Marks, MS

Quitman County Health & Rehab LLC

4-star overall rating with 4-star inspections with 3 recent health deficiencies

350 Getwell Drive, Marks, MS

(662) 326-3690

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

46

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Beebe Family

Operator or chain grouping

Approved since

2016-03-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing

LPN hours / resident day

1.61

Licensed practical nurse staffing

Aide hours / resident day

2.61

Nurse aide staffing

Weekend hours

3.55

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

95%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
2.4
1 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
2.9
0.3 pts better
1.8
0.8 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 98.0%
97.0%
1 pts better
95.5%
2.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.7%
3.2%
1.5 pts better
3.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.8%
1.6%
1.2 pts worse
11.4%
8.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.6%
6.1%
2.5 pts better
5.4%
1.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.8%
24.4%
4.6 pts better
19.6%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 34.9%
23.4%
11.5 pts worse
16.7%
18.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 2.8%
0.2%
2.6 pts worse
0.1%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 9.4%
22.8%
13.4 pts better
16.3%
6.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 21.4%
20.6%
0.8 pts worse
14.9%
6.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.5%
1.5 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
2.5%
2.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 35.0%
21.4%
13.6 pts worse
19.8%
15.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.8%
6.9%
3.1 pts better
5.1%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.4%
87.9%
7.5 pts worse
81.7%
1.3 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-29 · Fire 2024-08-29

3 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-07-13 · Fire 2023-07-13

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-09-23 · Fire 2021-09-23

1 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-08-29

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 2024-10-07

D · Potential for more than minimal harm 2024-08-29

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-10-07

D · Potential for more than minimal harm 2024-08-29

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 2024-10-07

F · Potential for more than minimal harm 2023-07-13

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 2023-08-25

E · Potential for more than minimal harm 2023-07-13

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-07-13

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 2023-08-25

D · Potential for more than minimal harm 2023-07-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-07-13

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-07-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-25

D · Potential for more than minimal harm 2021-09-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-11-12

Penalties and ownership

What sits behind the stars

Ownership

Delaney, Steven

5% Or Greater Direct Ownership Interest · Individual

23% 12 facilities 2016-01-01
Medikey, LLC

5% Or Greater Direct Ownership Interest · Organization

23% 4 facilities 2016-01-01
Miles Healthcare, LLC

5% Or Greater Direct Ownership Interest · Organization

23% 4 facilities 2016-01-01
Pace, Garry

5% Or Greater Direct Ownership Interest · Individual

23% 9 facilities 2016-01-01
Condado Health LLC

5% Or Greater Direct Ownership Interest · Organization

10% 2 facilities 2016-01-01
Beebe, Harold

Corporate Officer · Individual

0% 11 facilities 2016-01-01
Campbell, Ashley

W-2 Managing Employee · Individual

0% 1 facilities 2021-12-01
Delaney, Steven

Corporate Officer · Individual

0% 12 facilities 2016-01-01
Long Term Care Management LLC

Operational/Managerial Control · Organization

0% 6 facilities 2016-01-01
Pace, Garry

Corporate Officer · Individual

0% 9 facilities 2016-01-01
Shelton, Rebecca

Corporate Officer · Individual

0% 14 facilities 2016-01-01
Waller, Robert

Contracted Managing Employee · Individual

0% 1 facilities 2016-01-01

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Health
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Fines
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