Vaiden, MS

Vaiden Community Living Center

3-star overall rating with 3-star inspections with 6 recent health deficiencies

868 Mulberry Street, Vaiden, MS

(662) 464-7714

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 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

59

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Community Eldercare Services

Operator or chain grouping

Approved since

2001-11-02

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

0.75

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.61

Licensed practical nurse staffing · state 1.10 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.48 · national 2.35

Total nurse hours

3.48

All reported nurse hours · state 4.21 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.73 · national 1.54

Weekend hours

2.92

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.55

Weekend registered nurse coverage · state 0.37 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.84

CMS adjusted RN staffing hours

Adjusted total hours

3.89

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,878

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

Performance score

53.34

Composite VBP score used to determine payment impact.

Payment multiplier

1.0080

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.27

Performance 33.96% · Measure score 7.27 · Achievement 7.27 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

3.40

Baseline 3.73 hours · Performance 4.04 hours · Measure score 3.40 · Achievement 3.40 · Improvement 1.05

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.51%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 39 · Observed rate 12.82% · Lower 95% interval 7.46%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.27	1.02 0.2 pts worse
Drug regimen review with follow-up	85.71%	95.27% 9.6 pts worse	Numerator 18 · Denominator 21
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 21 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 70
Staff flu vaccination coverage	17.81%	42% 24.2 pts worse	Numerator 13 · Denominator 73
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	2.4 0.3 pts better	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.6 · Expected 1.5 · 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 1.8 · Expected 1.4 · 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	1.3%	3.2% 1.9 pts better	3.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 1.8% · Q4 1.7% · 4Q avg 1.3% · 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	6.0%	6.1% 0.1 pts better	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.1% · Q3 6.1% · Q4 11.5% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.2%	24.4% 1.2 pts better	19.6% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 22.0% · Q3 22.4% · Q4 25.0% · 4Q avg 23.2%
Percentage of long-stay residents who received an antipsychotic medication	13.4%	23.4% 10 pts better	16.7% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 13.3% · Q3 13.3% · Q4 17.8% · 4Q avg 13.4% · 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	35.2%	22.8% 12.4 pts worse	16.3% 18.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 48.1% · Q2 26.0% · Q3 27.6% · Q4 39.1% · 4Q avg 35.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	33.7%	20.6% 13.1 pts worse	14.9% 18.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 22.0% · Q3 31.2% · Q4 46.0% · 4Q avg 33.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.5% 1.5 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.7%	2.5% 0.2 pts worse	1.7% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 7.1% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.4%	21.4% 6 pts worse	19.8% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 25.0% · Q3 29.1% · Q4 24.6% · 4Q avg 27.4%
Percentage of long-stay residents with pressure ulcers	3.2%	6.9% 3.7 pts better	5.1% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.9% · Q3 4.1% · Q4 3.7% · 4Q avg 3.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	87.9% 12.1 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-17 · Fire 2024-10-17

6 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 2023-06-15 · Fire 2023-06-15

4 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-02-09 · Fire 2022-02-09

5 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

G · Actual harm 2025-06-18

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 2025-04-30

F · Potential for more than minimal harm 2024-10-17

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 2024-11-13

D · Potential for more than minimal harm 2024-10-17

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 2024-11-13

D · Potential for more than minimal harm 2024-10-17

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 2024-11-13

D · Potential for more than minimal harm 2024-10-17

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 2024-11-13

D · Potential for more than minimal harm 2024-10-17

F761 · Pharmacy Service Deficiencies

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 2024-11-13

D · Potential for more than minimal harm 2023-06-15

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 2023-07-21

D · Potential for more than minimal harm 2023-06-15

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 2023-07-21

D · Potential for more than minimal harm 2023-06-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-15