Cycle 1
Health 2024-10-30 · Fire 2024-10-30
8 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Horn Lake, MS
Landmark Of Desoto
2-star overall rating with 2-star inspections with $10,527 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
3068 Nail Road West, Horn Lake, MS
(662) 280-1219
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
60
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Beebe Family
Operator or chain grouping
Approved since
2001-10-11
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
0.45
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.01
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
3.34
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.32
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.96
CMS adjusted total nurse staffing hours
Case-mix index
1.15
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,020
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9946
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.04
Baseline 25.99% · Performance 21.03% · Measure score 5.04 · Achievement 0.87 · Improvement 5.04
Healthcare-associated infections
6.79
Baseline 12.49% · Performance 7.03% · Measure score 6.79 · Achievement 2.70 · Improvement 6.79
Total nurse turnover
2.05
Baseline 42.86% · Performance 55.32% · Measure score 2.05 · Achievement 2.05 · Improvement 0
Adjusted total nurse staffing
2.80
Baseline 3.90 hours · Performance 3.87 hours · Measure score 2.80 · Achievement 2.80 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.06% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 145 · Observed rate 11.72% · Lower 95% interval 7.91% |
| Discharge to community | 53.92% |
50.57%
3.4 pts better
|
No Different than the National Rate · Eligible stays 156 · Observed rate 45.51% · Lower 95% interval 44.24% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 96% |
95.27%
0.7 pts better
|
Numerator 120 · Denominator 125 |
| Falls with major injury | 1.6% |
0.77%
0.8 pts worse
|
Numerator 2 · Denominator 125 |
| Discharge self-care score | 63.89% |
53.69%
10.2 pts better
|
Numerator 46 · Denominator 72 |
| Discharge mobility score | 65.28% |
50.94%
14.3 pts better
|
Numerator 47 · Denominator 72 |
| Pressure ulcers or injuries, new or worsened | 2.42% |
2.29%
0.1 pts worse
|
Numerator 3 · Denominator 124 · Adjusted rate 2.48% |
| Healthcare-associated infections requiring hospitalization | 7.03% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 103 · Observed rate 6.8% · Lower 95% interval 3.94% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 53 |
| Staff flu vaccination coverage | 72.73% |
42%
30.7 pts better
|
Numerator 40 · Denominator 55 |
| Discharge function score | 65.28% |
56.45%
8.8 pts better
|
Numerator 47 · Denominator 72 |
| Transfer of health information to provider | 98.85% |
95.95%
2.9 pts better
|
Numerator 86 · Denominator 87 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 21 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 5.56% |
25.2%
19.6 pts worse
|
Numerator 4 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.3 |
2.4
1.9 pts worse
|
1.9
2.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.3 · Observed 3.3 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
2.9
1.3 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
95.7%
1.9 pts better
|
93.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.2% · Q3 97.6% · Q4 97.6% · 4Q avg 97.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.0%
3 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.6% |
3.2%
4.4 pts worse
|
3.3%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 7.1% · Q3 9.5% · Q4 7.1% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
1.6%
0.9 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 1.4% |
6.1%
4.7 pts better
|
5.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.8% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.5% |
24.4%
19.9 pts better
|
19.6%
15.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 13.5% · Q3 2.7% · Q4 2.6% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.8% |
23.4%
12.6 pts better
|
16.7%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 13.3% · Q3 5.9% · Q4 9.1% · 4Q avg 10.8% · 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 | 32.1% |
22.8%
9.3 pts worse
|
16.3%
15.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 32.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.6% |
20.6%
About the same
|
14.9%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 21.2% · Q3 18.2% · Q4 25.7% · 4Q avg 20.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
1.5%
0.1 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 2.3% · Q4 1.9% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.1% |
2.5%
0.6 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.5% · Q3 2.5% · Q4 5.0% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.7% |
21.4%
4.7 pts better
|
19.8%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 17.2% · Q3 8.6% · Q4 23.1% · 4Q avg 16.7% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
6.9%
0.7 pts better
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 9.5% · Q3 2.8% · Q4 7.7% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.9% |
87.9%
4 pts better
|
81.7%
10.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.7% · Q2 88.6% · Q3 96.7% · Q4 96.6% · 4Q avg 91.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
15.3%
6 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 9.4% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 7.1% |
2.6%
4.5 pts worse
|
1.6%
5.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 7.7% · Q3 7.9% · Q4 7.3% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.9% |
84.6%
5.3 pts better
|
79.7%
10.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.0% |
27.9%
0.1 pts worse
|
23.9%
4.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.0% · Observed 29.9% · Expected 25.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-17 · Fire 2023-08-17
3 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2022-04-28 · Fire 2022-04-28
2 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-30
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-11-18
F · Potential for more than minimal harm
2023-08-17
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-09-18
F · Potential for more than minimal harm
2023-08-17
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-18
F · Potential for more than minimal harm
2022-04-28
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-06-02
Inspection history
Recent health citations
G · Actual harm
2024-10-30
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 2024-11-18
G · Actual harm
2024-10-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-18
F · Potential for more than minimal harm
2024-10-30
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-30
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 2024-11-18
D · Potential for more than minimal harm
2024-10-30
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-30
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-30
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 2024-11-18
D · Potential for more than minimal harm
2024-10-30
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 2024-11-18
D · Potential for more than minimal harm
2023-08-17
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 2023-09-18
D · Potential for more than minimal harm
2023-08-17
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 2023-09-18
D · Potential for more than minimal harm
2023-08-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-18
F · Potential for more than minimal harm
2022-04-28
F888 · Infection Control Deficiencies
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-06-02
D · Potential for more than minimal harm
2022-04-28
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-02
Penalties and ownership
What sits behind the stars
$5,263
2024-10-30
Fine
Fine · fine $5,263
Fine
$5,264
2024-10-30
Fine
Fine · fine $5,264
Fine
Ownership
Elton G. Beebe Sr Irrv Childrens Tr
5% Or Greater Indirect Ownership Interest · Organization
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, Elton
5% Or Greater Direct Ownership Interest · Individual
Beebe, Elton
Corporate Director · Individual
Elton G Beebe Sr Irrv Grndchildrens Tr
5% Or Greater Direct Ownership Interest · Organization
Health Care Services, Inc.
5% Or Greater Direct Ownership Interest · Organization
Health Care Services, Inc.
Operational/Managerial Control · Organization
Keen, Rachel
Corporate Officer · Individual
Loggins, Roberta
Operational/Managerial Control · Individual
Malhotra, Sunil
Operational/Managerial Control · Individual
Parkinson, Toni
Operational/Managerial Control · Individual
Parkinson, Toni
Corporate Officer · Individual
Pathway Management Inc
5% Or Greater Direct Ownership Interest · Organization
Providence Care LLC
Operational/Managerial Control · Organization
Provider Professional Services Inc
Operational/Managerial Control · Organization
Regional Care LLC
Operational/Managerial Control · Organization
Regional Services, Inc
Operational/Managerial Control · Organization
Sadler, Alison
5% Or Greater Direct Ownership Interest · Individual
Sadler, Alison
Corporate Director · Individual
Stallard, David
Operational/Managerial Control · Individual
Stallard, David
Corporate Director · Individual
Stallard, David
Corporate Officer · Individual
Stallard, Felicia
5% Or Greater Direct Ownership Interest · Individual
Stallard, Felicia
Corporate Director · Individual
Tristar Rehab Inc
Operational/Managerial Control · Organization
White, Ruby
Operational/Managerial Control · Individual
Nearby options
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#2
Desoto Healthcare Center
Southaven, MS
3-star overall rating with 3-star inspections with $9,318 in total fines with 3 recent health deficiencies
#3
Graceland Rehabilitation And Nursing Care Center
Memphis, TN
1-star overall rating with 1-star inspections with Special Focus status with $342,603 in total fines with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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