Cycle 1
Health 2025-05-29 · Fire 2025-05-29
6 health deficiencies
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fulton, MS
The Meadows
3-star overall rating with 3-star inspections with 6 recent health deficiencies
1905 South Adams Street, Fulton, MS
(662) 862-2165
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
130
Certified beds
Average residents
124
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-01-01
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
0.84
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.33
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.29
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.96
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.56
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
4.52
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,970
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.65
Composite VBP score used to determine payment impact.
Payment multiplier
1.0001
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.49
Baseline 17.82% · Performance 18.89% · Measure score 5.49 · Achievement 5.49 · Improvement 0
Healthcare-associated infections
4.54
Baseline 8.43% · Performance 6.70% · Measure score 4.54 · Achievement 3.80 · Improvement 4.54
Total nurse turnover
4.93
Baseline 41.67% · Performance 43.55% · Measure score 4.93 · Achievement 4.93 · Improvement 0
Adjusted total nurse staffing
3.70
Baseline 3.97 hours · Performance 4.13 hours · Measure score 3.70 · Achievement 3.70 · Improvement 0.41
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.58% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 498 · Observed rate 8.84% · Lower 95% interval 7.79% |
| Discharge to community | 65.87% |
50.57%
15.3 pts better
|
Better than the National Rate · Eligible stays 466 · Observed rate 63.95% · Lower 95% interval 60.32% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.03% |
95.27%
3.8 pts better
|
Numerator 307 · Denominator 310 |
| Falls with major injury | 0.32% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 310 |
| Discharge self-care score | 59.02% |
53.69%
5.3 pts better
|
Numerator 121 · Denominator 205 |
| Discharge mobility score | 62.44% |
50.94%
11.5 pts better
|
Numerator 128 · Denominator 205 |
| Pressure ulcers or injuries, new or worsened | 3.55% |
2.29%
1.3 pts worse
|
Numerator 11 · Denominator 310 · Adjusted rate 3.7% |
| Healthcare-associated infections requiring hospitalization | 6.7% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 298 · Observed rate 5.37% · Lower 95% interval 4.37% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 175 |
| Staff flu vaccination coverage | 80.69% |
42%
38.7 pts better
|
Numerator 188 · Denominator 233 |
| Discharge function score | 62.44% |
56.45%
6 pts better
|
Numerator 128 · Denominator 205 |
| Transfer of health information to provider | 97.33% |
95.95%
1.4 pts better
|
Numerator 73 · Denominator 75 |
| Transfer of health information to patient | 97.87% |
96.28%
1.6 pts better
|
Numerator 184 · Denominator 188 |
| Resident COVID-19 vaccinations up to date | 15.48% |
25.2%
9.7 pts worse
|
Numerator 24 · Denominator 155 |
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 1.4 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.9
1.8 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
95.7%
2.9 pts better
|
93.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 98.9% · Q3 98.8% · Q4 97.8% · 4Q avg 98.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
97.0%
1 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.2%
0.7 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.2% · Q3 2.3% · Q4 3.2% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
1.6%
1.3 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 1.2% |
6.1%
4.9 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 2.4% · 4Q avg 1.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.4% |
24.4%
9 pts worse
|
19.6%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.8% · Q2 35.4% · Q3 33.7% · Q4 27.9% · 4Q avg 33.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.6% |
23.4%
0.2 pts worse
|
16.7%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 29.2% · Q3 21.7% · Q4 22.5% · 4Q avg 23.6% · 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 | 41.0% |
22.8%
18.2 pts worse
|
16.3%
24.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.6% · Q2 45.3% · Q3 44.1% · Q4 28.9% · 4Q avg 41.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 37.1% |
20.6%
16.5 pts worse
|
14.9%
22.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.2% · Q2 29.2% · Q3 39.2% · Q4 40.3% · 4Q avg 37.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% |
1.5%
0.8 pts worse
|
1.0%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.0% · Q3 2.1% · Q4 0.9% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.8% |
2.5%
2.3 pts worse
|
1.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.4% · Q3 4.8% · Q4 6.7% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.5% |
21.4%
5.1 pts worse
|
19.8%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.1% · Q2 37.3% · Q3 22.6% · Q4 21.7% · 4Q avg 26.5% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
6.9%
2.6 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.2% · Q3 5.1% · Q4 1.6% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
87.9%
9.6 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 98.6% · Q3 96.6% · Q4 96.4% · 4Q avg 97.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.9% |
15.3%
11.4 pts better
|
12.0%
8.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.9% · Observed 3.7% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
2.6%
1.9 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.3% |
84.6%
12.7 pts better
|
79.7%
17.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.1% |
27.9%
2.8 pts better
|
23.9%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 22.8% · Expected 21.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-30 · Fire 2023-11-30
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-08-12 · Fire 2022-08-12
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
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
2025-11-18
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 2025-11-30
G · Actual harm
2025-11-03
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 2025-11-21
D · Potential for more than minimal harm
2025-05-29
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 2025-07-02
D · Potential for more than minimal harm
2025-05-29
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-07-02
D · Potential for more than minimal harm
2025-05-29
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 2025-07-02
D · Potential for more than minimal harm
2025-05-29
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-02
D · Potential for more than minimal harm
2023-11-30
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 2024-01-12
D · Potential for more than minimal harm
2023-11-30
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-01-12
D · Potential for more than minimal harm
2023-11-30
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-01-12
B · Minimal harm
2023-11-30
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-01-12
J · Immediate jeopardy
2022-08-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-09-07
E · Potential for more than minimal harm
2022-08-12
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 2022-09-07
Penalties and ownership
What sits behind the stars
Ownership
Holland, Eric
5% Or Greater Direct Ownership Interest · Individual
Holland, James
5% Or Greater Direct Ownership Interest · Individual
Jones, Jacquline
Operational/Managerial Control · Individual
Seay, Stacy
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Courtyards Comm Living Center
Fulton, MS
1-star overall rating with 1-star inspections with $117,659 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Diversicare Of Tupelo
Tupelo, MS
1-star overall rating with 1-star inspections with $25,016 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Tupelo Community Care Center
Tupelo, MS
1-star overall rating with 1-star inspections with $62,606 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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