Federal inspection record · CMS data as of October 1, 2026

The Bluffs Rehabilitation And Healthcare Center

2850 Porter's Chapel Road, Vicksburg, MS · (601) 638-9211

CMS overall rating

1 of 5

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Certified beds
107
Residents per day
93
Ownership
For-Profit
Chain
Nexion Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 29, 1991

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Mississippi.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Mississippi homes

The Bluffs Rehabilitation And Healthcare Center carries 103 inspection points. That is fewer than 12% of Mississippi's 199 rated homes.

5★4★3★2★1★+6 homes above 196.505102550100inspection points → fewer is better on the leftThis home · 103 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Mississippi: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–15 pts
  • 4★ 15–30 pts
  • 3★ 30–47 pts
  • 2★ 47–78.5 pts
  • 1★ over 78.5 pts

Bars show every rated home in Mississippi by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

27 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 4 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 5 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (5)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 21, 2026 · Complaint inspection · Quality of Life and Care · F689 · Not yet marked corrected

  2. G

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    September 23, 2025 · Complaint inspection · Resident Assessment and Care Planning · F655 · Corrected October 14, 2025

  3. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 23, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected October 14, 2025

  4. G

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 26, 2023 · Standard inspection · Resident Assessment and Care Planning · F656 · Corrected November 24, 2023

  5. G

    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.

    October 26, 2023 · Standard inspection · Quality of Life and Care · F688 · Corrected November 24, 2023

Everything else, by area of care

Resident Rights7E
  1. E

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    January 9, 2025 · Standard · F623 · Corrected January 31, 2025

  2. E

    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.

    January 9, 2025 · Standard · F625 · Corrected January 31, 2025

  3. D

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

    January 9, 2025 · Complaint · F561 · Corrected January 31, 2025

  4. D

    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.

    January 9, 2025 · Complaint · F584 · Corrected January 31, 2025

  5. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 26, 2023 · Complaint · F580 · Corrected November 24, 2023

  6. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    June 16, 2022 · Standard · F623 · Corrected July 22, 2022

  7. D

    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.

    June 16, 2022 · Standard · F625 · Corrected July 22, 2022

Resident Assessment and Care Planning4E
  1. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 9, 2025 · Complaint · F656 · Corrected January 31, 2025

  2. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    January 9, 2025 · Complaint · F655 · Corrected January 31, 2025

  3. B

    Ensure each resident receives an accurate assessment.

    January 9, 2025 · Standard · F641 · Corrected January 31, 2025

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    June 16, 2022 · Standard · F656 · Corrected July 22, 2022

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    February 10, 2026 · Complaint · F880 · Corrected February 27, 2026

  2. E

    Provide and implement an infection prevention and control program.

    January 9, 2025 · Standard · F880 · Corrected January 31, 2025

  3. D

    Provide and implement an infection prevention and control program.

    October 26, 2023 · Standard · F880 · Corrected November 24, 2023

Quality of Life and Care3E
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 9, 2025 · Complaint · F677 · Corrected January 31, 2025

  2. E

    Provide activities to meet all resident's needs.

    June 16, 2022 · Standard · F679 · Corrected July 22, 2022

  3. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    June 16, 2022 · Standard · F694 · Corrected July 22, 2022

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    February 25, 2025 · Complaint · F604 · Corrected February 19, 2025

  2. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 9, 2025 · Complaint · F600 · Corrected January 31, 2025

Nursing and Physician Services1F
  1. F

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    January 9, 2025 · Standard · F727 · Corrected January 31, 2025

Administration1F
  1. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    January 9, 2025 · Standard · F851 · Corrected January 31, 2025

Pharmacy Service1D
  1. D

    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.

    October 26, 2023 · Standard · F761 · Corrected November 24, 2023

Inspection history

  1. 2025-01-09

    13 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

  2. 2023-10-26

    8 health deficiencies · 0 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  3. 2022-06-16

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 5 min of nursing staff time a day, 21 min of it from a registered nurse.

This home

4 h 5 min

Mississippi average

4 h 12 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 57% of nursing staff and 50% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$30,389 in federal fines on record over the past three years.

DatePenaltyAmount
2026-04-21Fine$12,769
2025-09-23Fine$4,810
2025-09-23Fine$4,810
2023-10-26Fine$4,000
2023-10-26Fine$4,000
2023-10-26Payment Denial · 2 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts worse91.4%95.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts worse90.8%97.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts better0.0%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms0.9 pts better0.7%1.6%13.5%
Percentage of long-stay residents who lose too much weight0.6 pts worse6.9%6.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts better21.7%23.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.8 pts better11.0%21.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.9 pts worse22.2%18.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts worse29.1%20.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder3.5 pts worse4.8%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.9 pts better0.6%2.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.4 pts worse30.3%19.9%18.3%
Percentage of long-stay residents with pressure ulcers4.4 pts worse10.6%6.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine36 pts worse53.0%89.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better12.4%15.3%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better1.2%2.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine58.4 pts worse26.6%85.0%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts better25.8%27.1%23.4%

·

Who owns and runs it

14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nexion Health Of Ohi Inc5% Or Greater Direct Ownership Interest · Organization100%31 facilities
Bolt, Bretton5% Or Greater Indirect Ownership Interest · Individual0%30 facilities
Herdrich, WilliamCorporate Director · Individual0%32 facilities
Kirley, Francis5% Or Greater Indirect Ownership Interest · Individual0%50 facilities
Kirley, FrancisCorporate Director · Individual0%50 facilities
Kirley, FrancisCorporate Officer · Individual0%50 facilities
Lee, BrianCorporate Director · Individual0%45 facilities
Lee, BrianCorporate Officer · Individual0%45 facilities
Morgan, AmandaOperational/Managerial Control · Individual0%1 facilities
Nexion Health Leasing, Inc.5% Or Greater Indirect Ownership Interest · Organization0%33 facilities
Nexion Health, Inc.5% Or Greater Indirect Ownership Interest · Organization0%33 facilities
Nexion Health, Inc.Operational/Managerial Control · Organization0%33 facilities
Riner, MeeraCorporate Director · Individual0%46 facilities
Riner, MeeraCorporate Officer · Individual0%46 facilities

·

Fire safety

1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness1E
  1. E

    Develop and maintain an Emergency Preparedness Program (EP).

    June 16, 2022 · E4 · Corrected July 15, 2022

·

Other homes nearby

  1. Shady Lawn Health And Rehabilitation

    Vicksburg, MS · Vanguard Healthcare

    Worst citation, 3 yrs
    D
    Nursing / resident / day
    3 h 53 min
    Fines
    $0
  2. Heritage House Nursing Center

    Vicksburg, MS · The Beebe Family

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 54 min
    Fines
    $0
  3. Vicksburg Convalescent Center

    Vicksburg, MS · Vanguard Healthcare

    Worst citation, 3 yrs
    D
    Nursing / resident / day
    4 h 24 min
    Fines
    $0