Cycle 1
Health 2025-02-13 · Fire 2025-02-13
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Raleigh, MS
Ms Care Center Of Raleigh
5-star overall rating with 4-star inspections with 1 recent health deficiencies
309 Magnolia Dr, Raleigh, MS
(601) 782-4244
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
110
Certified beds
Average residents
87
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Mississippi Care Center
Operator or chain grouping
Approved since
2015-01-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 4 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
0.85
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.33
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.69
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.87
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
2.18
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
4.04
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.44
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
1.00
CMS adjusted RN staffing hours
Adjusted total hours
5.74
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,337
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.46
Composite VBP score used to determine payment impact.
Payment multiplier
1.0126
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.40
Performance 18.93% · Measure score 5.40 · Achievement 5.40 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.98
Baseline 6.61% · Performance 6.35% · Measure score 4.98 · Achievement 4.98 · Improvement 1.14
Total nurse turnover
5.25
Baseline 47.27% · Performance 42.20% · Measure score 5.25 · Achievement 5.25 · Improvement 1.76
Adjusted total nurse staffing
7.35
Baseline 4.79 hours · Performance 5.17 hours · Measure score 7.35 · Achievement 7.35 · Improvement 3.31
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.84% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 60 · Observed rate 5% · Lower 95% interval 6.54% |
| Discharge to community | 53.79% |
50.57%
3.2 pts better
|
No Different than the National Rate · Eligible stays 30 · Observed rate 60% · Lower 95% interval 43.56% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 95% |
95.27%
0.3 pts worse
|
Numerator 38 · Denominator 40 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 40 |
| Discharge self-care score | 59.38% |
53.69%
5.7 pts better
|
Numerator 19 · Denominator 32 |
| Discharge mobility score | 40.63% |
50.94%
10.3 pts worse
|
Numerator 13 · Denominator 32 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 40 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.35% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 45 · Observed rate 2.22% · Lower 95% interval 3.18% |
| Staff COVID-19 vaccination coverage | 6.11% |
8.2%
2.1 pts worse
|
Numerator 8 · Denominator 131 |
| Staff flu vaccination coverage | 94.29% |
42%
52.3 pts better
|
Numerator 132 · Denominator 140 |
| Discharge function score | 34.38% |
56.45%
22.1 pts worse
|
Numerator 11 · Denominator 32 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.4
1.2 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.9
1.4 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.3 · 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 | 3.5% |
3.2%
0.3 pts worse
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 2.2% · Q3 1.2% · Q4 3.7% · 4Q avg 3.5% · 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 | 4.0% |
6.1%
2.1 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 6.8% · Q3 3.1% · Q4 3.0% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.0% |
24.4%
3.4 pts better
|
19.6%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 17.6% · Q3 18.8% · Q4 24.3% · 4Q avg 21.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.0% |
23.4%
2.4 pts better
|
16.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 21.2% · Q3 18.5% · Q4 19.0% · 4Q avg 21.0% · 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 | 19.7% |
22.8%
3.1 pts better
|
16.3%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 33.4% · Q3 12.4% · Q4 13.2% · 4Q avg 19.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.7% |
20.6%
4.1 pts worse
|
14.9%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 36.4% · Q3 17.5% · Q4 16.9% · 4Q avg 24.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.5%
1.3 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
2.5%
0.2 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 4.3% · Q3 1.3% · Q4 1.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.0% |
21.4%
3.6 pts worse
|
19.8%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 27.3% · Q3 21.3% · Q4 31.5% · 4Q avg 25.0% |
| Percentage of long-stay residents with pressure ulcers | 0.8% |
6.9%
6.1 pts better
|
5.1%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · 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% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.0% |
15.3%
6.3 pts better
|
12.0%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 8.1% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.4% |
2.6%
0.8 pts worse
|
1.6%
1.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.7% |
27.9%
3.2 pts better
|
23.9%
0.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.7% · Observed 16.2% · Expected 15.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-03 · Fire 2023-08-03
2 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2020-03-06 · Fire 2020-03-06
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
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
2020-03-06
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-04-10
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-02-13
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 2025-02-27
D · Potential for more than minimal harm
2024-09-12
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-09-26
D · Potential for more than minimal harm
2023-08-03
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-09-08
F · Potential for more than minimal harm
2020-03-06
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 2020-04-10
Penalties and ownership
What sits behind the stars
Ownership
Shr Investments, LLC
5% Or Greater Direct Ownership Interest · Organization
Scott County Investments LLC
5% Or Greater Direct Ownership Interest · Organization
Beebe, Harold
5% Or Greater Indirect Ownership Interest · Individual
Delaney, Steven
5% Or Greater Indirect Ownership Interest · Individual
Keyes, Richard
5% Or Greater Indirect Ownership Interest · Individual
Oxford Healthcare Management, Inc.
Operational/Managerial Control · Organization
Pace, Garry
5% Or Greater Indirect Ownership Interest · Individual
Pace, Garry
Operational/Managerial Control · Individual
Pace, Stephen
5% Or Greater Indirect Ownership Interest · Individual
Shelton, Rebecca
Corporate Officer · Individual
Strohm, Harry
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Hillcrest Nursing Center
Magee, MS
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Jasper County Nh
Bay Springs, MS
2-star overall rating with 2-star inspections with 9 recent health deficiencies
#3
Bedford Care Center Of Mendenhall
Mendenhall, MS
1-star overall rating with 1-star inspections with $39,354 in total fines with 5 recent health deficiencies
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