Jackson, MS

Pine Forest Health And Rehabilitation

1-star overall rating with 1-star inspections with abuse icon flag with $143,764 in total fines with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1116 Forest Avenue, Jackson, MS

(601) 366-6461

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

100

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Vanguard Healthcare

Operator or chain grouping

Approved since

2008-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 3 overall / 3 health / 4 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

0.42

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.50

Licensed practical nurse staffing · state 1.10 · national 0.87

Aide hours / resident day

2.63

Nurse aide staffing · state 2.48 · national 2.35

Total nurse hours

4.55

All reported nurse hours · state 4.21 · national 3.89

Licensed hours

1.92

RN + LPN hours · state 1.73 · national 1.54

Weekend hours

3.36

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.23

Weekend registered nurse coverage · state 0.37 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

4.38

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,283

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

Performance score

6.91

Composite VBP score used to determine payment impact.

Payment multiplier

0.9806

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.42% · Performance 22.01% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.44% · Performance 9.32% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Baseline 46.55% · Performance 66.67% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.77

Baseline 3.78 hours · Performance 3.86 hours · Measure score 2.77 · Achievement 2.77 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.51%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 67 · Observed rate 7.46% · Lower 95% interval 6.03%
Discharge to community	35%	50.57% 15.6 pts worse	No Different than the National Rate · Eligible stays 46 · Observed rate 17.39% · Lower 95% interval 24.07%
Medicare spending per beneficiary	1.3	1.02 0.3 pts worse
Drug regimen review with follow-up	97.17%	95.27% 1.9 pts better	Numerator 103 · Denominator 106
Falls with major injury	0.94%	0.77% 0.2 pts worse	Numerator 1 · Denominator 106
Discharge self-care score	50%	53.69% 3.7 pts worse	Numerator 25 · Denominator 50
Discharge mobility score	44%	50.94% 6.9 pts worse	Numerator 22 · Denominator 50
Pressure ulcers or injuries, new or worsened	4.72%	2.29% 2.4 pts worse	Numerator 5 · Denominator 106 · Adjusted rate 3.36%
Healthcare-associated infections requiring hospitalization	9.32%	7.12% 2.2 pts worse	No Different than the National Rate · Eligible stays 50 · Observed rate 20% · Lower 95% interval 6.15%
Staff COVID-19 vaccination coverage	4.29%	8.2% 3.9 pts worse	Numerator 7 · Denominator 163
Staff flu vaccination coverage	3.13%	42% 38.9 pts worse	Numerator 12 · Denominator 383
Discharge function score	52%	56.45% 4.5 pts worse	Numerator 26 · Denominator 50
Transfer of health information to provider	94%	95.95% 2 pts worse	Numerator 47 · Denominator 50
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	14.29%	25.2% 10.9 pts worse	Numerator 7 · Denominator 49

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.8	2.4 0.4 pts worse	1.9 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 4.8 · Expected 3.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.9 0.9 pts better	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.6 · Expected 2.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	83.2%	95.7% 12.5 pts worse	93.4% 10.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 88.4% · Q2 73.0% · Q3 81.6% · Q4 90.0% · 4Q avg 83.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	67.7%	97.0% 29.3 pts worse	95.5% 27.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 67.7%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.2% 3.2 pts better	3.3% 3.3 pts better	Long 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 long-stay residents who have depressive symptoms	1.0%	1.6% 0.6 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.4% · Q4 1.3% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight	11.7%	6.1% 5.6 pts worse	5.4% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 16.0% · Q3 10.0% · Q4 6.6% · 4Q avg 11.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	31.7%	24.4% 7.3 pts worse	19.6% 12.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.8% · Q2 33.7% · Q3 28.0% · Q4 29.1% · 4Q avg 31.7%
Percentage of long-stay residents who received an antipsychotic medication	8.9%	23.4% 14.5 pts better	16.7% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 12.9% · Q3 10.5% · Q4 3.6% · 4Q avg 8.9% · 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 16.1% · Q2 15.9% · Q3 34.4% · 4Q avg 19.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.1%	20.6% 2.5 pts better	14.9% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 18.8% · Q3 21.2% · Q4 15.9% · 4Q avg 18.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.6%	1.5% 0.1 pts worse	1.0% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.3% · Q3 1.7% · Q4 1.8% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	2.5% 1.6 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.1% · Q3 0.0% · Q4 1.1% · 4Q avg 0.9% · 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 28.2% · Q2 29.6% · Q3 15.8% · Q4 26.3% · 4Q avg 25.0%
Percentage of long-stay residents with pressure ulcers	14.2%	6.9% 7.3 pts worse	5.1% 9.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 17.9% · Q3 16.3% · Q4 11.9% · 4Q avg 14.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	24.5%	87.9% 63.4 pts worse	81.7% 57.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 6.7% · Q3 23.2% · Q4 36.8% · 4Q avg 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit	11.5%	15.3% 3.8 pts better	12.0% 0.5 pts better	Short Stay · 20240701-20250630 · Adjusted 11.5% · Observed 13.2% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.8%	2.6% 1.2 pts worse	1.6% 2.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 7.0% · Q4 3.8% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	9.7%	84.6% 74.9 pts worse	79.7% 70 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 9.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.3%	27.9% 5.4 pts worse	23.9% 9.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.3% · Observed 41.2% · Expected 29.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-06 · Fire 2025-06-06

12 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-12-05 · Fire 2023-12-05

19 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2021-03-26 · Fire 2021-03-26

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-06-06

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-06-04

F · Potential for more than minimal harm 2023-12-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-02

E · Potential for more than minimal harm 2021-03-26

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-03-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-08

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 2026-01-30

D · Potential for more than minimal harm 2026-01-08

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 2026-01-30

G · Actual harm 2025-12-09

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 2026-01-05

D · Potential for more than minimal harm 2025-09-04

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 2025-10-07

D · Potential for more than minimal harm 2025-09-04

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-10-07

J · Immediate jeopardy 2025-06-06

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 2025-07-04

J · Immediate jeopardy 2025-06-06

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 2025-07-04

E · Potential for more than minimal harm 2025-06-06

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 2025-07-04

E · Potential for more than minimal harm 2025-06-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-06-06

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-06-06

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 2025-07-04

D · Potential for more than minimal harm 2025-06-06

F865 · Administration Deficiencies

Health

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

Corrected 2025-07-04

G · Actual harm 2025-02-26

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 2025-03-07

G · Actual harm 2025-02-26

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 2025-03-07

G · Actual harm 2025-01-17

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 2025-02-28

D · Potential for more than minimal harm 2025-01-17

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-01-17

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-02-28

E · Potential for more than minimal harm 2024-07-18

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 2024-08-22

E · Potential for more than minimal harm 2024-07-18

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 2024-08-22

D · Potential for more than minimal harm 2024-07-18

F865 · Administration Deficiencies

Health

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

Corrected 2024-08-22

J · Immediate jeopardy 2023-12-05

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 2024-01-02

J · Immediate jeopardy 2023-12-05

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 2024-01-02

J · Immediate jeopardy 2023-12-05

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-01-02

J · Immediate jeopardy 2023-12-05

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-02

J · Immediate jeopardy 2023-12-05

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-12-05

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 2024-01-02

D · Potential for more than minimal harm 2023-12-05

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 2024-01-02

D · Potential for more than minimal harm 2023-12-05

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 2024-01-02

D · Potential for more than minimal harm 2023-12-05

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-12-05

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-01-02