Ocean Springs, MS

Ocean Springs Health & Rehabilitation Center

1-star overall rating with 1-star inspections with $38,277 in total fines with 11 recent health deficiencies

1199 Ocean Springs Road, Ocean Springs, MS

(228) 875-9363

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

115

Certified beds

Average residents

100

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care

Operator or chain grouping

Approved since

1991-11-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

36 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

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

0.57

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.03

Licensed practical nurse staffing · state 1.10 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.48 · national 2.35

Total nurse hours

3.59

All reported nurse hours · state 4.21 · national 3.89

Licensed hours

1.60

RN + LPN hours · state 1.73 · national 1.54

Weekend hours

3.13

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.42

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

0.65

CMS adjusted RN staffing hours

Adjusted total hours

4.12

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

53%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

62%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,464

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

4.89

Composite VBP score used to determine payment impact.

Payment multiplier

0.9805

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.42% · Performance 21.68% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.56% · Performance 8.04% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Performance 66.02% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.96

Baseline 3.94 hours · Performance 3.63 hours · Measure score 1.96 · Achievement 1.96 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13%	10.72% 2.3 pts worse	No Different than the National Rate · Eligible stays 142 · Observed rate 16.2% · Lower 95% interval 9.09%
Discharge to community	50.26%	50.57% 0.3 pts worse	No Different than the National Rate · Eligible stays 131 · Observed rate 45.04% · Lower 95% interval 41.67%
Medicare spending per beneficiary	1.12	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 118 · Denominator 118
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 118
Discharge self-care score	50.82%	53.69% 2.9 pts worse	Numerator 31 · Denominator 61
Discharge mobility score	49.18%	50.94% 1.8 pts worse	Numerator 30 · Denominator 61
Pressure ulcers or injuries, new or worsened	5.93%	2.29% 3.6 pts worse	Numerator 7 · Denominator 118 · Adjusted rate 5.01%
Healthcare-associated infections requiring hospitalization	8.04%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 85 · Observed rate 9.41% · Lower 95% interval 5.05%
Staff COVID-19 vaccination coverage	16.67%	8.2% 8.5 pts better	Numerator 20 · Denominator 120
Staff flu vaccination coverage	5%	42% 37 pts worse	Numerator 6 · Denominator 120
Discharge function score	59.02%	56.45% 2.6 pts better	Numerator 36 · Denominator 61
Transfer of health information to provider	79.37%	95.95% 16.6 pts worse	Numerator 50 · Denominator 63
Transfer of health information to patient	82.76%	96.28% 13.5 pts worse	Numerator 24 · Denominator 29
Resident COVID-19 vaccinations up to date	13.64%	25.2% 11.6 pts worse	Numerator 9 · Denominator 66

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.4 0.6 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	2.9 0.8 pts better	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	95.7% 3 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.7% · Q3 97.4% · Q4 98.7% · 4Q avg 98.7%
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	2.9%	3.2% 0.3 pts better	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.6% · Q3 1.3% · Q4 2.7% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.2%	1.6% 2.6 pts worse	11.4% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 6.8% · Q3 0.0% · Q4 0.0% · 4Q avg 4.2%
Percentage of long-stay residents who lose too much weight	5.0%	6.1% 1.1 pts better	5.4% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 6.1% · Q3 0.0% · Q4 3.1% · 4Q avg 5.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.7%	24.4% 10.7 pts better	19.6% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 13.4% · Q3 14.1% · Q4 13.4% · 4Q avg 13.7%
Percentage of long-stay residents who received an antipsychotic medication	21.7%	23.4% 1.7 pts better	16.7% 5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 21.0% · Q3 21.6% · Q4 20.4% · 4Q avg 21.7% · 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	16.3%	22.8% 6.5 pts better	16.3% About the same	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 18.5% · Q3 17.1% · Q4 10.9% · 4Q avg 16.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.7%	20.6% 3.9 pts better	14.9% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 14.3% · Q3 11.5% · Q4 18.8% · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.0%	1.5% 0.5 pts better	1.0% About the same	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 2.5% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	2.5% 1.8 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 1.4% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.6%	21.4% 5.2 pts worse	19.8% 6.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 18.3% · Q3 37.9% · Q4 23.8% · 4Q avg 26.6%
Percentage of long-stay residents with pressure ulcers	5.3%	6.9% 1.6 pts better	5.1% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.4% · Q3 5.1% · Q4 5.5% · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.2%	87.9% 8.3 pts better	81.7% 14.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 97.4% · Q3 96.6% · Q4 95.5% · 4Q avg 96.2%
Percentage of short-stay residents who had an outpatient emergency department visit	13.2%	15.3% 2.1 pts better	12.0% 1.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 13.5% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.4%	2.6% 0.2 pts better	1.6% 0.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.1% · Q3 1.9% · Q4 1.7% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.5%	84.6% 10.9 pts better	79.7% 15.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.6%	27.9% 4.3 pts better	23.9% 0.3 pts better	Short Stay · 20240701-20250630 · Adjusted 23.6% · Observed 20.8% · Expected 21.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

11 health deficiencies

Top issue: Resident Rights (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-18 · Fire 2024-04-18

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-04-29 · Fire 2022-04-29

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

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 2025-09-11

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 2025-10-08

F · Potential for more than minimal harm 2025-09-11

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-10-08

E · Potential for more than minimal harm 2025-09-11

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-11

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 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-08

C · Minimal harm 2025-09-11

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-10-08

J · Immediate jeopardy 2025-02-13

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 2025-02-10

J · Immediate jeopardy 2025-02-13

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 2025-02-10

G · Actual harm 2024-04-18

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 2024-05-16

F · Potential for more than minimal harm 2024-04-18

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-18

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 2024-05-16

D · Potential for more than minimal harm 2024-04-18

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 2024-05-16

D · Potential for more than minimal harm 2024-04-18

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-18

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 2024-05-16

D · Potential for more than minimal harm 2024-04-18

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-16

J · Immediate jeopardy 2023-07-26

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-07-21

J · Immediate jeopardy 2023-07-26

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-07-26

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-04-19

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 2023-05-13