Federal inspection record · CMS data as of October 1, 2026
Pass Christian Health And Rehabiliation Center
538 Menge Avenue, Pass Christian, MS · (228) 452-4344
- Certified beds
- 60
- Residents per day
- 55
- Ownership
- For-Profit
- Chain
- Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 2002
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Mississippi.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Mississippi homes
Pass Christian Health And Rehabiliation Center carries 33 inspection points. That is fewer than 58% of Mississippi's 199 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Mississippi: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–30 pts
- 3★ 30–47 pts
- 2★ 47–78.5 pts
- 1★ over 78.5 pts
Bars show every rated home in Mississippi by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Assessment and Care Planning7E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Quality of Life and Care2E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights2D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nursing and Physician Services2D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service1D
- D
Ensure that residents are free from significant medication errors.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-09-04
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-04-24
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2022-08-10
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
3 h 21 min
Mississippi average
4 h 12 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,018 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-24 | Fine | $8,018 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 2.8 | 2.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 2.2 | 2.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 100.0% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better | 100.0% | 97.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse | 3.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.2 pts worse | 4.8% | 1.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts worse | 8.1% | 6.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7 pts better | 16.8% | 23.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.1 pts better | 20.7% | 21.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened17.7 pts worse | 36.0% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased15.1 pts worse | 35.4% | 20.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better | 0.0% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts worse | 3.4% | 2.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts worse | 23.5% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 5.3% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.8 pts better | 97.8% | 89.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts better | 13.3% | 15.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse | 3.7% | 2.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.1 pts better | 86.1% | 85.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission19.2 pts worse | 46.3% | 27.1% | 23.4% |
·
Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Fc Investors Xxi LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Fglfc Holdco, LLC | Direct Ownership Interest · Organization | 0% | 5 facilities |
| Grady, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Grady, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hoback, Tiffany | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Adp Of The SNF · Individual | 0% | 45 facilities |
| Lavie Holdco LLC | Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Lv Investment LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Nspr Care Centers, LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Nspr Operations I, LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Nspr Operations Ii, LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Snf Mgr LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Snf Mgr LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Williams, Bennett | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Williams, Bennett | Adp Of The SNF · Individual | 0% | 1 facilities |
| Winkle, Ashley | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Winkle, Ashley | Adp Of The SNF · Individual | 0% | 6 facilities |
·
Other homes nearby
-
Coastal Health And Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
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- Fines
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-
Driftwood Nursing Center
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-
Dunbar Village Terrace
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