Cycle 1
Health 2025-08-07 · Fire 2025-08-07
9 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Senatobia, MS
Senatobia Healthcare & Rehab
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
402 Getwell Dr, Senatobia, MS
(662) 562-5664
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
106
Certified beds
Average residents
87
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-07-28
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.65
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.42
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.03
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.61
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.27
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.75
CMS adjusted RN staffing hours
Adjusted total hours
4.66
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
69%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,444
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.74
Composite VBP score used to determine payment impact.
Payment multiplier
1.0037
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 23.67% · Performance 23.83% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
7.90
Baseline 10.34% · Performance 5.85% · Measure score 7.90 · Achievement 6.65 · Improvement 7.90
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
7.02
Baseline 4.42 hours · Performance 5.07 hours · Measure score 7.02 · Achievement 7.02 · Improvement 4.32
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.23% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 217 · Observed rate 11.52% · Lower 95% interval 8.99% |
| Discharge to community | 60.09% |
50.57%
9.5 pts better
|
Better than the National Rate · Eligible stays 234 · Observed rate 52.99% · Lower 95% interval 53.6% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 173 · Denominator 173 |
| Falls with major injury | 1.16% |
0.77%
0.4 pts worse
|
Numerator 2 · Denominator 173 |
| Discharge self-care score | 61.29% |
53.69%
7.6 pts better
|
Numerator 57 · Denominator 93 |
| Discharge mobility score | 22.58% |
50.94%
28.4 pts worse
|
Numerator 21 · Denominator 93 |
| Pressure ulcers or injuries, new or worsened | 2.89% |
2.29%
0.6 pts worse
|
Numerator 5 · Denominator 173 · Adjusted rate 2.93% |
| Healthcare-associated infections requiring hospitalization | 5.85% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 153 · Observed rate 5.23% · Lower 95% interval 3.39% |
| Staff COVID-19 vaccination coverage | 0.66% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 152 |
| Staff flu vaccination coverage | 40.88% |
42%
1.1 pts worse
|
Numerator 56 · Denominator 137 |
| Discharge function score | 45.16% |
56.45%
11.3 pts worse
|
Numerator 42 · Denominator 93 |
| Transfer of health information to provider | 51.35% |
95.95%
44.6 pts worse
|
Numerator 38 · Denominator 74 |
| Transfer of health information to patient | 90.41% |
96.28%
5.9 pts worse
|
Numerator 66 · Denominator 73 |
| Resident COVID-19 vaccinations up to date | 80.65% |
25.2%
55.5 pts better
|
Numerator 75 · Denominator 93 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.4
0.4 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
2.9
1.6 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.3% |
95.7%
7.4 pts worse
|
93.4%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 87.0% · Q3 84.1% · Q4 85.1% · 4Q avg 88.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.2% |
97.0%
3.8 pts worse
|
95.5%
2.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.2% |
| 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 · Q1 0.0% · Q2 1.4% · Q3 2.9% · Q4 3.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
1.6%
1.1 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 17.4% |
6.1%
11.3 pts worse
|
5.4%
12 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 17.9% · Q3 23.2% · Q4 13.8% · 4Q avg 17.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.2% |
24.4%
14.2 pts better
|
19.6%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 12.1% · Q3 12.1% · Q4 9.8% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.3% |
23.4%
12.1 pts better
|
16.7%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 10.0% · Q3 14.3% · Q4 10.0% · 4Q avg 11.3% · 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 | 51.0% |
22.8%
28.2 pts worse
|
16.3%
34.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 51.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.0% |
20.6%
8.4 pts worse
|
14.9%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 16.4% · Q3 41.1% · Q4 29.3% · 4Q avg 29.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.9% |
1.5%
3.4 pts worse
|
1.0%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.6% · Q3 5.9% · Q4 1.4% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
2.5%
0.6 pts better
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 3.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.5% |
21.4%
3.1 pts worse
|
19.8%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 21.3% · Q3 26.4% · Q4 22.5% · 4Q avg 24.5% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
6.9%
4.6 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 59.8% |
87.9%
28.1 pts worse
|
81.7%
21.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 73.6% · Q2 62.0% · Q3 54.3% · Q4 50.4% · 4Q avg 59.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.2% |
15.3%
2.1 pts better
|
12.0%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 13.9% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.8% |
2.6%
2.2 pts worse
|
1.6%
3.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 6.4% · Q3 3.5% · Q4 2.2% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 58.7% |
84.6%
25.9 pts worse
|
79.7%
21 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 58.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.2% |
27.9%
4.3 pts worse
|
23.9%
8.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.2% · Observed 33.5% · Expected 24.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-28 · Fire 2024-03-28
6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-03-02 · Fire 2023-03-02
4 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
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
2025-08-07
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-09-17
D · Potential for more than minimal harm
2024-03-28
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-10-27
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-12-15
D · Potential for more than minimal harm
2025-08-07
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-09-17
D · Potential for more than minimal harm
2025-08-07
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-07-03
D · Potential for more than minimal harm
2025-08-07
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-09-17
D · Potential for more than minimal harm
2025-08-07
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 2025-09-17
D · Potential for more than minimal harm
2025-08-07
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-09-17
D · Potential for more than minimal harm
2025-08-07
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-03
D · Potential for more than minimal harm
2025-03-26
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 2025-05-01
D · Potential for more than minimal harm
2025-03-26
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 2025-05-01
J · Immediate jeopardy
2024-08-20
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 2024-09-11
J · Immediate jeopardy
2024-08-20
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 2024-09-11
D · Potential for more than minimal harm
2024-03-28
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 2024-04-25
D · Potential for more than minimal harm
2024-03-28
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 2024-04-25
D · Potential for more than minimal harm
2024-03-28
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 2023-12-18
B · Minimal harm
2024-03-28
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-25
D · Potential for more than minimal harm
2023-03-02
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-03-02
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-03-02
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 2023-03-24
D · Potential for more than minimal harm
2023-03-02
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-24
Penalties and ownership
What sits behind the stars
$8,021
2024-08-20
Fine
Fine · fine $8,021
Fine
Ownership
Doss, Burton
W-2 Managing Employee · Individual
Northrip, Marty
5% Or Greater Direct Ownership Interest · Individual
Sccr,llc
5% Or Greater Direct Ownership Interest · Organization
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