Columbia, MS

The Grove

4-star overall rating with 5-star inspections with 2 recent health deficiencies

11 Pecan Drive, Columbia, MS

(601) 736-4747

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

86

Certified beds

Average residents

80

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2006-01-01

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

0.50

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.63

Licensed practical nurse staffing · state 1.10 · national 0.87

Aide hours / resident day

2.66

Nurse aide staffing · state 2.48 · national 2.35

Total nurse hours

4.79

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

0.27

Weekend registered nurse coverage · state 0.37 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.55

CMS adjusted RN staffing hours

Adjusted total hours

5.31

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

4,031

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

Performance score

41.63

Composite VBP score used to determine payment impact.

Payment multiplier

0.9945

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.29

Baseline 22.66% · Performance 20.52% · Measure score 3.29 · Achievement 1.96 · Improvement 3.29

Healthcare-associated infections

3.71

Baseline 8.51% · Performance 7.03% · Measure score 3.71 · Achievement 2.69 · Improvement 3.71

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

5.49

Baseline 3.93 hours · Performance 4.64 hours · Measure score 5.49 · Achievement 5.49 · Improvement 3.32

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	15.14%	10.72% 4.4 pts worse	Worse than the National Rate · Eligible stays 148 · Observed rate 21.62% · Lower 95% interval 11.87%
Discharge to community	43.13%	50.57% 7.4 pts worse	No Different than the National Rate · Eligible stays 108 · Observed rate 37.04% · Lower 95% interval 33.38%
Medicare spending per beneficiary	1.13	1.02 0.1 pts worse
Drug regimen review with follow-up	97.89%	95.27% 2.6 pts better	Numerator 93 · Denominator 95
Falls with major injury	2.11%	0.77% 1.3 pts worse	Numerator 2 · Denominator 95
Discharge self-care score	72.41%	53.69% 18.7 pts better	Numerator 42 · Denominator 58
Discharge mobility score	74.14%	50.94% 23.2 pts better	Numerator 43 · Denominator 58
Pressure ulcers or injuries, new or worsened	6.32%	2.29% 4 pts worse	Numerator 6 · Denominator 95 · Adjusted rate 5.34%
Healthcare-associated infections requiring hospitalization	7.03%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 84 · Observed rate 5.95% · Lower 95% interval 4.18%
Staff COVID-19 vaccination coverage	4.96%	8.2% 3.2 pts worse	Numerator 6 · Denominator 121
Staff flu vaccination coverage	17.39%	42% 24.6 pts worse	Numerator 28 · Denominator 161
Discharge function score	82.76%	56.45% 26.3 pts better	Numerator 48 · Denominator 58
Transfer of health information to provider	95.45%	95.95% 0.5 pts worse	Numerator 42 · Denominator 44
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	28.95%	25.2% 3.8 pts better	Numerator 11 · Denominator 38

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	2.4 0.2 pts better	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.5 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.5	2.9 0.6 pts worse	1.8 1.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.8 · Expected 1.8 · 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	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	5.6%	3.2% 2.4 pts worse	3.3% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 7.6% · Q3 2.7% · Q4 4.1% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.7%	1.6% 5.1 pts worse	11.4% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 2.9% · Q3 4.5% · Q4 10.3% · 4Q avg 6.7%
Percentage of long-stay residents who lose too much weight	6.1%	6.1% About the same	5.4% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 4.3% · Q3 6.2% · Q4 0.0% · 4Q avg 6.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.2%	24.4% 5.8 pts worse	19.6% 10.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 31.1% · Q3 27.3% · Q4 28.8% · 4Q avg 30.2%
Percentage of long-stay residents who received an antipsychotic medication	21.3%	23.4% 2.1 pts better	16.7% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 21.9% · Q3 20.3% · Q4 23.7% · 4Q avg 21.3% · 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	29.8%	22.8% 7 pts worse	16.3% 13.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 22.1% · Q3 40.0% · Q4 38.1% · 4Q avg 29.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	34.1%	20.6% 13.5 pts worse	14.9% 19.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.7% · Q2 31.8% · Q3 31.7% · Q4 34.5% · 4Q avg 34.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.4%	1.5% 0.1 pts better	1.0% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.0% · Q3 1.1% · Q4 2.1% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	7.6%	2.5% 5.1 pts worse	1.7% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.1% · Q3 6.8% · Q4 15.3% · 4Q avg 7.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.8%	21.4% 4.4 pts worse	19.8% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.7% · Q2 27.3% · Q3 31.5% · Q4 15.3% · 4Q avg 25.8%
Percentage of long-stay residents with pressure ulcers	5.5%	6.9% 1.4 pts better	5.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.0% · Q3 5.7% · Q4 5.2% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.8%	87.9% 9.9 pts better	81.7% 16.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.0% · Q3 95.2% · Q4 100.0% · 4Q avg 97.8%
Percentage of short-stay residents who had an outpatient emergency department visit	15.5%	15.3% 0.2 pts worse	12.0% 3.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 16.0% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	6.2%	2.6% 3.6 pts worse	1.6% 4.6 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.0%	84.6% 0.4 pts better	79.7% 5.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.4%	27.9% 1.5 pts worse	23.9% 5.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.4% · Observed 29.3% · Expected 23.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-29 · Fire 2024-08-29

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-01-11 · Fire 2023-01-11

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-08-15 · Fire 2019-08-15

9 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-08-29

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 2024-10-11

D · Potential for more than minimal harm 2024-08-29

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 2024-10-11

E · Potential for more than minimal harm 2023-01-11

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 2023-02-03

D · Potential for more than minimal harm 2023-01-11

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-02-03

E · Potential for more than minimal harm 2019-08-15

F623 · Resident Rights Deficiencies

Health

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

Corrected 2019-09-12