Pontotoc, MS

Pontotoc Health & Rehab Center

5-star overall rating with 5-star inspections with 3 recent health deficiencies

278 West Eighth Street, Pontotoc, MS

(662) 489-6411

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

48

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Advanced Health Care Management

Operator or chain grouping

Approved since

2001-01-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing

LPN hours / resident day

1.43

Licensed practical nurse staffing

Aide hours / resident day

2.34

Nurse aide staffing

Weekend hours

3.44

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

28%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.2
2.4
0.8 pts worse
1.9
1.3 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.4
2.9
0.5 pts worse
1.8
1.6 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
95.7%
4.3 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 1.8%
3.2%
1.4 pts better
3.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 0.9%
6.1%
5.2 pts better
5.4%
4.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.6%
24.4%
1.8 pts better
19.6%
3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 7.1%
23.4%
16.3 pts better
16.7%
9.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 16.9%
22.8%
5.9 pts better
16.3%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 15.9%
20.6%
4.7 pts better
14.9%
1 pts worse
Long Stay · 2024Q4-2025Q3
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
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.7%
21.4%
4.7 pts better
19.8%
3.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.9%
6.9%
4 pts better
5.1%
2.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
87.9%
12.1 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 3.3%
15.3%
12 pts better
12.0%
8.7 pts better
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
84.6%
15.4 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
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

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-03 · Fire 2025-12-03

3 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 2 Health 2024-07-25 · Fire 2024-07-25

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-06-08 · Fire 2023-06-08

1 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-07-25

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-09-02

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-03

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 2026-01-06

D · Potential for more than minimal harm 2025-12-03

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 2026-01-06

D · Potential for more than minimal harm 2025-12-03

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 2026-01-06

D · Potential for more than minimal harm 2024-07-25

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 2024-08-23

D · Potential for more than minimal harm 2024-07-25

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-23

D · Potential for more than minimal harm 2024-07-25

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 2024-08-23

D · Potential for more than minimal harm 2024-07-25

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-08-23

D · Potential for more than minimal harm 2023-06-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-10

Penalties and ownership

What sits behind the stars

Ownership

Advanced Healthcare Management, Inc

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2003-09-03
Griffin, Troy

5% Or Greater Indirect Ownership Interest · Individual

50% 6 facilities 2003-09-03
Hubbard, Gene

5% Or Greater Indirect Ownership Interest · Individual

50% 6 facilities 2003-09-03
Griffin, Troy

Corporate Officer · Individual

0% 6 facilities 2003-09-03
Griffin, Troy

W-2 Managing Employee · Individual

0% 6 facilities 2003-09-03
Hubbard, Gene

Corporate Officer · Individual

0% 6 facilities 2003-09-03
Hubbard, Gene

W-2 Managing Employee · Individual

0% 6 facilities 2004-01-01
Stephens, Donna

Operational/Managerial Control · Individual

0% 2 facilities 2002-08-07

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