Cycle 1
Health 2025-04-02 · Fire 2025-04-02
7 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Iuka, MS
Tishomingo Manor
1-star overall rating with 2-star inspections with abuse icon flag with $75,966 in total fines with 7 recent health deficiencies
230 Khaki Street, Iuka, MS
(662) 423-9112
Overall
1 / 5
CMS overall stars
Health inspections
2 / 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
105
Certified beds
Average residents
102
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Beebe Family
Operator or chain grouping
Approved since
1996-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
48 facilities
Chain averages 3 overall / 3 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
0.48
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
2.43
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
3.90
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.34
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.37
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
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.79
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,138
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.53
Composite VBP score used to determine payment impact.
Payment multiplier
1.0147
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.18
Baseline 19.62% · Performance 17.64% · Measure score 8.18 · Achievement 8.18 · Improvement 7.14
Healthcare-associated infections
5.71
Baseline 11.14% · Performance 7.32% · Measure score 5.71 · Achievement 1.72 · Improvement 5.71
Total nurse turnover
7.93
Baseline 40.43% · Performance 31.25% · Measure score 7.93 · Achievement 7.93 · Improvement 5.39
Adjusted total nurse staffing
1.98
Baseline 3.48 hours · Performance 3.64 hours · Measure score 1.98 · Achievement 1.98 · Improvement 0.20
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.39% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 233 · Observed rate 9.44% · Lower 95% interval 7.69% |
| Discharge to community | 48.11% |
50.57%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 199 · Observed rate 43.22% · Lower 95% interval 41.52% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 96.45% |
95.27%
1.2 pts better
|
Numerator 136 · Denominator 141 |
| Falls with major injury | 2.13% |
0.77%
1.4 pts worse
|
Numerator 3 · Denominator 141 |
| Discharge self-care score | 62.26% |
53.69%
8.6 pts better
|
Numerator 66 · Denominator 106 |
| Discharge mobility score | 64.15% |
50.94%
13.2 pts better
|
Numerator 68 · Denominator 106 |
| Pressure ulcers or injuries, new or worsened | 2.13% |
2.29%
0.2 pts better
|
Numerator 3 · Denominator 141 · Adjusted rate 1.74% |
| Healthcare-associated infections requiring hospitalization | 7.32% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 139 · Observed rate 6.47% · Lower 95% interval 4.26% |
| Staff COVID-19 vaccination coverage | 0.67% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 149 |
| Staff flu vaccination coverage | 55.72% |
42%
13.7 pts better
|
Numerator 112 · Denominator 201 |
| Discharge function score | 66.04% |
56.45%
9.6 pts better
|
Numerator 70 · Denominator 106 |
| Transfer of health information to provider | 85.71% |
95.95%
10.2 pts worse
|
Numerator 30 · Denominator 35 |
| Transfer of health information to patient | 80.95% |
96.28%
15.3 pts worse
|
Numerator 51 · Denominator 63 |
| Resident COVID-19 vaccinations up to date | 12.68% |
25.2%
12.5 pts worse
|
Numerator 9 · Denominator 71 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.4
0.1 pts better
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.1 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.9
0.7 pts better
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.4 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
95.7%
2.3 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 98.8% · Q3 98.9% · Q4 98.9% · 4Q avg 98.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
97.0%
1.9 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% |
3.2%
1.4 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.7% · Q3 5.7% · Q4 6.7% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
1.6%
0.9 pts worse
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.3% · Q3 1.3% · Q4 3.8% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 6.0% |
6.1%
0.1 pts better
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 4.9% · Q3 1.5% · Q4 7.0% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.0% |
24.4%
11.6 pts worse
|
19.6%
16.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 33.3% · Q3 40.0% · Q4 40.8% · 4Q avg 36.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.8% |
23.4%
4.4 pts worse
|
16.7%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 27.6% · Q3 29.3% · Q4 33.9% · 4Q avg 27.8% · 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 | 29.5% |
22.8%
6.7 pts worse
|
16.3%
13.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 28.5% · Q3 14.9% · Q4 39.8% · 4Q avg 29.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.2% |
20.6%
10.6 pts worse
|
14.9%
16.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 22.7% · Q3 48.5% · Q4 24.6% · 4Q avg 31.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.3% |
1.5%
1.8 pts worse
|
1.0%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.9% · Q3 4.3% · Q4 3.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.1% |
2.5%
3.6 pts worse
|
1.7%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 5.4% · Q3 3.7% · Q4 10.1% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.9% |
21.4%
0.5 pts worse
|
19.8%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 18.9% · Q3 15.0% · Q4 28.1% · 4Q avg 21.9% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
6.9%
2.8 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.4% · Q3 6.2% · Q4 3.5% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.9% |
87.9%
5 pts better
|
81.7%
11.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.5% · Q2 93.3% · Q3 94.2% · Q4 91.4% · 4Q avg 92.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.6% |
15.3%
0.7 pts better
|
12.0%
2.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.6% · Observed 16.0% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.1% |
2.6%
3.5 pts worse
|
1.6%
4.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.0% · Q3 8.1% · Q4 3.1% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.5% |
84.6%
4.9 pts better
|
79.7%
9.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.1% |
27.9%
6.8 pts better
|
23.9%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.1% · Observed 24.0% · Expected 27.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-22 · Fire 2024-05-22
2 health deficiencies
Top issue: Administration (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-05-24 · Fire 2023-05-24
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-05-24
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-30
Inspection history
Recent health citations
H · Actual harm
2025-12-30
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 2026-01-20
G · Actual harm
2025-04-02
F603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2025-04-29
F · Potential for more than minimal harm
2025-04-02
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 2025-04-29
D · Potential for more than minimal harm
2025-04-02
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 2025-04-29
D · Potential for more than minimal harm
2025-04-02
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 2025-04-29
D · Potential for more than minimal harm
2025-04-02
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-29
D · Potential for more than minimal harm
2025-04-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-29
F · Potential for more than minimal harm
2024-05-22
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 2024-06-14
D · Potential for more than minimal harm
2024-05-22
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-14
G · Actual harm
2023-05-24
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 2023-07-12
G · Actual harm
2023-05-24
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 2023-07-12
G · Actual harm
2023-05-24
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 2023-07-12
D · Potential for more than minimal harm
2023-05-24
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 2023-07-12
D · Potential for more than minimal harm
2023-05-24
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-12
D · Potential for more than minimal harm
2023-05-24
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-07-12
Penalties and ownership
What sits behind the stars
$12,425
2025-04-02
Fine
Fine · fine $12,425
Fine
$63,541
2023-05-24
Fine
Fine · fine $63,541
Fine
$0
2023-05-24
Payment Denial
Payment Denial · denial start 2023-06-22 · 20 days
20 day denial
Ownership
Elton G Beebe Sr Irrev Childrens Tr
5% Or Greater Indirect Ownership Interest · Organization
Administrative Systems Inc
Operational/Managerial Control · Organization
Beebe, Bobby
5% Or Greater Direct Ownership Interest · Individual
Cain, Jennifer
Operational/Managerial Control · Individual
Elton G Beebe Sr Irrv Grndchildrens Tr
5% Or Greater Direct Ownership Interest · Organization
Elton G. Beebe Sr Irrv Childrens Tr
5% Or Greater Direct Ownership Interest · Organization
Elton G. Beebe Sr Irrv Childrens Tr
Operational/Managerial Control · Organization
Glynn, Margaret
Operational/Managerial Control · Individual
Parkinson, Toni
Operational/Managerial Control · Individual
Parkinson, Toni
Corporate Officer · Individual
Providence Care LLC
Operational/Managerial Control · Organization
Provider Professional Services Inc
Operational/Managerial Control · Organization
Regional Services, Inc
Operational/Managerial Control · Organization
Stallard, David
5% Or Greater Direct Ownership Interest · Individual
Stallard, David
Operational/Managerial Control · Individual
Stevens, Tina
Operational/Managerial Control · Individual
Tristar Rehab Inc
Operational/Managerial Control · Organization
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#3
Ms Care Center Of Alcorn County, Inc-Snf
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