Cycle 1
Health 2024-06-27 · Fire 2024-06-27
7 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lumberton, MS
Lamar Healthcare & Rehabilitation Center
1-star overall rating with 2-star inspections with $10,527 in total fines with 7 recent health deficiencies
6428 Us Highway 11, Lumberton, MS
(601) 794-8566
Overall
1 / 5
CMS overall stars
Health inspections
2 / 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
120
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2013-06-21
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
0.18
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
1.78
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
2.91
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.13
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
2.68
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.10
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.21
CMS adjusted RN staffing hours
Adjusted total hours
3.41
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,431
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.40
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Performance 22.83% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Baseline 7.87% · Performance 10.76% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.84
Performance 35.71% · Measure score 6.84 · Achievement 6.84 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.32
Baseline 4.14 hours · Performance 3.45 hours · Measure score 1.32 · Achievement 1.32 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.09% |
10.72%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 71 · Observed rate 21.13% · Lower 95% interval 8.91% |
| Discharge to community | 42.26% |
50.57%
8.3 pts worse
|
No Different than the National Rate · Eligible stays 49 · Observed rate 28.57% · Lower 95% interval 30.63% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.13% |
95.27%
2.9 pts better
|
Numerator 105 · Denominator 107 |
| Falls with major injury | 0.93% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 107 |
| Discharge self-care score | 52.38% |
53.69%
1.3 pts worse
|
Numerator 33 · Denominator 63 |
| Discharge mobility score | 30.16% |
50.94%
20.8 pts worse
|
Numerator 19 · Denominator 63 |
| Pressure ulcers or injuries, new or worsened | 8.41% |
2.29%
6.1 pts worse
|
Numerator 9 · Denominator 107 · Adjusted rate 6.96% |
| Healthcare-associated infections requiring hospitalization | 10.76% |
7.12%
3.6 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 20% · Lower 95% interval 6.59% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 72 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 89 |
| Discharge function score | 44.44% |
56.45%
12 pts worse
|
Numerator 28 · Denominator 63 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 63 · Denominator 63 |
| 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 | 11.76% |
25.2%
13.4 pts worse
|
Numerator 6 · Denominator 51 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.4
0.2 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.2 · Expected 2.3 · 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 4.6 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 66.7% |
95.7%
29 pts worse
|
93.4%
26.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.6% · Q2 70.0% · Q3 59.7% · Q4 60.5% · 4Q avg 66.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 67.5% |
97.0%
29.5 pts worse
|
95.5%
28 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 67.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% |
3.2%
1.4 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.9% · Q3 6.9% · Q4 5.3% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.9% |
1.6%
0.7 pts better
|
11.4%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
6.1%
1.4 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.4% · Q3 17.2% · Q4 7.9% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.7% |
24.4%
2.7 pts better
|
19.6%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 18.8% · Q3 24.6% · Q4 25.8% · 4Q avg 21.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.4% |
23.4%
2 pts worse
|
16.7%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 26.1% · Q3 29.7% · Q4 24.4% · 4Q avg 25.4% · 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 | 22.1% |
22.8%
0.7 pts better
|
16.3%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q3 26.3% · 4Q avg 22.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.6% |
20.6%
3 pts better
|
14.9%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 19.3% · Q3 21.8% · Q4 15.3% · 4Q avg 17.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.4% |
1.5%
0.9 pts worse
|
1.0%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.9% · Q3 1.9% · Q4 2.4% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
2.5%
0.7 pts better
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 1.4% · Q4 2.7% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.7% |
21.4%
5.3 pts worse
|
19.8%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 35.4% · Q3 32.3% · Q4 14.0% · 4Q avg 26.7% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
6.9%
1.2 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 7.9% · Q3 10.2% · Q4 8.7% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 64.8% |
87.9%
23.1 pts worse
|
81.7%
16.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 54.1% · Q2 62.2% · Q3 66.7% · Q4 77.1% · 4Q avg 64.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
15.3%
1.7 pts better
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 15.8% · Expected 13.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.5% |
2.6%
2.9 pts worse
|
1.6%
3.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 4.0% · Q3 6.9% · Q4 9.1% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 55.6% |
84.6%
29 pts worse
|
79.7%
24.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 55.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.9% |
27.9%
5 pts worse
|
23.9%
9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.9% · Observed 34.7% · Expected 25.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-19 · Fire 2022-05-19
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-05-16 · Fire 2019-05-16
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2019-05-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-03-01
Inspection history
Recent health citations
G · Actual 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 2024-07-23
G · Actual 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 2024-07-23
F · Potential for more than minimal harm
2024-06-27
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-07-23
E · Potential for more than minimal harm
2024-06-27
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-07-23
E · Potential for more than minimal harm
2024-06-27
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-23
D · Potential for more than minimal harm
2024-06-27
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-07-23
D · Potential for more than minimal harm
2024-06-27
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-23
E · Potential for more than minimal harm
2022-05-19
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-06-30
E · Potential for more than minimal harm
2022-05-19
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 2022-06-30
E · Potential for more than minimal harm
2022-05-19
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-19
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-06-30
C · Minimal harm
2022-05-19
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2022-06-30
F · Potential for more than minimal harm
2019-05-16
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 2019-06-18
E · Potential for more than minimal harm
2019-05-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-06-18
E · Potential for more than minimal harm
2019-05-16
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-06-18
D · Potential for more than minimal harm
2019-05-16
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 2019-06-18
D · Potential for more than minimal harm
2019-05-16
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-06-18
D · Potential for more than minimal harm
2019-05-16
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 2019-06-18
D · Potential for more than minimal harm
2019-05-16
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2019-06-18
Penalties and ownership
What sits behind the stars
$5,263
2024-06-27
Fine
Fine · fine $5,263
Fine
$5,264
2024-06-27
Fine
Fine · fine $5,264
Fine
Ownership
Crowson, David
5% Or Greater Direct Ownership Interest · Individual
Academy Health Center Inc
5% Or Greater Security Interest · Organization
Crowson, David
Operational/Managerial Control · Individual
Lee, Patricia
Operational/Managerial Control · Individual
Nance Management Inc
Operational/Managerial Control · Organization
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5-star overall rating with 4-star inspections with 2 recent health deficiencies
#3
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
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