Federal inspection record · CMS data as of October 1, 2026

Woodlands Rehabilitation And Healthcare Center

102 Woodchase Park Drive, Clinton, MS · (601) 924-7043

CMS overall rating

1 of 5

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Certified beds
145
Residents per day
137
Ownership
For-Profit
Chain
Nexion Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 1, 1992

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Mississippi.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Mississippi homes

Woodlands Rehabilitation And Healthcare Center carries 84 inspection points. That is fewer than 17% of Mississippi's 199 rated homes.

5★4★3★2★1★+6 homes above 196.505102550100inspection points → fewer is better on the leftThis home · 84 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Mississippi: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–15 pts
  • 4★ 15–30 pts
  • 3★ 30–47 pts
  • 2★ 47–78.5 pts
  • 1★ over 78.5 pts

Bars show every rated home in Mississippi by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

32 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 3 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 24 4 pts
E 3 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (5)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 28, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 26, 2025

  2. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 3, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected January 1, 2025

  3. J

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    February 3, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F609 · Corrected January 1, 2025

  4. G

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    June 6, 2024 · Complaint inspection · Resident Rights · F580 · Corrected June 19, 2024

  5. G

    Provide safe, appropriate pain management for a resident who requires such services.

    June 6, 2024 · Complaint inspection · Quality of Life and Care · F697 · Corrected June 19, 2024

Everything else, by area of care

Resident Assessment and Care Planning8D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 15, 2025 · Standard · F656 · Corrected September 9, 2025

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 15, 2025 · Standard · F842 · Corrected September 9, 2025

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 25, 2024 · Complaint · F656 · Corrected October 25, 2024

  4. D

    Ensure each resident receives an accurate assessment.

    April 11, 2024 · Standard · F641 · Corrected June 19, 2024

  5. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    April 11, 2024 · Standard · F644 · Corrected June 19, 2024

  6. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    April 11, 2024 · Complaint · F657 · Corrected June 19, 2024

  7. D

    Ensure each resident receives an accurate assessment.

    July 14, 2022 · Standard · F641 · Corrected August 15, 2022

  8. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    July 14, 2022 · Standard · F658 · Corrected August 15, 2022

Quality of Life and Care7D
  1. D

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

    July 1, 2026 · Complaint · F684 · Corrected August 1, 2026

  2. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    July 1, 2026 · Complaint · F690 · Corrected August 1, 2026

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    April 29, 2026 · Complaint · F690 · Corrected May 29, 2026

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 15, 2025 · Standard · F689 · Corrected September 9, 2025

  5. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    August 15, 2025 · Standard · F698 · Corrected September 9, 2025

  6. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    September 25, 2024 · Complaint · F677 · Corrected October 25, 2024

  7. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    April 11, 2024 · Complaint · F698 · Corrected June 19, 2024

Resident Rights4E
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    April 29, 2026 · Complaint · F550 · Corrected May 29, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    April 29, 2026 · Complaint · F558 · Corrected May 29, 2026

  3. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    August 15, 2025 · Standard · F578 · Corrected September 9, 2025

  4. E

    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.

    September 25, 2024 · Complaint · F584 · Corrected October 25, 2024

Pharmacy Service3E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    August 15, 2025 · Standard · F759 · Corrected September 9, 2025

  2. D

    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.

    August 15, 2025 · Standard · F761 · Corrected September 9, 2025

  3. D

    Ensure medication error rates are not 5 percent or greater.

    April 11, 2024 · Standard · F759 · Corrected June 19, 2024

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    August 15, 2025 · Standard · F880 · Corrected September 9, 2025

  2. D

    Provide and implement an infection prevention and control program.

    April 11, 2024 · Standard · F880 · Corrected June 19, 2024

Administration1D
  1. D

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    August 15, 2025 · Standard · F867 · Corrected September 9, 2025

Environmental1D
  1. D

    Keep all essential equipment working safely.

    September 25, 2024 · Complaint · F908 · Corrected October 25, 2024

Nutrition and Dietary1D
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 14, 2022 · Standard · F812 · Corrected August 15, 2022

Inspection history

  1. 2025-08-15

    14 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  2. 2024-04-11

    8 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  3. 2022-07-14

    10 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 58 min of nursing staff time a day, 40 min of it from a registered nurse.

This home

3 h 58 min

Mississippi average

4 h 12 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 47% of nursing staff and 30% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$30,069 in federal fines on record over the past three years.

DatePenaltyAmount
2025-03-28Fine$10,361
2025-02-03Fine$5,598
2025-02-03Fine$5,598
2024-04-11Fine$8,512

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1.1 pts better1.22.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better1.42.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better99.2%95.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better99.0%97.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better1.0%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms1.6 pts better0.0%1.6%13.5%
Percentage of long-stay residents who lose too much weight1.9 pts better4.4%6.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11.7 pts better12.1%23.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.1 pts better11.7%21.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened30.1 pts worse48.4%18.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.9 pts better15.4%20.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better0.5%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection2.5 pts better0.0%2.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.6 pts worse25.5%19.9%18.3%
Percentage of long-stay residents with pressure ulcers0.6 pts better5.6%6.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.5 pts better94.5%89.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.8 pts better12.5%15.3%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better0.8%2.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9 pts worse76.0%85.0%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.9 pts better24.2%27.1%23.4%

·

Who owns and runs it

15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nexion Health Of Ohi Inc5% Or Greater Direct Ownership Interest · Organization100%31 facilities
Bolt, Bretton5% Or Greater Indirect Ownership Interest · Individual0%30 facilities
Herdrich, WilliamCorporate Director · Individual0%32 facilities
Kirley, Francis5% Or Greater Indirect Ownership Interest · Individual0%50 facilities
Kirley, FrancisCorporate Director · Individual0%50 facilities
Kirley, FrancisCorporate Officer · Individual0%50 facilities
Lee, BrianCorporate Director · Individual0%45 facilities
Lee, BrianCorporate Officer · Individual0%45 facilities
Nexion Health Leasing, Inc.5% Or Greater Indirect Ownership Interest · Organization0%33 facilities
Nexion Health, Inc.5% Or Greater Indirect Ownership Interest · Organization0%33 facilities
Nexion Health, Inc.Operational/Managerial Control · Organization0%33 facilities
Pope, JenniferW-2 Managing Employee · Individual0%1 facilities
Reid, JohnCorporate Director · Individual0%17 facilities
Riner, MeeraCorporate Director · Individual0%46 facilities
Riner, MeeraCorporate Officer · Individual0%46 facilities

·

Fire safety

4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke2F
  1. F

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

    July 14, 2022 · K341 · Corrected August 15, 2022

  2. D

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

    July 14, 2022 · K343 · Corrected August 15, 2022

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    July 14, 2022 · K712 · Corrected August 15, 2022

Gas, Vacuum, and Electrical Systems1F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    July 14, 2022 · K918 · Corrected August 15, 2022

·

Other homes nearby

  1. Clinton Healthcare LLC - SNF

    Clinton, MS · Trend Consultants

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h
    Fines
    $0
  2. Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 19 min
    Fines
    $8,281
  3. Pleasant Hills Community Living Center

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    Worst citation, 3 yrs
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    Nursing / resident / day
    3 h 48 min
    Fines
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