Ocean Springs, MS

Sunplex Sub-Acute Center

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $123,994 in total fines with 15 recent health deficiencies

6520 Sunscope Drive, Ocean Springs, MS

(228) 875-1177

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Community Eldercare Services

Operator or chain grouping

Approved since

1997-01-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

17 facilities

Chain averages 2 overall / 2 health / 3 staffing / 2 quality stars

Changed ownership

Within the last 12 months

Family council

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

0.84

Licensed practical nurse staffing · state 1.10 · national 0.87

Aide hours / resident day

2.21

Nurse aide staffing · state 2.48 · national 2.35

Total nurse hours

3.48

All reported nurse hours · state 4.21 · national 3.89

Licensed hours

1.27

RN + LPN hours · state 1.73 · national 1.54

Weekend hours

3.06

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.37 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.44

CMS adjusted RN staffing hours

Adjusted total hours

3.61

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,795

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

19.09

Composite VBP score used to determine payment impact.

Payment multiplier

0.9821

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.25% · Performance 23.48% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 9.63% · Performance 10.40% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.04

Performance 47.17% · Measure score 4.04 · Achievement 4.04 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

3.60

Baseline 3.99 hours · Performance 4.10 hours · Measure score 3.60 · Achievement 3.60 · Improvement 0.14

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.61%	10.72% 1.9 pts worse	No Different than the National Rate · Eligible stays 73 · Observed rate 20.55% · Lower 95% interval 8.66%
Discharge to community	51.19%	50.57% 0.6 pts better	No Different than the National Rate · Eligible stays 62 · Observed rate 46.77% · Lower 95% interval 41.44%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 30 · Denominator 30
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 30
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 30 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	10.4%	7.12% 3.3 pts worse	No Different than the National Rate · Eligible stays 42 · Observed rate 21.43% · Lower 95% interval 6.41%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 78
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 81
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.8%	95.7% 1.9 pts worse	93.4% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 100.0% · Q3 90.6% · Q4 92.6% · 4Q avg 93.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.9%	97.0% 4.1 pts worse	95.5% 2.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9%
Percentage of long-stay residents experiencing one or more falls with major injury	1.4%	3.2% 1.8 pts better	3.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.7%	1.6% 1.1 pts worse	11.4% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.4% · Q3 6.5% · Q4 0.0% · 4Q avg 2.7%
Percentage of long-stay residents who lose too much weight	2.1%	6.1% 4 pts better	5.4% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 4.2% · Q4 2.1% · 4Q avg 2.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.6%	24.4% 7.8 pts better	19.6% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 6.7% · Q3 16.7% · Q4 25.5% · 4Q avg 16.6%
Percentage of long-stay residents who received an antipsychotic medication	15.6%	23.4% 7.8 pts better	16.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 17.6% · Q3 11.8% · Q4 16.7% · 4Q avg 15.6% · 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	45.0%	22.8% 22.2 pts worse	16.3% 28.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 45.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.9%	20.6% 0.3 pts worse	14.9% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 14.6% · Q3 21.7% · Q4 22.2% · 4Q avg 20.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.0%	1.5% 1.5 pts worse	1.0% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 3.3% · Q3 1.7% · Q4 1.3% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.4%	2.5% 0.1 pts better	1.7% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.0% · Q3 0.0% · Q4 3.7% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	30.6%	21.4% 9.2 pts worse	19.8% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.6% · Q2 25.6% · Q3 23.6% · Q4 39.5% · 4Q avg 30.6%
Percentage of long-stay residents with pressure ulcers	10.5%	6.9% 3.6 pts worse	5.1% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 12.9% · Q3 9.3% · Q4 7.6% · 4Q avg 10.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	55.2%	87.9% 32.7 pts worse	81.7% 26.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 59.6% · Q2 51.2% · Q3 33.3% · Q4 70.2% · 4Q avg 55.2%
Percentage of short-stay residents who had an outpatient emergency department visit	22.4%	15.3% 7.1 pts worse	12.0% 10.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 24.0% · Expected 12.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	2.6% 1.6 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	51.2%	84.6% 33.4 pts worse	79.7% 28.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 51.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.6%	27.9% 0.3 pts better	23.9% 3.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 28.0% · Expected 24.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-10-28 · Fire 2024-07-17

15 health deficiencies

Top issue: Administration (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-07-17 · Fire 2022-06-30

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-06-30 · Fire 2019-07-19

16 health deficiencies

Top issue: Quality of Life and Care (4 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 2022-06-30

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-08-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-02

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-11-11

L · Immediate jeopardy 2025-10-28

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2025-11-14

L · Immediate jeopardy 2025-10-28

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-11-14

L · Immediate jeopardy 2025-10-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-14

K · Immediate jeopardy 2025-10-28

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 2025-11-14

K · Immediate jeopardy 2025-10-28

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 2025-11-14

F · Potential for more than minimal harm 2025-10-28

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 2025-11-14

D · Potential for more than minimal harm 2025-10-28

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 2025-11-14

D · Potential for more than minimal harm 2025-10-28

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 2025-11-14

D · Potential for more than minimal harm 2025-10-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-11-14

D · Potential for more than minimal harm 2025-10-28

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 2025-11-14

D · Potential for more than minimal harm 2025-10-28

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 2025-11-14

D · Potential for more than minimal harm 2025-10-28

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 2025-11-14

D · Potential for more than minimal harm 2025-10-28

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-11-14

J · Immediate jeopardy 2025-09-24

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.

Not marked corrected

G · Actual harm 2025-01-27

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 2025-02-13

D · Potential for more than minimal harm 2025-01-27

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-02-13

D · Potential for more than minimal harm 2024-10-03

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 2024-10-23

F · Potential for more than minimal harm 2024-07-17

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-08-16

F · Potential for more than minimal harm 2024-07-17

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 2024-08-16

F · Potential for more than minimal harm 2024-07-17

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 2024-08-16

E · Potential for more than minimal harm 2024-07-17

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-08-16

D · Potential for more than minimal harm 2024-07-17

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 2024-08-16

D · Potential for more than minimal harm 2024-07-17

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-08-16

D · Potential for more than minimal harm 2024-07-17

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 2024-08-16

D · Potential for more than minimal harm 2024-03-15