Cycle 1
Health 2025-08-14 · Fire 2025-08-14
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
New Albany, MS
Union Co Health And Rehab Center, Inc
5-star overall rating with 5-star inspections with 1 recent health deficiencies
1111 Bratton Road, New Albany, MS
(662) 539-0502
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
Facility snapshot
Beds
60
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Beebe Family
Operator or chain grouping
Approved since
2005-04-18
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
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.59
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.82
Licensed practical nurse staffing · state 1.10 · national 0.87
Aide hours / resident day
1.98
Nurse aide staffing · state 2.48 · national 2.35
Total nurse hours
4.39
All reported nurse hours · state 4.21 · national 3.89
Licensed hours
2.41
RN + LPN hours · state 1.73 · national 1.54
Weekend hours
2.89
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.32
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
0.74
CMS adjusted RN staffing hours
Adjusted total hours
5.49
CMS adjusted total nurse staffing hours
Case-mix index
1.09
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,298
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.86
Composite VBP score used to determine payment impact.
Payment multiplier
1.0131
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.88
Baseline 20.75% · Performance 19.17% · Measure score 4.88 · Achievement 4.88 · Improvement 3.75
Healthcare-associated infections
1.14
Baseline 7.85% · Performance 7.50% · Measure score 1.14 · Achievement 1.14 · Improvement 0.75
Total nurse turnover
7.13
Baseline 37.50% · Performance 34.54% · Measure score 7.13 · Achievement 7.13 · Improvement 1.84
Adjusted total nurse staffing
10
Baseline 5.16 hours · Performance 6.11 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.49% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 166 · Observed rate 12.65% · Lower 95% interval 8.09% |
| Discharge to community | 49.65% |
50.57%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 141 · Observed rate 45.39% · Lower 95% interval 41.23% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 98.26% |
95.27%
3 pts better
|
Numerator 113 · Denominator 115 |
| Falls with major injury | 2.61% |
0.77%
1.8 pts worse
|
Numerator 3 · Denominator 115 |
| Discharge self-care score | 70.89% |
53.69%
17.2 pts better
|
Numerator 56 · Denominator 79 |
| Discharge mobility score | 69.62% |
50.94%
18.7 pts better
|
Numerator 55 · Denominator 79 |
| Pressure ulcers or injuries, new or worsened | 4.35% |
2.29%
2.1 pts worse
|
Numerator 5 · Denominator 115 · Adjusted rate 5.55% |
| Healthcare-associated infections requiring hospitalization | 7.49% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 105 · Observed rate 6.67% · Lower 95% interval 4.21% |
| Staff COVID-19 vaccination coverage | 2.41% |
8.2%
5.8 pts worse
|
Numerator 2 · Denominator 83 |
| Staff flu vaccination coverage | 16.06% |
42%
25.9 pts worse
|
Numerator 22 · Denominator 137 |
| Discharge function score | 74.68% |
56.45%
18.2 pts better
|
Numerator 59 · Denominator 79 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 32 · Denominator 32 |
| Transfer of health information to patient | 96.77% |
96.28%
0.5 pts better
|
Numerator 60 · Denominator 62 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 66 |
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 1.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
2.9
0.2 pts better
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.1% |
95.7%
2.6 pts worse
|
93.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.7% · Q2 90.5% · Q3 95.2% · Q4 95.7% · 4Q avg 93.1% |
| 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 | 2.9% |
3.2%
0.3 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.8% · Q3 2.4% · Q4 2.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.5% |
1.6%
2.9 pts worse
|
11.4%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 7.7% · Q3 5.3% · Q4 2.5% · 4Q avg 4.5% |
| Percentage of long-stay residents who lose too much weight | 6.9% |
6.1%
0.8 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 9.1% · Q3 0.0% · Q4 10.0% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 49.0% |
24.4%
24.6 pts worse
|
19.6%
29.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 47.2% · Q2 48.6% · Q3 51.4% · Q4 48.8% · 4Q avg 49.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.7% |
23.4%
16.7 pts better
|
16.7%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 3.2% · Q3 5.9% · Q4 11.1% · 4Q avg 6.7% · 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 | 29.4% |
22.8%
6.6 pts worse
|
16.3%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.1% · Q2 22.8% · Q3 20.9% · Q4 32.1% · 4Q avg 29.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.5% |
20.6%
8.9 pts worse
|
14.9%
14.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.1% · Q2 34.3% · Q3 22.2% · Q4 25.0% · 4Q avg 29.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.5%
1 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
2.5%
0.5 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 7.1% · Q4 2.2% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
21.4%
3 pts worse
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 16.4% · Q3 35.5% · Q4 15.7% · 4Q avg 24.4% |
| 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 14.4% · Q2 8.4% · Q3 0.0% · Q4 6.4% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.9% |
87.9%
3 pts better
|
81.7%
9.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.0% · Q2 88.7% · Q3 92.5% · Q4 97.9% · 4Q avg 90.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.7% |
15.3%
5.4 pts worse
|
12.0%
8.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 19.5% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.1% |
2.6%
2.5 pts worse
|
1.6%
3.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.1% · Q3 8.3% · Q4 7.1% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.8% |
84.6%
9.2 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% |
27.9%
1.1 pts better
|
23.9%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 21.2% · Expected 18.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-08 · Fire 2024-08-08
4 health deficiencies
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-05-04 · Fire 2023-05-04
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 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
2025-08-14
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-08-31
D · Potential for more than minimal harm
2024-08-08
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 2024-09-20
D · Potential for more than minimal harm
2024-08-08
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 2024-09-20
D · Potential for more than minimal harm
2024-08-08
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-09-20
D · Potential for more than minimal harm
2024-08-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-20
D · Potential for more than minimal harm
2023-08-09
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 2023-09-07
D · Potential for more than minimal harm
2023-05-04
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-05-04
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 2023-05-26
D · Potential for more than minimal harm
2023-05-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-26
Penalties and ownership
What sits behind the stars
Ownership
Delaney, Steven
5% Or Greater Direct Ownership Interest · Individual
Delaney, Steven
Corporate Director · Individual
Dennis, Laurence
Contracted Managing Employee · Individual
Jones, Mims
W-2 Managing Employee · Individual
Long Term Care Management LLC
Operational/Managerial Control · Organization
Pace, Garry
5% Or Greater Direct Ownership Interest · Individual
Pace, Garry
Corporate Director · Individual
Shelton, Rebecca
Corporate Director · Individual
Speetjens, Joseph
5% Or Greater Direct Ownership Interest · Individual
Speetjens, Joseph
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
New Albany Health & Rehab Center
New Albany, MS
2-star overall rating with 2-star inspections with $10,039 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Sunshine Health Care, Inc
Pontotoc, MS
5-star overall rating with 5-star inspections with 1 recent health deficiencies
#3
Pontotoc Nursing Home
Pontotoc, MS
4-star overall rating with 3-star inspections with 4 recent health deficiencies
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