Cycle 1
Health 2026-01-14 · Fire 2026-01-14
6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Waynesboro, MS
Pine View Health And Rehabilitation Center
2-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1304 Walnut St, Waynesboro, MS
(601) 735-9025
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
90
Certified beds
Average residents
82
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
2002-08-01
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
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
0.61
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.07
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
1.98
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
3.66
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.68
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.33
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.70
CMS adjusted RN staffing hours
Adjusted total hours
4.15
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,331
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.39
Composite VBP score used to determine payment impact.
Payment multiplier
0.9933
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.35
Baseline 18.71% · Performance 20.81% · Measure score 1.35 · Achievement 1.35 · Improvement 0
Healthcare-associated infections
3.46
Baseline 7.56% · Performance 6.80% · Measure score 3.46 · Achievement 3.46 · Improvement 2.46
Total nurse turnover
8.27
Performance 29.87% · Measure score 8.27 · Achievement 8.27 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.08
Baseline 3.51 hours · Performance 3.95 hours · Measure score 3.08 · Achievement 3.08 · Improvement 1.47
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.01% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 96 · Observed rate 11.46% · Lower 95% interval 7.23% |
| Discharge to community | 41.95% |
50.57%
8.6 pts worse
|
No Different than the National Rate · Eligible stays 40 · Observed rate 30% · Lower 95% interval 27.92% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 86.15% |
95.27%
9.1 pts worse
|
Numerator 56 · Denominator 65 |
| Falls with major injury | 1.54% |
0.77%
0.8 pts worse
|
Numerator 1 · Denominator 65 |
| Discharge self-care score | 39.39% |
53.69%
14.3 pts worse
|
Numerator 13 · Denominator 33 |
| Discharge mobility score | 30.3% |
50.94%
20.6 pts worse
|
Numerator 10 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 18.46% |
2.29%
16.2 pts worse
|
Numerator 12 · Denominator 65 · Adjusted rate 15.63% |
| Healthcare-associated infections requiring hospitalization | 6.8% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 55 · Observed rate 5.45% · Lower 95% interval 3.55% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 20 |
| Staff flu vaccination coverage | 14.68% |
42%
27.3 pts worse
|
Numerator 16 · Denominator 109 |
| Discharge function score | 42.42% |
56.45%
14 pts worse
|
Numerator 14 · Denominator 33 |
| Transfer of health information to provider | 95.45% |
95.95%
0.5 pts worse
|
Numerator 21 · Denominator 22 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 3.13% |
25.2%
22.1 pts worse
|
Numerator 1 · Denominator 32 |
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 2.5 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.9
0.5 pts better
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.4 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.5% |
95.7%
1.2 pts worse
|
93.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 90.2% · Q2 89.7% · Q3 98.7% · Q4 100.0% · 4Q avg 94.5% |
| 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 | 6.1% |
3.2%
2.9 pts worse
|
3.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 6.4% · Q3 6.7% · Q4 5.4% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.7% |
1.6%
4.1 pts worse
|
11.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 10.8% · Q3 1.6% · Q4 3.1% · 4Q avg 5.7% |
| Percentage of long-stay residents who lose too much weight | 4.1% |
6.1%
2 pts better
|
5.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.5% · Q3 3.2% · Q4 1.6% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.3% |
24.4%
1.1 pts better
|
19.6%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 24.3% · Q3 20.9% · Q4 27.9% · 4Q avg 23.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.9% |
23.4%
0.5 pts worse
|
16.7%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 32.8% · Q3 16.4% · Q4 22.2% · 4Q avg 23.9% · 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 | 13.9% |
22.8%
8.9 pts better
|
16.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 17.6% · Q3 7.8% · Q4 10.1% · 4Q avg 13.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.5% |
20.6%
4.1 pts better
|
14.9%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 21.3% · Q3 13.6% · Q4 7.0% · 4Q avg 16.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.1% |
1.5%
1.6 pts worse
|
1.0%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 3.1% · Q3 4.6% · Q4 4.1% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
2.5%
0.4 pts better
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.6% · Q4 3.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.2% |
21.4%
5.2 pts better
|
19.8%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 12.5% · Q3 13.5% · Q4 24.0% · 4Q avg 16.2% |
| Percentage of long-stay residents with pressure ulcers | 13.3% |
6.9%
6.4 pts worse
|
5.1%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 15.0% · Q3 14.7% · Q4 12.1% · 4Q avg 13.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
87.9%
7 pts better
|
81.7%
13.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 91.5% · Q3 98.0% · Q4 100.0% · 4Q avg 94.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.8% |
15.3%
10.5 pts better
|
12.0%
7.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.8% · Observed 6.0% · Expected 13.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
2.6%
0.1 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 3.2% · Q4 3.6% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.0% |
84.6%
11.4 pts better
|
79.7%
16.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.7% |
27.9%
0.2 pts better
|
23.9%
3.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 30.0% · Expected 25.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-20 · Fire 2024-06-20
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-12-16 · Fire 2022-12-16
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2026-01-14
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-02-11
D · Potential for more than minimal harm
2026-01-14
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-02-11
Inspection history
Recent health citations
F · Potential for more than minimal harm
2026-01-14
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 2026-02-18
D · Potential for more than minimal harm
2026-01-14
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-02-18
D · Potential for more than minimal harm
2026-01-14
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 2026-02-18
D · Potential for more than minimal harm
2026-01-14
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 2026-02-18
D · Potential for more than minimal harm
2026-01-14
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-18
D · Potential for more than minimal harm
2026-01-14
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 2026-02-18
E · Potential for more than minimal harm
2024-06-20
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-20
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 2024-07-24
D · Potential for more than minimal harm
2024-06-20
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-20
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 2024-07-24
D · Potential for more than minimal harm
2024-06-20
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 2024-07-24
E · Potential for more than minimal harm
2022-12-16
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 2023-01-24
D · Potential for more than minimal harm
2022-12-16
F567 · Resident Rights Deficiencies
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-01-24
D · Potential for more than minimal harm
2022-12-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-01-24
C · Minimal harm
2022-12-16
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-01-24
Penalties and ownership
What sits behind the stars
Ownership
Fglfc Holdco, LLC
5% Or Greater Direct Ownership Interest · Organization
Burgett, Raymond
W-2 Managing Employee · Individual
Consulate Management Company Iii LLC
Operational/Managerial Control · Organization
Fc Investors Xxi LLC
5% Or Greater Indirect Ownership Interest · Organization
Hirschfield, Wulf
Contracted Managing Employee · Individual
Lavie Holdco LLC
5% Or Greater Indirect Ownership Interest · Organization
Lehner, Timothy
Operational/Managerial Control · Individual
Lehner, Timothy
Corporate Officer · Individual
Lv Investment LLC
5% Or Greater Indirect Ownership Interest · Organization
Nspr Care Centers, LLC
5% Or Greater Indirect Ownership Interest · Organization
Nspr Operations I, LLC
5% Or Greater Indirect Ownership Interest · Organization
Nspr Operations Ii, LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Diversicare Of Quitman
Quitman, MS
3-star overall rating with 3-star inspections with $8,018 in total fines with 5 recent health deficiencies
#2
Washington County Nursing Home
Chatom, AL
5-star overall rating with 5-star inspections
#3
Perry County Nursing Center
Richton, MS
2-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out
Supporting pages
City page
Best nursing homes in Waynesboro, MS
See how this facility ranks inside its city.
1 facilitiesCounty
Wayne County
County ranking page for nearby alternatives.
1 facilitiesChain
Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
Chain page for the operating group.
36 facilities