Centreville, MS

Wilkinson County Senior Care

5-star overall rating with 5-star inspections with 2 recent health deficiencies

116 South Lafayette Street, Centreville, MS

(601) 645-5253

Compare this facility

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

53

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Trend Consultants

Operator or chain grouping

Approved since

1989-06-01

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

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

0.46

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.71

Licensed practical nurse staffing · state 1.10 · national 0.87

Aide hours / resident day

3.43

Nurse aide staffing · state 2.48 · national 2.35

Total nurse hours

5.60

All reported nurse hours · state 4.21 · national 3.89

Licensed hours

2.17

RN + LPN hours · state 1.73 · national 1.54

Weekend hours

4.91

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.37 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

6.35

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

73%

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

88

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

Performance score

87.12

Composite VBP score used to determine payment impact.

Payment multiplier

1.0270

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

7.42

Baseline 28.38% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 0

Adjusted total nurse staffing

10

Baseline 4.92 hours · Performance 6.12 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.32
1.02
0.3 pts worse
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
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 5.68%
8.2%
2.5 pts worse
Numerator 5 · Denominator 88
Staff flu vaccination coverage 60.58%
42%
18.6 pts better
Numerator 63 · Denominator 104
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 8 · 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 2.5
2.4
0.1 pts worse
1.9
0.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 1.7 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
2.9
0.9 pts better
1.8
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.3 · 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 96.4%
97.0%
0.6 pts worse
95.5%
0.9 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of long-stay residents experiencing one or more falls with major injury 4.8%
3.2%
1.6 pts worse
3.3%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.8% · Q3 6.0% · Q4 3.8% · 4Q avg 4.8% · 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 12.6%
6.1%
6.5 pts worse
5.4%
7.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 10.0% · Q3 6.9% · Q4 18.4% · 4Q avg 12.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.3%
24.4%
0.9 pts worse
19.6%
5.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 28.0% · Q3 25.5% · Q4 20.0% · 4Q avg 25.3%
Percentage of long-stay residents who received an antipsychotic medication 21.1%
23.4%
2.3 pts better
16.7%
4.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 22.5% · Q3 23.5% · Q4 19.4% · 4Q avg 21.1% · 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 9.2%
22.8%
13.6 pts better
16.3%
7.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 19.0%
20.6%
1.6 pts better
14.9%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 18.6% · Q3 7.3% · Q4 13.6% · 4Q avg 19.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.1%
1.5%
0.6 pts worse
1.0%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.7% · Q3 2.6% · Q4 1.9% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 11.3%
2.5%
8.8 pts worse
1.7%
9.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 17.0% · Q3 4.1% · Q4 6.1% · 4Q avg 11.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.0%
21.4%
2.4 pts better
19.8%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 29.0% · Q3 21.3% · Q4 12.5% · 4Q avg 19.0%
Percentage of long-stay residents with pressure ulcers 3.3%
6.9%
3.6 pts better
5.1%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 6.7% · Q3 1.8% · Q4 1.8% · 4Q avg 3.3% · 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%
Percentage of short-stay residents who newly received an antipsychotic medication 15.0%
2.6%
12.4 pts worse
1.6%
13.4 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 15.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-03-28 · Fire 2024-03-28

5 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 3 Health 2022-02-24 · Fire 2022-02-24

5 health deficiencies

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

12 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2022-02-24

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

K751 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of flammable curtains.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

K925 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that sources of ignition are removed from patients receiving respiratory therapy.

Corrected 2022-03-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-28

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 2025-10-09

D · Potential for more than minimal harm 2025-06-06

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 2025-07-10

E · Potential for more than minimal harm 2024-03-28

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 2024-05-02

E · Potential for more than minimal harm 2024-03-28

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 2024-05-02

D · Potential for more than minimal harm 2024-03-28

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 2024-05-02

D · Potential for more than minimal harm 2024-03-28

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-05-02

D · Potential for more than minimal harm 2024-03-28

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-05-02

D · Potential for more than minimal harm 2022-02-24

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

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 2022-03-24

D · Potential for more than minimal harm 2022-02-24

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-03-24

D · Potential for more than minimal harm 2022-02-24

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 2022-03-24

D · Potential for more than minimal harm 2022-02-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-03-24

Penalties and ownership

What sits behind the stars

Ownership

Kelly, Charles

5% Or Greater Direct Ownership Interest · Individual

0% 16 facilities 2007-08-01
Kelly, Charles

Operational/Managerial Control · Individual

0% 16 facilities 2022-05-01
Kelly, Rita

Corporate Director · Individual

0% 5 facilities 2007-08-01
Warnock, Lori

Corporate Director · Individual

0% 15 facilities 2021-01-27
Wilkinson County Senior Care LLC

Operational/Managerial Control · Organization

0% 1 facilities 2007-08-01

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