Cycle 1
Health 2025-07-01 · Fire 2025-07-01
9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Sardis, MS
Sardis Community Nh
1-star overall rating with 2-star inspections with abuse icon flag with 9 recent health deficiencies
613 East Lee Street, Sardis, MS
(662) 487-2720
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Beebe Family
Operator or chain grouping
Approved since
2001-10-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
48 facilities
Chain averages 3 overall / 3 health / 3 staffing / 2 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
0.37
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
3.90
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.29
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
4.32
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,990
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.83
Composite VBP score used to determine payment impact.
Payment multiplier
0.9910
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
3.84
Baseline 8.71% · Performance 7.10% · Measure score 3.84 · Achievement 2.46 · Improvement 3.84
Total nurse turnover
5.03
Baseline 61.02% · Performance 43.10% · Measure score 5.03 · Achievement 5.03 · Improvement 4.45
Adjusted total nurse staffing
2.48
Baseline 3.98 hours · Performance 3.78 hours · Measure score 2.48 · Achievement 2.48 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.37% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 49 · Observed rate 6.12% · Lower 95% interval 6.3% |
| Discharge to community | 32.12% |
50.57%
18.5 pts worse
|
Worse than the National Rate · Eligible stays 47 · Observed rate 17.02% · Lower 95% interval 19.91% |
| Medicare spending per beneficiary | 1.35 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 96.36% |
95.27%
1.1 pts better
|
Numerator 53 · Denominator 55 |
| Falls with major injury | 3.64% |
0.77%
2.9 pts worse
|
Numerator 2 · Denominator 55 |
| Discharge self-care score | 34.62% |
53.69%
19.1 pts worse
|
Numerator 9 · Denominator 26 |
| Discharge mobility score | 26.92% |
50.94%
24 pts worse
|
Numerator 7 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 55 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.1% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 29 · Observed rate 6.9% · Lower 95% interval 3.9% |
| Staff COVID-19 vaccination coverage | 5.41% |
8.2%
2.8 pts worse
|
Numerator 4 · Denominator 74 |
| Staff flu vaccination coverage | 34.81% |
42%
7.2 pts worse
|
Numerator 47 · Denominator 135 |
| Discharge function score | 34.62% |
56.45%
21.8 pts worse
|
Numerator 9 · Denominator 26 |
| Transfer of health information to provider | 93.1% |
95.95%
2.9 pts worse
|
Numerator 27 · Denominator 29 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 60.71% |
25.2%
35.5 pts better
|
Numerator 17 · Denominator 28 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.0 |
2.4
1.6 pts worse
|
1.9
2.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 3.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.7 |
2.9
0.8 pts worse
|
1.8
1.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 3.5 · Expected 1.6 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 4.5% |
3.2%
1.3 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.2% · Q3 4.1% · Q4 5.8% · 4Q avg 4.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 1.8% |
6.1%
4.3 pts better
|
5.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 2.4% · Q4 0.0% · 4Q avg 1.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.4% |
24.4%
2 pts worse
|
19.6%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 31.8% · Q3 27.9% · Q4 20.5% · 4Q avg 26.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.7% |
23.4%
5.7 pts better
|
16.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 25.0% · Q3 14.3% · Q4 7.3% · 4Q avg 17.7% · 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 | 37.9% |
22.8%
15.1 pts worse
|
16.3%
21.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 37.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.1% |
20.6%
7.5 pts worse
|
14.9%
13.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 34.2% · Q3 23.1% · Q4 22.0% · 4Q avg 28.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.5%
1 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 0.0% · 4Q avg 0.5% · 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 2.2% · Q2 2.2% · Q3 2.1% · Q4 2.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.0% |
21.4%
2.6 pts worse
|
19.8%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 32.5% · Q3 23.0% · Q4 27.2% · 4Q avg 24.0% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
6.9%
3.4 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 1.6% · Q3 1.7% · Q4 5.5% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% |
87.9%
8 pts better
|
81.7%
14.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · 4Q avg 95.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.6% |
15.3%
3.3 pts worse
|
12.0%
6.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 19.6% · Expected 11.8% · Used in QM five-star |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.0% |
84.6%
2.4 pts better
|
79.7%
7.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.7% |
27.9%
3.8 pts worse
|
23.9%
7.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.7% · Observed 35.3% · Expected 26.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-23 · Fire 2024-07-23
4 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 2023-06-08 · Fire 2023-06-08
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
G · Actual harm
2025-12-23
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 2026-01-15
G · Actual harm
2025-12-23
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2026-01-15
E · Potential for more than minimal harm
2025-07-01
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 2025-08-04
E · Potential for more than minimal harm
2025-07-01
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 2025-08-04
D · Potential for more than minimal harm
2025-07-01
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 2025-08-04
D · Potential for more than minimal harm
2025-07-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-04
D · Potential for more than minimal harm
2025-07-01
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-04
D · Potential for more than minimal harm
2025-07-01
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-04
D · Potential for more than minimal harm
2025-07-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-04
D · Potential for more than minimal harm
2024-07-23
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-09-06
D · Potential for more than minimal harm
2024-07-23
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 2024-09-06
D · Potential for more than minimal harm
2024-07-23
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 2024-09-06
D · Potential for more than minimal harm
2024-07-23
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-09-06
D · Potential for more than minimal harm
2023-06-08
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 2023-07-17
D · Potential for more than minimal harm
2023-06-08
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-07-17
D · Potential for more than minimal harm
2023-06-08
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-17
D · Potential for more than minimal harm
2023-06-08
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-07-17
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 2023-07-17
Penalties and ownership
What sits behind the stars
Ownership
Account Management Services Inc
Operational/Managerial Control · Organization
Administrative Systems Inc
Operational/Managerial Control · Organization
Beebe, Bobby
5% Or Greater Direct Ownership Interest · Individual
Beebe, Bobby
Operational/Managerial Control · Individual
Beebe, Elton
Corporate Director · Individual
Elton G Beebe Sr Irrv Grndchildrens Tr
5% Or Greater Direct Ownership Interest · Organization
Elton G. Beebe Sr Irrv Childrens Tr
5% Or Greater Direct Ownership Interest · Organization
Elton G. Beebe Sr Irrv Childrens Tr
5% Or Greater Indirect Ownership Interest · Organization
Health Care Services, Inc.
5% Or Greater Direct Ownership Interest · Organization
Health Care Services, Inc.
Operational/Managerial Control · Organization
Linder, Edwin
Operational/Managerial Control · Individual
May, Amanda
Operational/Managerial Control · Individual
Parkinson, Toni
Operational/Managerial Control · Individual
Parkinson, Toni
Corporate Officer · Individual
Pathway Management Inc
5% Or Greater Direct Ownership Interest · Organization
Providence Care LLC
Operational/Managerial Control · Organization
Provider Professional Services Inc
Operational/Managerial Control · Organization
Regional Care LLC
Operational/Managerial Control · Organization
Regional Services, Inc
Operational/Managerial Control · Organization
Robinson, Trina
Operational/Managerial Control · Individual
Stallard, David
5% Or Greater Direct Ownership Interest · Individual
Stallard, David
Operational/Managerial Control · Individual
Tristar Rehab Inc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Diversicare Of Batesville
Batesville, MS
2-star overall rating with 2-star inspections with abuse icon flag with $20,138 in total fines with 6 recent health deficiencies
#2
Senatobia Healthcare & Rehab
Senatobia, MS
2-star overall rating with 2-star inspections with $8,021 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Oxford Health & Rehab Center
Oxford, MS
2-star overall rating with 2-star inspections with 5 recent health deficiencies
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