6 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)
Yazoo City, MS
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2041 Grand Ave, Yazoo City, MS
(662) 746-4621
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
54
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2008-11-10
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
RN hours / resident day
0.70
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.26
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
3.54
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
5.50
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.96
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
4.89
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.35
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
0.79
CMS adjusted RN staffing hours
Adjusted total hours
6.26
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
459
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
69.44
Composite VBP score used to determine payment impact.
Payment multiplier
1.0221
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.33
Baseline 20.52% · Performance 18.04% · Measure score 7.33 · Achievement 7.33 · Improvement 6.61
Healthcare-associated infections
5.06
Baseline 5.78% · Performance 6.32% · Measure score 5.06 · Achievement 5.06 · Improvement 0
Total nurse turnover
6.27
Baseline 39.76% · Performance 38.04% · Measure score 6.27 · Achievement 6.27 · Improvement 0.65
Adjusted total nurse staffing
9.12
Baseline 5.19 hours · Performance 5.67 hours · Measure score 9.12 · Achievement 9.12 · Improvement 7.68
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.9% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 10.96% · Lower 95% interval 7.61% |
| Discharge to community | 60.29% |
50.57%
9.7 pts better
|
No Different than the National Rate · Eligible stays 46 · Observed rate 58.7% · Lower 95% interval 45.33% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 38 · Denominator 38 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 38 |
| Discharge self-care score | 23.08% |
53.69%
30.6 pts worse
|
Numerator 6 · Denominator 26 |
| Discharge mobility score | 11.54% |
50.94%
39.4 pts worse
|
Numerator 3 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 2.63% |
2.29%
0.3 pts worse
|
Numerator 1 · Denominator 38 · Adjusted rate 2.43% |
| Healthcare-associated infections requiring hospitalization | 6.32% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 42 · Observed rate 2.38% · Lower 95% interval 2.67% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 121 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 26.92% |
56.45%
29.5 pts worse
|
Numerator 7 · Denominator 26 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 10% |
25.2%
15.2 pts worse
|
Numerator 2 · Denominator 20 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.4
0.9 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.4 · 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 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
95.7%
0.7 pts better
|
93.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 96.4% · Q3 96.4% · Q4 94.3% · 4Q avg 96.4% |
| 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 | 3.6% |
3.2%
0.4 pts worse
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.8% · Q3 1.8% · Q4 7.5% · 4Q avg 3.6% · 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 | 10.9% |
6.1%
4.8 pts worse
|
5.4%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 15.6% · Q3 9.3% · Q4 14.6% · 4Q avg 10.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.0% |
24.4%
11.4 pts better
|
19.6%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 15.2% · Q3 13.0% · Q4 11.6% · 4Q avg 13.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.4% |
23.4%
12 pts better
|
16.7%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 17.6% · Q3 8.3% · Q4 12.1% · 4Q avg 11.4% · 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 | 16.6% |
22.8%
6.2 pts better
|
16.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.9% |
20.6%
11.7 pts better
|
14.9%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 9.5% · Q3 9.3% · Q4 5.0% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.5%
1.5 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.3% |
2.5%
1.8 pts worse
|
1.7%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.1% · Q3 5.7% · Q4 2.0% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.1% |
21.4%
1.3 pts better
|
19.8%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 19.2% · Q3 20.4% · Q4 20.9% · 4Q avg 20.1% |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
6.9%
5.2 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 4.3% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 51.9% |
87.9%
36 pts worse
|
81.7%
29.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q4 21.7% · 4Q avg 51.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.4% |
15.3%
4.9 pts better
|
12.0%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 9.5% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.6%
2.6 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 55.0% |
84.6%
29.6 pts worse
|
79.7%
24.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 55.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.6% |
27.9%
0.3 pts better
|
23.9%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 23.8% · Expected 20.5% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-29
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-07-07
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2020-03-02
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-01
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-11-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-08-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-11
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-08-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-28
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-03-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-28
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 2020-03-28
Health
Provide activities to meet all resident's needs.
Corrected 2020-03-28
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-28
Penalties and ownership
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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