Cycle 1
Health 2025-12-04 · Fire 2025-12-04
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Pascagoula, MS
Singing River Skilled Nursing Facility
4-star overall rating with 4-star inspections with $31,437 in total fines
2809 Denny Avenue, Pascagoula, MS
(228) 809-5060
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
54
Certified beds
Average residents
16
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2017-09-23
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
3.27
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
2.80
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
3.00
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
9.07
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
6.06
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
6.56
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
2.08
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.28
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
3.36
CMS adjusted RN staffing hours
Adjusted total hours
9.32
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,644
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
15.91
Composite VBP score used to determine payment impact.
Payment multiplier
0.9815
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 23.16% · Performance 24.32% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.77
Baseline 6.55% · Performance 6.41% · Measure score 4.77 · Achievement 4.77 · Improvement 0.39
Total nurse turnover
0
Baseline 44.23% · Performance 64.61% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.74% |
10.72%
4 pts worse
|
Worse than the National Rate · Eligible stays 394 · Observed rate 14.21% · Lower 95% interval 11.73% |
| Discharge to community | 62.17% |
50.57%
11.6 pts better
|
Better than the National Rate · Eligible stays 368 · Observed rate 62.77% · Lower 95% interval 56.52% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.09% |
95.27%
2.8 pts better
|
Numerator 154 · Denominator 157 |
| Falls with major injury | 1.27% |
0.77%
0.5 pts worse
|
Numerator 2 · Denominator 157 |
| Discharge self-care score | 55.46% |
53.69%
1.8 pts better
|
Numerator 66 · Denominator 119 |
| Discharge mobility score | 47.9% |
50.94%
3 pts worse
|
Numerator 57 · Denominator 119 |
| Pressure ulcers or injuries, new or worsened | 3.82% |
2.29%
1.5 pts worse
|
Numerator 6 · Denominator 157 · Adjusted rate 4.43% |
| Healthcare-associated infections requiring hospitalization | 6.41% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 188 · Observed rate 4.79% · Lower 95% interval 4.19% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 54 |
| Staff flu vaccination coverage | 34.78% |
42%
7.2 pts worse
|
Numerator 24 · Denominator 69 |
| Discharge function score | 52.1% |
56.45%
4.4 pts worse
|
Numerator 62 · Denominator 119 |
| Transfer of health information to provider | 92.31% |
95.95%
3.6 pts worse
|
Numerator 132 · Denominator 143 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 77 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
87.9%
10.7 pts better
|
81.7%
16.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 99.5% · Q3 98.0% · Q4 98.3% · 4Q avg 98.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.4% |
15.3%
2.9 pts better
|
12.0%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 12.3% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
2.6%
1.5 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.8% · Q3 0.7% · Q4 1.6% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.8% |
84.6%
1.2 pts better
|
79.7%
6.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.3% |
27.9%
12.6 pts better
|
23.9%
8.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 14.8% · Expected 22.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-19 · Fire 2024-09-19
9 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 2023-06-01 · Fire 2023-06-01
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-06-01
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-07-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-20
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 2025-03-27
J · Immediate jeopardy
2025-01-13
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 2024-12-19
J · Immediate jeopardy
2025-01-13
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 2024-12-19
G · Actual harm
2024-09-19
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 2024-10-02
G · Actual harm
2024-09-19
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 2024-10-02
E · Potential for more than minimal harm
2024-09-19
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 2024-10-11
E · Potential for more than minimal harm
2024-09-19
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-10-12
D · Potential for more than minimal harm
2024-09-19
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 2024-10-09
D · Potential for more than minimal harm
2024-09-19
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 2024-10-12
D · Potential for more than minimal harm
2023-06-01
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 2023-07-12
Penalties and ownership
What sits behind the stars
$11,462
2025-01-13
Fine
Fine · fine $11,462
Fine
$11,463
2025-01-13
Fine
Fine · fine $11,463
Fine
$4,256
2024-09-19
Fine
Fine · fine $4,256
Fine
$4,256
2024-09-19
Fine
Fine · fine $4,256
Fine
Ownership
Singing River Health System
5% Or Greater Direct Ownership Interest · Organization
Mcneil, Jason
Operational/Managerial Control · Individual
Mcneil, Jason
Corporate Officer · Individual
Roth, Randy
Operational/Managerial Control · Individual
Singing River Health System
Operational/Managerial Control · Organization
St. Pe', Laurin
Operational/Managerial Control · Individual
St. Pe', Laurin
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Plaza Community Living Center
Pascagoula, MS
1-star overall rating with 2-star inspections with $79,580 in total fines with 7 recent health deficiencies
#2
Diversicare Of Moss Point
Moss Point, MS
2-star overall rating with 3-star inspections with $9,318 in total fines with 7 recent health deficiencies
#3
River Chase Village
Gautier, MS
3-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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