Carthage, MS

Trend Health & Rehab Of Carthage LLC

2-star overall rating with 2-star inspections with $9,475 in total fines with 4 recent health deficiencies

1101 East Franklin Street, Carthage, MS

(601) 267-4551

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 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

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Trend Consultants

Operator or chain grouping

Approved since

1989-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 3 overall / 3 health / 4 staffing / 2 quality stars

Changed ownership

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

0.74

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.31

Licensed practical nurse staffing · state 1.10 · national 0.87

Aide hours / resident day

2.80

Nurse aide staffing · state 2.48 · national 2.35

Total nurse hours

4.85

All reported nurse hours · state 4.21 · national 3.89

Licensed hours

2.06

RN + LPN hours · state 1.73 · national 1.54

Weekend hours

3.62

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.22

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

0.84

CMS adjusted RN staffing hours

Adjusted total hours

5.51

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

42%

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

3,706

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

Performance score

43.03

Composite VBP score used to determine payment impact.

Payment multiplier

0.9960

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.92

Baseline 19.43% · Performance 21.00% · Measure score 0.92 · Achievement 0.92 · Improvement 0

Healthcare-associated infections

3.45

Baseline 7.28% · Performance 6.80% · Measure score 3.45 · Achievement 3.45 · Improvement 1.60

Total nurse turnover

4.09

Baseline 44.83% · Performance 46.96% · Measure score 4.09 · Achievement 4.09 · Improvement 0

Adjusted total nurse staffing

8.75

Baseline 4.95 hours · Performance 5.57 hours · Measure score 8.75 · Achievement 8.75 · Improvement 6.91

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.44%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 72 · Observed rate 11.11% · Lower 95% interval 7.37%
Discharge to community	37.66%	50.57% 12.9 pts worse	No Different than the National Rate · Eligible stays 42 · Observed rate 26.19% · Lower 95% interval 26.23%
Medicare spending per beneficiary	1.06	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 49 · Denominator 49
Falls with major injury	2.04%	0.77% 1.3 pts worse	Numerator 1 · Denominator 49
Discharge self-care score	45.45%	53.69% 8.2 pts worse	Numerator 15 · Denominator 33
Discharge mobility score	36.36%	50.94% 14.6 pts worse	Numerator 12 · Denominator 33
Pressure ulcers or injuries, new or worsened	4.08%	2.29% 1.8 pts worse	Numerator 2 · Denominator 49 · Adjusted rate 2.8%
Healthcare-associated infections requiring hospitalization	6.8%	7.12% 0.3 pts better	No Different than the National Rate · Eligible stays 37 · Observed rate 5.41% · Lower 95% interval 3.54%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 112
Staff flu vaccination coverage	32.58%	42% 9.4 pts worse	Numerator 43 · Denominator 132
Discharge function score	51.52%	56.45% 4.9 pts worse	Numerator 17 · Denominator 33
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	12%	25.2% 13.2 pts worse	Numerator 3 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	2.4 0.4 pts better	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.4 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	5.1	2.9 2.2 pts worse	1.8 3.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 5.1 · Observed 5.6 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	95.7% 3.6 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.7% · Q4 98.6% · 4Q avg 99.3%
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	3.3%	3.2% 0.1 pts worse	3.3% About the same	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.6% · Q3 4.0% · Q4 4.1% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	1.6% 1.6 pts better	11.4% 11.4 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 who lose too much weight	3.3%	6.1% 2.8 pts better	5.4% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 5.8% · Q3 3.0% · Q4 3.1% · 4Q avg 3.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	38.8%	24.4% 14.4 pts worse	19.6% 19.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 38.0% · Q3 39.4% · Q4 42.0% · 4Q avg 38.8%
Percentage of long-stay residents who received an antipsychotic medication	19.7%	23.4% 3.7 pts better	16.7% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 16.7% · Q3 21.7% · Q4 20.4% · 4Q avg 19.7% · 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	5.3%	22.8% 17.5 pts better	16.3% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 9.9% · Q3 3.4% · Q4 3.2% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.7%	20.6% 9.9 pts better	14.9% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 11.9% · Q3 8.5% · Q4 12.5% · 4Q avg 10.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.2%	1.5% 1.7 pts worse	1.0% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.5% · Q3 2.6% · Q4 4.1% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	5.2%	2.5% 2.7 pts worse	1.7% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.1% · Q3 4.3% · Q4 8.6% · 4Q avg 5.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.8%	21.4% 2.6 pts better	19.8% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 18.0% · Q3 15.5% · Q4 15.6% · 4Q avg 18.8%
Percentage of long-stay residents with pressure ulcers	8.0%	6.9% 1.1 pts worse	5.1% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 11.3% · Q3 7.0% · Q4 8.4% · 4Q avg 8.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.9%	87.9% 8 pts better	81.7% 14.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q4 95.0% · 4Q avg 95.9%
Percentage of short-stay residents who had an outpatient emergency department visit	23.3%	15.3% 8 pts worse	12.0% 11.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 25.9% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	6.8%	2.6% 4.2 pts worse	1.6% 5.2 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 6.8% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.3%	27.9% 12.6 pts better	23.9% 8.6 pts better	Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 17.2% · Expected 26.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-15 · Fire 2024-05-15

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-01-05 · Fire 2023-01-05

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-10-24 · Fire 2019-10-24

7 health deficiencies

Top issue: Quality of Life and Care (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 2025-09-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-10-24

G · Actual harm 2024-10-22

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 2024-11-19

G · Actual harm 2024-10-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-19

G · Actual harm 2024-10-22

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 2024-11-19

G · Actual harm 2024-10-22

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 2024-11-19

D · Potential for more than minimal harm 2024-05-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-06-11

D · Potential for more than minimal harm 2024-05-15

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 2024-06-11

D · Potential for more than minimal harm 2024-05-15

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 2024-06-11

D · Potential for more than minimal harm 2023-10-05

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 2023-11-29

D · Potential for more than minimal harm 2023-10-05

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-11-29

G · Actual harm 2023-01-05

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 2023-02-09

G · Actual harm 2023-01-05

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-02-09

E · Potential for more than minimal harm 2023-01-05

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 2023-02-09