harm
2023-10-26
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 2023-12-06
D · Potential for more than minimal harm
2023-05-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-21
F · Potential for more than minimal harm
2021-03-05
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 2021-04-16
D · Potential for more than minimal harm
2021-03-05
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-04-16
D · Potential for more than minimal harm
2021-03-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-04-16
Penalties and ownership
What sits behind the stars
$6,367
2025-03-20
Fine
Fine · fine $6,367
Fine
$6,368
2025-03-20
Fine
Fine · fine $6,368
Fine
Ownership
Canizaro, James
Corporate Officer · Individual
Dyess, Stephanie
Operational/Managerial Control · Individual
Gibbes, Gregg
Operational/Managerial Control · Individual
Gibbes, Gregg
Corporate Officer · Individual
Hasbargen, Brittany
Operational/Managerial Control · Individual
Hicks, Judith
Operational/Managerial Control · Individual
South Central Regional Medical Center
Operational/Managerial Control · Organization
Staines, Lane
Corporate Director · Individual
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#2
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1-star overall rating with 2-star inspections with $13,520 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Care Center Of Laurel
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2-star overall rating with 3-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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