Cycle 1
Health 2024-09-04 · Fire 2024-09-04
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Hattiesburg, MS
Merit Health Wesley
5-star overall rating with 4-star inspections with 2 recent health deficiencies
5001 Hardy Street, Hattiesburg, MS
(601) 268-5962
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
25
Certified beds
Average residents
20
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-11-17
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
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
2.00
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
2.67
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
1.43
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
6.09
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
4.67
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
5.00
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.52
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
2.19
CMS adjusted RN staffing hours
Adjusted total hours
6.69
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
494
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
68.85
Composite VBP score used to determine payment impact.
Payment multiplier
1.0218
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.36
Baseline 21.90% · Performance 19.54% · Measure score 4.36 · Achievement 4.09 · Improvement 4.36
Healthcare-associated infections
10
Baseline 6.14% · Performance 4.92% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
6.3
Baseline 38.71% · Performance 37.93% · Measure score 6.3 · Achievement 6.3 · Improvement 0.06
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.15% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 367 · Observed rate 10.63% · Lower 95% interval 9.38% |
| Discharge to community | 70.9% |
50.57%
20.3 pts better
|
Better than the National Rate · Eligible stays 331 · Observed rate 75.53% · Lower 95% interval 67.6% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.56% |
95.27%
3.3 pts better
|
Numerator 205 · Denominator 208 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 208 |
| Discharge self-care score | 30.85% |
53.69%
22.8 pts worse
|
Numerator 29 · Denominator 94 |
| Discharge mobility score | 35.11% |
50.94%
15.8 pts worse
|
Numerator 33 · Denominator 94 |
| Pressure ulcers or injuries, new or worsened | 1.92% |
2.29%
0.4 pts better
|
Numerator 4 · Denominator 208 · Adjusted rate 2.64% |
| Healthcare-associated infections requiring hospitalization | 4.92% |
7.12%
2.2 pts better
|
No Different than the National Rate · Eligible stays 175 · Observed rate 1.71% · Lower 95% interval 3.09% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 88 |
| Staff flu vaccination coverage | 45.64% |
42%
3.6 pts better
|
Numerator 68 · Denominator 149 |
| Discharge function score | 29.79% |
56.45%
26.7 pts worse
|
Numerator 28 · Denominator 94 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 184 · Denominator 184 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 24 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 19.83% |
25.2%
5.4 pts worse
|
Numerator 23 · Denominator 116 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.4% |
87.9%
14.5 pts worse
|
81.7%
8.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 74.0% · Q2 75.0% · Q3 78.0% · Q4 66.8% · 4Q avg 73.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.0% |
15.3%
8.3 pts better
|
12.0%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 7.1% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
2.6%
0.7 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.2% · Q3 3.5% · Q4 4.1% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.8% |
84.6%
11.8 pts worse
|
79.7%
6.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.9% |
27.9%
7 pts better
|
23.9%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 17.3% · Expected 19.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-01 · Fire 2023-03-01
4 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-12-31 · Fire 2019-12-31
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-09-04
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 2024-10-16
D · Potential for more than minimal harm
2024-09-04
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-10-16
F · Potential for more than minimal harm
2023-03-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-30
E · Potential for more than minimal harm
2023-03-01
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-30
D · Potential for more than minimal harm
2023-03-01
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 2023-03-30
D · Potential for more than minimal harm
2023-03-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-03-30
Penalties and ownership
What sits behind the stars
Ownership
Qhg Of Hattiesburg Inc
5% Or Greater Direct Ownership Interest · Organization
Qhg Of Forrest County Inc
5% Or Greater Direct Ownership Interest · Organization
Abner, Tristia
W-2 Managing Employee · Individual
Buffington-Price, Edna
Corporate Director · Individual
Cash, William
Corporate Officer · Individual
Chs Community Health Systems Inc
5% Or Greater Indirect Ownership Interest · Organization
Cobb, Christopher
Corporate Officer · Individual
Community Health Systems Inc
5% Or Greater Indirect Ownership Interest · Organization
Franklin, Howard
W-2 Managing Employee · Individual
Hammons, Kevin
Corporate Director · Individual
Hammons, Kevin
Corporate Officer · Individual
Hma-Tri Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Johnson, Jason
Corporate Officer · Individual
Lalor, Paula
Corporate Director · Individual
Nc-Dsh LLC
5% Or Greater Indirect Ownership Interest · Organization
Ottinger, Roman
Corporate Officer · Individual
Pitt, Justin
Corporate Director · Individual
Pitt, Justin
Corporate Officer · Individual
Qhg Georgia Holdings, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Sisson, Travis
W-2 Managing Employee · Individual
Summar, Nathaniel
Corporate Director · Individual
Tennyson Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Triad Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Triad Holdings V LLC
5% Or Greater Indirect Ownership Interest · Organization
Triad Nevada Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Windham House Of Hattiesburg
Hattiesburg, MS
5-star overall rating with 5-star inspections
#2
Bedford Care Center Of Hattiesburg
Hattiesburg, MS
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Forrest General Hospital Skilled Nursing Unit
Hattiesburg, MS
5-star overall rating with 5-star inspections with 1 recent health deficiencies
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