Cycle 1
Health 2025-05-29 · Fire 2025-05-29
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Wiggins, MS
Stone County Rehabilitation And Nursing Ctr Inc
4-star overall rating with 4-star inspections with $8,190 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1436 East Central Avenue, Wiggins, MS
(601) 928-1889
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
59
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2004-04-16
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
0.75
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.38
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.75
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.88
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
2.13
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
4.09
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.91
CMS adjusted RN staffing hours
Adjusted total hours
5.95
CMS adjusted total nurse staffing hours
Case-mix index
1.12
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,158
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.08
Composite VBP score used to determine payment impact.
Payment multiplier
0.9940
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.83
Baseline 18.96% · Performance 19.66% · Measure score 3.83 · Achievement 3.83 · Improvement 0
Healthcare-associated infections
0
Baseline 7.25% · Performance 8.07% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.70
Baseline 60.56% · Performance 40.38% · Measure score 5.70 · Achievement 5.70 · Improvement 5.15
Adjusted total nurse staffing
6.91
Baseline 5.57 hours · Performance 5.04 hours · Measure score 6.91 · Achievement 6.91 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.41% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 119 · Observed rate 9.24% · Lower 95% interval 7.21% |
| Discharge to community | 53.46% |
50.57%
2.9 pts better
|
No Different than the National Rate · Eligible stays 134 · Observed rate 50% · Lower 95% interval 45.33% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 62 · Denominator 62 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 62 |
| Discharge self-care score | 47.37% |
53.69%
6.3 pts worse
|
Numerator 18 · Denominator 38 |
| Discharge mobility score | 55.26% |
50.94%
4.3 pts better
|
Numerator 21 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 6.45% |
2.29%
4.2 pts worse
|
Numerator 4 · Denominator 62 · Adjusted rate 8.15% |
| Healthcare-associated infections requiring hospitalization | 8.07% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 66 · Observed rate 9.09% · Lower 95% interval 4.87% |
| Staff COVID-19 vaccination coverage | 9.47% |
8.2%
1.3 pts better
|
Numerator 9 · Denominator 95 |
| Staff flu vaccination coverage | 29.59% |
42%
12.4 pts worse
|
Numerator 29 · Denominator 98 |
| Discharge function score | 42.11% |
56.45%
14.3 pts worse
|
Numerator 16 · Denominator 38 |
| Transfer of health information to provider | 97.5% |
95.95%
1.5 pts better
|
Numerator 39 · Denominator 40 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 17.65% |
25.2%
7.6 pts worse
|
Numerator 6 · Denominator 34 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.4
0.9 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.9
0.5 pts better
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.0 · Expected 1.4 · 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 | 94.3% |
97.0%
2.7 pts worse
|
95.5%
1.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.2%
0.2 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 2.9% · Q4 5.9% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.9% |
1.6%
0.7 pts better
|
11.4%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.3% · 4Q avg 0.9% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
6.1%
2.3 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 5.7% · Q4 5.9% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.5% |
24.4%
3.9 pts better
|
19.6%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 15.2% · Q3 14.3% · Q4 23.5% · 4Q avg 20.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 49.3% |
23.4%
25.9 pts worse
|
16.7%
32.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 49.3% · 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 | 15.6% |
22.8%
7.2 pts better
|
16.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 17.3% · Q3 21.3% · Q4 12.8% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.7% |
20.6%
1.1 pts worse
|
14.9%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 25.8% · Q3 29.0% · Q4 19.4% · 4Q avg 21.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.5%
0.6 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.1% |
2.5%
3.6 pts worse
|
1.7%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 6.1% · Q3 2.9% · Q4 8.8% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.6% |
21.4%
4.2 pts worse
|
19.8%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 18.5% · Q3 28.8% · Q4 27.0% · 4Q avg 25.6% |
| Percentage of long-stay residents with pressure ulcers | 12.0% |
6.9%
5.1 pts worse
|
5.1%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 15.3% · Q3 8.9% · Q4 8.6% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
87.9%
8.5 pts better
|
81.7%
14.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.4% · Q2 96.7% · Q3 99.0% · Q4 97.9% · 4Q avg 96.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.0% |
15.3%
6.3 pts better
|
12.0%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 8.8% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
2.6%
0.2 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.4% · Q3 4.7% · Q4 1.5% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.8% |
84.6%
12.2 pts better
|
79.7%
17.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.5% |
27.9%
0.4 pts better
|
23.9%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 23.5% · Expected 20.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-25 · Fire 2024-01-25
3 health deficiencies
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-08-05 · Fire 2021-08-05
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-05-29
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-15
D · Potential for more than minimal harm
2025-05-29
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-07-15
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-05-29
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 2025-07-15
D · Potential for more than minimal harm
2024-01-25
F564 · Resident Rights Deficiencies
Health
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Corrected 2024-02-29
D · Potential for more than minimal harm
2024-01-25
F567 · Resident Rights Deficiencies
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-02-29
D · Potential for more than minimal harm
2024-01-25
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-02-29
G · Actual harm
2023-09-08
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 2023-10-06
G · Actual harm
2023-09-08
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 2023-10-06
D · Potential for more than minimal harm
2023-09-08
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 2023-10-06
G · Actual harm
2021-08-05
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 2021-08-24
G · Actual harm
2021-08-05
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2021-09-08
Penalties and ownership
What sits behind the stars
$8,190
2023-09-08
Fine
Fine · fine $8,190
Fine
$0
2023-09-08
Payment Denial
Payment Denial · denial start 2023-10-04 · 2 days
2 day denial
Ownership
Evan Trace Cain Gst Trust
5% Or Greater Direct Ownership Interest · Organization
Logan Patrick Cain Gst Trust
5% Or Greater Direct Ownership Interest · Organization
Cain, Harold
Corporate Director · Individual
Cain, Harold
Corporate Officer · Individual
Corporate Management, Inc.
Operational/Managerial Control · Organization
Gruzinskas, Beth
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Azalea Gardens Nursing Center
Wiggins, MS
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Lamar Healthcare & Rehabilitation Center
Lumberton, MS
1-star overall rating with 2-star inspections with $10,527 in total fines with 7 recent health deficiencies
#3
Pearl River Co Nursing Home
Poplarville, MS
5-star overall rating with 4-star inspections with 6 recent health deficiencies
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