Cycle 1
Health 2025-12-18 · Fire 2025-12-18
3 health deficiencies
Top issue: Administration (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Iuka, MS
Tishomingo Comm Living Center
1-star overall rating with 1-star inspections with $179,622 in total fines with 3 recent health deficiencies
1410 West Quitman Street, Iuka, MS
(662) 423-3422
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
73
Certified beds
Average residents
67
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Community Eldercare Services
Operator or chain grouping
Approved since
1989-09-19
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
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
0.79
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.78
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
3.59
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.57
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
3.97
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,215
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.42
Composite VBP score used to determine payment impact.
Payment multiplier
0.9835
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.34% · Performance 21.95% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.75% · Performance 7.89% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.41
Performance 37.50% · Measure score 6.41 · Achievement 6.41 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.36
Baseline 3.93 hours · Performance 4.03 hours · Measure score 3.36 · Achievement 3.36 · Improvement 0.06
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.01% |
10.72%
3.3 pts worse
|
No Different than the National Rate · Eligible stays 162 · Observed rate 17.28% · Lower 95% interval 10.18% |
| Discharge to community | 52.84% |
50.57%
2.3 pts better
|
No Different than the National Rate · Eligible stays 125 · Observed rate 49.6% · Lower 95% interval 44.32% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.24% |
95.27%
About the same
|
Numerator 80 · Denominator 84 |
| Falls with major injury | 4.76% |
0.77%
4 pts worse
|
Numerator 4 · Denominator 84 |
| Discharge self-care score | 15.38% |
53.69%
38.3 pts worse
|
Numerator 8 · Denominator 52 |
| Discharge mobility score | 9.62% |
50.94%
41.3 pts worse
|
Numerator 5 · Denominator 52 |
| Pressure ulcers or injuries, new or worsened | 2.38% |
2.29%
0.1 pts worse
|
Numerator 2 · Denominator 84 · Adjusted rate 2.08% |
| Healthcare-associated infections requiring hospitalization | 7.89% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 82 · Observed rate 8.54% · Lower 95% interval 4.96% |
| Staff COVID-19 vaccination coverage | 4.69% |
8.2%
3.5 pts worse
|
Numerator 3 · Denominator 64 |
| Staff flu vaccination coverage | 28.24% |
42%
13.8 pts worse
|
Numerator 24 · Denominator 85 |
| Discharge function score | 15.38% |
56.45%
41.1 pts worse
|
Numerator 8 · Denominator 52 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 52 · Denominator 52 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 11.11% |
25.2%
14.1 pts worse
|
Numerator 4 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.4
1 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.8 · 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 2.4 · Expected 1.6 · 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 | 5.1% |
3.2%
1.9 pts worse
|
3.3%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.2% · Q3 5.3% · Q4 4.8% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.2% |
1.6%
0.6 pts worse
|
11.4%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 3.7% · Q4 3.3% · 4Q avg 2.2% |
| Percentage of long-stay residents who lose too much weight | 9.9% |
6.1%
3.8 pts worse
|
5.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 10.6% · Q3 13.3% · Q4 10.2% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 39.9% |
24.4%
15.5 pts worse
|
19.6%
20.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.3% · Q2 38.8% · Q3 42.6% · Q4 41.2% · 4Q avg 39.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 29.2% |
23.4%
5.8 pts worse
|
16.7%
12.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 19.4% · Q3 37.1% · Q4 40.0% · 4Q avg 29.2% · 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 | 33.7% |
22.8%
10.9 pts worse
|
16.3%
17.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 40.4% · 4Q avg 33.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.6% |
20.6%
11 pts better
|
14.9%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 8.9% · Q3 4.4% · Q4 14.0% · 4Q avg 9.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.5%
1.1 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
2.5%
2.1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.0% |
21.4%
3.4 pts better
|
19.8%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 13.8% · Q3 12.6% · Q4 23.4% · 4Q avg 18.0% |
| Percentage of long-stay residents with pressure ulcers | 7.3% |
6.9%
0.4 pts worse
|
5.1%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 7.1% · Q3 6.9% · Q4 8.9% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
87.9%
9.1 pts better
|
81.7%
15.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 93.5% · Q3 100.0% · Q4 100.0% · 4Q avg 97.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.1% |
15.3%
2.8 pts worse
|
12.0%
6.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 21.3% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.6%
2.6 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.2% |
84.6%
7.6 pts better
|
79.7%
12.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.8% |
27.9%
1.9 pts worse
|
23.9%
5.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.8% · Observed 26.7% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-01 · Fire 2024-08-01
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-06-01 · Fire 2023-06-01
12 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-06-01
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-22
Inspection history
Recent health citations
J · Immediate jeopardy
2025-12-18
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 2025-12-12
F · Potential for more than minimal harm
2025-12-18
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 2026-01-14
D · Potential for more than minimal harm
2025-12-18
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-01-14
D · Potential for more than minimal harm
2024-08-01
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 2024-08-22
D · Potential for more than minimal harm
2024-08-01
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 2024-08-22
D · Potential for more than minimal harm
2024-08-01
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 2024-08-22
D · Potential for more than minimal harm
2024-08-01
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 2024-08-22
J · Immediate jeopardy
2023-06-01
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 2023-06-22
J · Immediate jeopardy
2023-06-01
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-22
J · Immediate jeopardy
2023-06-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-22
J · Immediate jeopardy
2023-06-01
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-06-22
J · Immediate jeopardy
2023-06-01
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 2023-06-22
F · Potential for more than minimal harm
2023-06-01
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-06-22
F · Potential for more than minimal harm
2023-06-01
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 2023-06-22
D · Potential for more than minimal harm
2023-06-01
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-06-22
D · Potential for more than minimal harm
2023-06-01
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-06-22
D · Potential for more than minimal harm
2023-06-01
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-06-22
D · Potential for more than minimal harm
2023-06-01
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 2023-06-22
D · Potential for more than minimal harm
2023-06-01
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-22
Penalties and ownership
What sits behind the stars
$179,622
2023-06-01
Fine
Fine · fine $179,622
Fine
Ownership
Wright, Douglas
5% Or Greater Indirect Ownership Interest · Individual
Community Eldercare Services, LLC
Operational/Managerial Control · Organization
Community Living Centers, LLC
5% Or Greater Direct Ownership Interest · Organization
Holmes, Patricia
Operational/Managerial Control · Individual
Wright, Douglas
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Tishomingo Manor
Iuka, MS
1-star overall rating with 2-star inspections with abuse icon flag with $75,966 in total fines with 7 recent health deficiencies
#2
Cornerstone Rehabilitation And Healthcare Center
Corinth, MS
1-star overall rating with 1-star inspections with $90,844 in total fines with 7 recent health deficiencies
#3
Ms Care Center Of Alcorn County, Inc-Snf
Corinth, MS
1-star overall rating with 1-star inspections with $25,376 in total fines with 8 recent health deficiencies
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