Cycle 1
Health 2025-11-18 · Fire 2023-12-15
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Philadelphia, MS
Neshoba County Nursing Home
2-star overall rating with 2-star inspections with 9 recent health deficiencies
1001 Holland Avenue, Philadelphia, MS
(601) 663-1200
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
145
Certified beds
Average residents
122
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-05-20
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
0.98
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.21
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.18
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.97
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.41
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.15
CMS adjusted RN staffing hours
Adjusted total hours
4.90
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,667
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.89
Composite VBP score used to determine payment impact.
Payment multiplier
1.0098
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.13
Baseline 14.81% · Performance 19.05% · Measure score 5.13 · Achievement 5.13 · Improvement 0
Healthcare-associated infections
5.46
Baseline 4.84% · Performance 6.20% · Measure score 5.46 · Achievement 5.46 · Improvement 0
Total nurse turnover
6.33
Baseline 33.07% · Performance 37.80% · Measure score 6.33 · Achievement 6.33 · Improvement 0
Adjusted total nurse staffing
5.04
Baseline 4.87 hours · Performance 4.51 hours · Measure score 5.04 · Achievement 5.04 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.06% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 227 · Observed rate 5.73% · Lower 95% interval 6.42% |
| Discharge to community | 63.1% |
50.57%
12.5 pts better
|
Better than the National Rate · Eligible stays 192 · Observed rate 64.58% · Lower 95% interval 57.02% |
| Medicare spending per beneficiary | 0.73 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 0.76% |
95.27%
94.5 pts worse
|
Numerator 1 · Denominator 132 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 132 |
| Discharge self-care score | 33.67% |
53.69%
20 pts worse
|
Numerator 33 · Denominator 98 |
| Discharge mobility score | 41.84% |
50.94%
9.1 pts worse
|
Numerator 41 · Denominator 98 |
| Pressure ulcers or injuries, new or worsened | 0.76% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 132 · Adjusted rate 0.89% |
| Healthcare-associated infections requiring hospitalization | 6.2% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 119 · Observed rate 3.36% · Lower 95% interval 3.7% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 101 |
| Staff flu vaccination coverage | 98.31% |
42%
56.3 pts better
|
Numerator 174 · Denominator 177 |
| Discharge function score | 38.78% |
56.45%
17.7 pts worse
|
Numerator 38 · Denominator 98 |
| Transfer of health information to provider | 91.43% |
95.95%
4.5 pts worse
|
Numerator 32 · Denominator 35 |
| Transfer of health information to patient | 98.55% |
96.28%
2.3 pts better
|
Numerator 68 · Denominator 69 |
| Resident COVID-19 vaccinations up to date | 27.69% |
25.2%
2.5 pts better
|
Numerator 18 · Denominator 65 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.4
1 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.5 · 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 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% |
95.7%
2.4 pts worse
|
93.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 94.2% · Q3 92.9% · Q4 89.9% · 4Q avg 93.3% |
| 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 | 6.7% |
3.2%
3.5 pts worse
|
3.3%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 6.8% · Q3 7.1% · Q4 6.4% · 4Q avg 6.7% · 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 | 7.2% |
6.1%
1.1 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 4.7% · Q3 6.1% · Q4 7.4% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.5% |
24.4%
1.1 pts worse
|
19.6%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 26.7% · Q3 22.4% · Q4 20.6% · 4Q avg 25.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 43.1% |
23.4%
19.7 pts worse
|
16.7%
26.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.1% · Q2 42.9% · Q3 41.6% · Q4 45.0% · 4Q avg 43.1% · 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 | 12.7% |
22.8%
10.1 pts better
|
16.3%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 11.9% · Q3 7.4% · Q4 9.0% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.7% |
20.6%
4.9 pts better
|
14.9%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 19.1% · Q3 15.2% · Q4 11.1% · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.4% |
1.5%
0.9 pts worse
|
1.0%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.9% · Q3 2.6% · Q4 0.7% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
2.5%
0.6 pts better
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.0% · Q3 1.8% · Q4 2.8% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.3% |
21.4%
12.1 pts better
|
19.8%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 9.3% · Q3 8.3% · Q4 6.5% · 4Q avg 9.3% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
6.9%
3.9 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.8% · Q3 5.0% · Q4 2.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.3% |
87.9%
0.4 pts better
|
81.7%
6.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.7% · Q2 88.2% · Q3 86.1% · Q4 88.3% · 4Q avg 88.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.7% |
15.3%
4.6 pts better
|
12.0%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 10.5% · Expected 11.0% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.2% |
84.6%
8.6 pts better
|
79.7%
13.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
27.9%
4.1 pts better
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 21.1% · Expected 21.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-15 · Fire 2022-08-25
12 health deficiencies
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-08-25 · Fire 2019-05-09
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2019-05-09
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-06-11
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-11-18
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 2025-12-13
D · Potential for more than minimal harm
2025-11-18
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-12-13
D · Potential for more than minimal harm
2025-11-18
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 2025-12-13
D · Potential for more than minimal harm
2025-11-18
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 2025-12-13
D · Potential for more than minimal harm
2025-11-18
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-13
D · Potential for more than minimal harm
2025-11-18
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-12-13
D · Potential for more than minimal harm
2025-11-18
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 2025-12-13
D · Potential for more than minimal harm
2025-11-18
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-12-13
D · Potential for more than minimal harm
2025-11-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-13
D · Potential for more than minimal harm
2024-03-25
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-03
F · Potential for more than minimal harm
2023-12-15
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 2024-01-24
E · Potential for more than minimal harm
2023-12-15
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-01-24
D · Potential for more than minimal harm
2023-12-15
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 2024-01-24
D · Potential for more than minimal harm
2023-12-15
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-01-24
D · Potential for more than minimal harm
2023-12-15
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 2024-01-24
D · Potential for more than minimal harm
2023-12-15
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-24
D · Potential for more than minimal harm
2023-12-15
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-01-24
D · Potential for more than minimal harm
2023-12-15
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-01-24
D · Potential for more than minimal harm
2023-12-15
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-01-24
D · Potential for more than minimal harm
2023-12-15
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-01-24
C · Minimal harm
2023-12-15
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-01-24
D · Potential for more than minimal harm
2022-08-25
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-09-30
Penalties and ownership
What sits behind the stars
Ownership
Mcnair, Scott
Corporate Officer · Individual
Neshoba County General Hospital
Operational/Managerial Control · Organization
Posey, Marshall
Operational/Managerial Control · Individual
Ward, Glenda
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
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Choctaw Residential Center
Choctaw, MS
2-star overall rating with 3-star inspections with $21,165 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Hilltop Manor Health And Rehabilitation Center
Union, MS
4-star overall rating with 3-star inspections with 7 recent health deficiencies
#3
J G Alexander Nursing Center
Union, MS
1-star overall rating with 2-star inspections with $16,720 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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