Cycle 1
Health 2025-06-26 · Fire 2025-06-26
7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Diamondhead, MS
Memorial Woodland Village Nursing Center
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
5427 Gex Road, Diamondhead, MS
(228) 255-4832
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
132
Certified beds
Average residents
107
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-03-15
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
0.31
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.52
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.19
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.82
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.40
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
5.03
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
99%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
371
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
71.58
Composite VBP score used to determine payment impact.
Payment multiplier
1.0231
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.99
Baseline 20.39% · Performance 18.19% · Measure score 6.99 · Achievement 6.99 · Improvement 6.03
Healthcare-associated infections
5.73
Baseline 13.36% · Performance 8.15% · Measure score 5.73 · Achievement 0 · Improvement 5.73
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
8.76
Baseline 4.84 hours · Performance 5.57 hours · Measure score 8.76 · Achievement 8.76 · Improvement 7.26
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.91% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 87 · Observed rate 13.79% · Lower 95% interval 7.72% |
| Discharge to community | 55.81% |
50.57%
5.2 pts better
|
No Different than the National Rate · Eligible stays 70 · Observed rate 45.71% · Lower 95% interval 44.28% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.57% |
95.27%
3.3 pts better
|
Numerator 69 · Denominator 70 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 70 |
| Discharge self-care score | 59.57% |
53.69%
5.9 pts better
|
Numerator 28 · Denominator 47 |
| Discharge mobility score | 48.94% |
50.94%
2 pts worse
|
Numerator 23 · Denominator 47 |
| Pressure ulcers or injuries, new or worsened | 4.29% |
2.29%
2 pts worse
|
Numerator 3 · Denominator 70 · Adjusted rate 3.7% |
| Healthcare-associated infections requiring hospitalization | 8.16% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 13.33% · Lower 95% interval 5.21% |
| Staff COVID-19 vaccination coverage | 2.44% |
8.2%
5.8 pts worse
|
Numerator 2 · Denominator 82 |
| Staff flu vaccination coverage | 23.02% |
42%
19 pts worse
|
Numerator 32 · Denominator 139 |
| Discharge function score | 48.94% |
56.45%
7.5 pts worse
|
Numerator 23 · Denominator 47 |
| 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 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 18.92% |
25.2%
6.3 pts worse
|
Numerator 7 · Denominator 37 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.4
About the same
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.5 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
2.9
0.3 pts better
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.8 · Expected 1.8 · 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 | 99.0% |
97.0%
2 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
3.2%
1.3 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 2.2% · Q4 4.2% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.8% |
1.6%
7.2 pts worse
|
11.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 6.5% · Q3 5.7% · Q4 11.4% · 4Q avg 8.8% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
6.1%
2.5 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.5% · Q3 6.3% · Q4 2.5% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.7% |
24.4%
11.3 pts worse
|
19.6%
16.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.0% · Q2 38.4% · Q3 35.8% · Q4 30.1% · 4Q avg 35.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.9% |
23.4%
3.5 pts worse
|
16.7%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 27.1% · Q3 26.8% · Q4 26.2% · 4Q avg 26.9% · 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 | 20.7% |
22.8%
2.1 pts better
|
16.3%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 28.5% · Q3 19.7% · Q4 11.0% · 4Q avg 20.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.4% |
20.6%
6.2 pts better
|
14.9%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 9.6% · Q3 10.1% · Q4 12.5% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.5%
0.4 pts better
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
2.5%
2.2 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.3% |
21.4%
0.1 pts better
|
19.8%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 24.9% · Q3 25.0% · Q4 23.2% · 4Q avg 21.3% |
| Percentage of long-stay residents with pressure ulcers | 10.2% |
6.9%
3.3 pts worse
|
5.1%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 10.7% · Q3 9.3% · Q4 13.2% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.9%
12.1 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.2% |
15.3%
4.1 pts better
|
12.0%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 14.1% · Expected 14.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
2.6%
1.3 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 1.3% · Q4 1.2% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.5% |
84.6%
13.9 pts better
|
79.7%
18.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.1% |
27.9%
0.8 pts better
|
23.9%
3.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.1% · Observed 29.6% · Expected 26.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-29 · Fire 2024-02-29
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-01-28 · Fire 2022-01-28
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
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
2025-06-26
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-21
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-26
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-26
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-26
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-26
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 2025-07-25
D · Potential for more than minimal harm
2025-06-26
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-26
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-07-25
E · Potential for more than minimal harm
2024-02-29
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-04-10
E · Potential for more than minimal harm
2024-02-29
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2024-04-10
D · Potential for more than minimal harm
2024-02-29
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-04-10
D · Potential for more than minimal harm
2024-02-29
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 2024-04-10
D · Potential for more than minimal harm
2024-02-29
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 2024-04-10
D · Potential for more than minimal harm
2024-02-29
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 2024-04-10
D · Potential for more than minimal harm
2024-02-29
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 2024-04-10
D · Potential for more than minimal harm
2024-02-29
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-04-10
D · Potential for more than minimal harm
2023-07-12
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-04-18
D · Potential for more than minimal harm
2022-01-28
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-02-25
D · Potential for more than minimal harm
2022-01-28
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-02-25
Penalties and ownership
What sits behind the stars
Ownership
City Of Gulfport
5% Or Greater Direct Ownership Interest · Organization
Harrison County Board Of Supervisors
5% Or Greater Direct Ownership Interest · Organization
Bryan, Joshua
W-2 Managing Employee · Individual
Corporate Management, Inc.
Operational/Managerial Control · Organization
Dumal, Jennifer
Operational/Managerial Control · Individual
Dumal, Jennifer
Corporate Officer · Individual
Dumal, Jennifer
W-2 Managing Employee · Individual
Mccoo, Myron
Operational/Managerial Control · Individual
Mccoo, Myron
Corporate Officer · Individual
Mccoo, Myron
W-2 Managing Employee · Individual
Nicaud, Kent
Operational/Managerial Control · Individual
Nicaud, Kent
Corporate Officer · Individual
Nicaud, Kent
W-2 Managing Employee · Individual
Noonan, Peggy
Corporate Director · Individual
Thomas, Eugene
Operational/Managerial Control · Individual
Thomas, Eugene
Corporate Officer · Individual
Thomas, Eugene
Contracted Managing Employee · Individual
Zelenka, Haley
Operational/Managerial Control · Individual
Zelenka, Haley
Corporate Officer · Individual
Zelenka, Haley
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Dunbar Village Terrace
Bay Saint Louis, MS
4-star overall rating with 4-star inspections with $8,021 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Pass Christian Health And Rehabiliation Center
Pass Christian, MS
1-star overall rating with 3-star inspections with $8,224 in total fines with 5 recent health deficiencies
#3
Gulfport Care Center
Gulfport, MS
1-star overall rating with 1-star inspections with $24,281 in total fines with 10 recent health deficiencies
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