3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Meridian, MS
5-star overall rating with 5-star inspections with $4,516 in total fines with 3 recent health deficiencies
517 33rd Street, Meridian, MS
(601) 282-1300
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
58
Certified beds
Average residents
57
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trend Consultants
Operator or chain grouping
Approved since
2019-11-27
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
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.68
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
2.77
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.57
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
1.80
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
3.57
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.37 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.83
CMS adjusted RN staffing hours
Adjusted total hours
5.61
CMS adjusted total nurse staffing hours
Case-mix index
1.11
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
3,989
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.84
Composite VBP score used to determine payment impact.
Payment multiplier
0.9948
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.88
Baseline 18.75% · Performance 21.02% · Measure score 0.88 · Achievement 0.88 · Improvement 0
Healthcare-associated infections
6.17
Baseline 8.54% · Performance 6.17% · Measure score 6.17 · Achievement 5.56 · Improvement 6.17
Total nurse turnover
0.96
Baseline 52.38% · Performance 59.74% · Measure score 0.96 · Achievement 0.96 · Improvement 0
Adjusted total nurse staffing
8.72
Baseline 4.46 hours · Performance 5.56 hours · Measure score 8.72 · Achievement 8.72 · Improvement 7.80
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.31% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 6.58% · Lower 95% interval 6.43% |
| Discharge to community | 50.7% |
50.57%
0.1 pts better
|
No Different than the National Rate · Eligible stays 54 · Observed rate 44.44% · Lower 95% interval 39.7% |
| Medicare spending per beneficiary | 1.37 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 98.11% |
95.27%
2.8 pts better
|
Numerator 52 · Denominator 53 |
| Falls with major injury | 1.89% |
0.77%
1.1 pts worse
|
Numerator 1 · Denominator 53 |
| Discharge self-care score | 94.44% |
53.69%
40.8 pts better
|
Numerator 34 · Denominator 36 |
| Discharge mobility score | 88.89% |
50.94%
38 pts better
|
Numerator 32 · Denominator 36 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 53 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.17% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 3.45% · Lower 95% interval 3.09% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 91 |
| Staff flu vaccination coverage | 62.79% |
42%
20.8 pts better
|
Numerator 81 · Denominator 129 |
| Discharge function score | 94.44% |
56.45%
38 pts better
|
Numerator 34 · Denominator 36 |
| Transfer of health information to provider | 96% |
95.95%
About the same
|
Numerator 24 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.4
0.9 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.1 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.2 |
2.9
0.3 pts worse
|
1.8
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% |
95.7%
4.3 pts worse
|
93.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.0% · Q2 84.3% · Q3 93.8% · Q4 93.9% · 4Q avg 91.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.6% |
97.0%
6.4 pts worse
|
95.5%
4.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.2%
0.8 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 3.9% · Q3 4.2% · Q4 2.0% · 4Q avg 4.0% · 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 | 5.8% |
6.1%
0.3 pts better
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 12.5% · Q3 7.7% · Q4 0.0% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.5% |
24.4%
0.1 pts worse
|
19.6%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 22.0% · Q3 25.0% · Q4 25.6% · 4Q avg 24.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.0% |
23.4%
1.4 pts better
|
16.7%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 23.5% · Q3 30.0% · Q4 20.7% · 4Q avg 22.0% · 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 | 31.8% |
22.8%
9 pts worse
|
16.3%
15.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 31.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.0% |
20.6%
4.4 pts worse
|
14.9%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 25.0% · Q3 12.8% · Q4 33.3% · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
1.5%
0.3 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.1% · Q3 0.0% · Q4 1.4% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.7% |
2.5%
1.2 pts worse
|
1.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.0% · Q3 4.3% · Q4 2.2% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.9% |
21.4%
2.5 pts worse
|
19.8%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 26.8% · Q3 16.4% · Q4 34.8% · 4Q avg 23.9% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
6.9%
1.1 pts better
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.4% · Q3 5.8% · Q4 2.6% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.7% |
87.9%
1.2 pts worse
|
81.7%
5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.0% · Q2 80.0% · Q3 83.8% · Q4 90.7% · 4Q avg 86.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 30.0% |
15.3%
14.7 pts worse
|
12.0%
18 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.0% · Observed 30.0% · Expected 11.2% · 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 · 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 | 87.1% |
84.6%
2.5 pts better
|
79.7%
7.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.1% |
| 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 26.7% · Expected 25.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-13
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-08-13
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-08-13
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-07
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-07
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-07
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-07-29
Health
Provide activities to meet all resident's needs.
Corrected 2023-02-01
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 2023-02-01
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-01
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-02-01
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-02-01
Penalties and ownership
Fine · fine $4,516
Fine
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Nearby options
Meridian, MS
1-star overall rating with 1-star inspections with abuse icon flag with $42,487 in total fines with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Meridian, MS
2-star overall rating with 2-star inspections with $12,735 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Meridian, MS
4-star overall rating with 4-star inspections with 5 recent health deficiencies
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