Cycle 1
Health 2025-09-10 · Fire 2025-09-10
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Starkville, MS
Starkville Manor Health Care And Rehabilitation Ce
0-star overall rating with 0-star inspections with Special Focus status with $51,893 in total fines with 6 recent health deficiencies
1001 Hospital Road, Starkville, MS
(662) 323-6360
Overall
0 / 5
CMS overall stars
Health inspections
0 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
119
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
Operator or chain grouping
Approved since
1994-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
36 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 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
0.42
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.76
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.16
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
3.34
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.18
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
2.93
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.24
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
0.47
CMS adjusted RN staffing hours
Adjusted total hours
3.72
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,666
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.06
Composite VBP score used to determine payment impact.
Payment multiplier
0.9840
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.81
Baseline 18.08% · Performance 20.59% · Measure score 1.81 · Achievement 1.81 · Improvement 0
Healthcare-associated infections
0
Baseline 7.69% · Performance 7.74% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.15
Baseline 46.27% · Performance 34.44% · Measure score 7.15 · Achievement 7.15 · Improvement 5.02
Adjusted total nurse staffing
1.47
Baseline 3.17 hours · Performance 3.49 hours · Measure score 1.47 · Achievement 1.47 · Improvement 0.75
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.87% |
10.72%
1.9 pts better
|
No Different than the National Rate · Eligible stays 66 · Observed rate 1.52% · Lower 95% interval 5.9% |
| Discharge to community | 42.89% |
50.57%
7.7 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 30.43% · Lower 95% interval 29.43% |
| Medicare spending per beneficiary | 1.32 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 104 · Denominator 104 |
| Falls with major injury | 1.92% |
0.77%
1.1 pts worse
|
Numerator 2 · Denominator 104 |
| Discharge self-care score | 17.11% |
53.69%
36.6 pts worse
|
Numerator 13 · Denominator 76 |
| Discharge mobility score | 25% |
50.94%
25.9 pts worse
|
Numerator 19 · Denominator 76 |
| Pressure ulcers or injuries, new or worsened | 5.77% |
2.29%
3.5 pts worse
|
Numerator 6 · Denominator 104 · Adjusted rate 3.42% |
| Healthcare-associated infections requiring hospitalization | 7.74% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 8.7% · Lower 95% interval 3.79% |
| Staff COVID-19 vaccination coverage | 0.92% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 109 |
| Staff flu vaccination coverage | 9.6% |
42%
32.4 pts worse
|
Numerator 12 · Denominator 125 |
| Discharge function score | 21.05% |
56.45%
35.4 pts worse
|
Numerator 16 · Denominator 76 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 31 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 4.17% |
25.2%
21 pts worse
|
Numerator 2 · Denominator 48 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.4
0.3 pts better
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.8 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.6 |
2.9
0.7 pts worse
|
1.8
1.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 3.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
95.7%
3.8 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.0% · Q3 100.0% · Q4 99.1% · 4Q avg 99.5% |
| 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 | 3.8% |
3.2%
0.6 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 4.8% · Q3 3.7% · Q4 3.7% · 4Q avg 3.8% · 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 | 3.9% |
6.1%
2.2 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.3% · Q3 7.1% · Q4 4.1% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.0% |
24.4%
13.6 pts worse
|
19.6%
18.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.2% · Q2 39.6% · Q3 37.1% · Q4 35.5% · 4Q avg 38.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 33.1% |
23.4%
9.7 pts worse
|
16.7%
16.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.8% · Q2 31.7% · Q3 32.2% · Q4 31.2% · 4Q avg 33.1% · 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 | 14.3% |
22.8%
8.5 pts better
|
16.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 3.5% · Q3 17.0% · Q4 15.6% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.4% |
20.6%
0.2 pts better
|
14.9%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 22.6% · Q3 15.2% · Q4 20.2% · 4Q avg 20.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
1.5%
1.4 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.1% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.7% |
21.4%
1.3 pts worse
|
19.8%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 17.1% · Q3 28.5% · Q4 24.5% · 4Q avg 22.7% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
6.9%
0.5 pts better
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.7% · Q3 5.6% · Q4 8.3% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% |
87.9%
3.5 pts better
|
81.7%
9.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.7% · Q2 94.2% · Q3 87.5% · Q4 95.5% · 4Q avg 91.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.1% |
15.3%
1.2 pts better
|
12.0%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 14.7% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.8% |
2.6%
1.2 pts worse
|
1.6%
2.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.6% · Q3 3.4% · Q4 4.5% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.9% |
84.6%
4.3 pts better
|
79.7%
9.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.9% |
27.9%
9 pts better
|
23.9%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 16.2% · Expected 20.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-06 · Fire 2024-02-06
13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-10-19 · Fire 2022-10-19
15 health deficiencies
Top issue: Administration (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-10-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-11-18
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-05
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 2026-01-27
F · Potential for more than minimal harm
2025-09-10
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-10-08
E · Potential for more than minimal harm
2025-09-10
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 2025-10-08
E · Potential for more than minimal harm
2025-09-10
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 2025-10-08
D · Potential for more than minimal harm
2025-09-10
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 2025-10-08
D · Potential for more than minimal harm
2025-09-10
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-10-08
D · Potential for more than minimal harm
2024-07-02
F567 · Resident Rights Deficiencies
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-08-05
K · Immediate jeopardy
2024-02-06
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 2024-03-08
K · Immediate jeopardy
2024-02-06
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-08
K · Immediate jeopardy
2024-02-06
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-08
K · Immediate jeopardy
2024-02-06
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-03-08
J · Immediate jeopardy
2024-02-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-08
G · Actual harm
2024-02-06
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-03-08
F · Potential for more than minimal harm
2024-02-06
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-03-08
D · Potential for more than minimal harm
2024-02-06
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 2024-03-08
D · Potential for more than minimal harm
2024-02-06
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-08
D · Potential for more than minimal harm
2024-02-06
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 2024-03-08
D · Potential for more than minimal harm
2024-02-06
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-03-08
D · Potential for more than minimal harm
2024-02-06
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 2024-03-08
E · Potential for more than minimal harm
2023-11-08
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-12-08
E · Potential for more than minimal harm
2023-11-08
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-12-08
F · Potential for more than minimal harm
2023-03-14
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 2023-04-20
F · Potential for more than minimal harm
2023-03-14
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-04-20
C · Minimal harm
2023-03-14
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-04-20
C · Minimal harm
2023-03-14
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-04-20
G · Actual harm
2022-10-19
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 2022-11-18
G · Actual harm
2022-10-19
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-11-18
F · Potential for more than minimal harm
2022-10-19
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 2022-11-18
F · Potential for more than minimal harm
2022-10-19
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 2022-11-18
F · Potential for more than minimal harm
2022-10-19
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-11-18
E · Potential for more than minimal harm
2022-10-19
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 2022-11-18
E · Potential for more than minimal harm
2022-10-19
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-11-18
D · Potential for more than minimal harm
2022-10-19
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 2022-11-18
D · Potential for more than minimal harm
2022-10-19
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 2022-11-18
Penalties and ownership
What sits behind the stars
$51,893
2024-02-06
Fine
Fine · fine $51,893
Fine
Ownership
Fc Encore Starkville, LLC
5% Or Greater Security Interest · Organization
Gillis, Kristy
Operational/Managerial Control · Individual
Hoback, Tiffany
Operational/Managerial Control · Individual
Jones, Tequilla
Operational/Managerial Control · Individual
Mckibben, Everett
Operational/Managerial Control · Individual
Snf Mgr LLC
Operational/Managerial Control · Organization
Taylor, Beverly
Operational/Managerial Control · Individual
Thomas, John
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Carrington, LLC D/B/A The Carrington
Starkville, MS
4-star overall rating with 4-star inspections with 4 recent health deficiencies
#2
Dugan Memorial Home
West Point, MS
2-star overall rating with 2-star inspections with abuse icon flag with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
West Point Community Living Center
West Point, MS
1-star overall rating with 1-star inspections with abuse icon flag with $76,557 in total fines with 10 recent health deficiencies
Jump out
Supporting pages
City page
Best nursing homes in Starkville, MS
See how this facility ranks inside its city.
2 facilitiesCounty
Oktibbeha County
County ranking page for nearby alternatives.
2 facilitiesChain
Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
Chain page for the operating group.
36 facilities