Tallahatchie General Hospital Extended Care

Tallahatchie General Hospital Extended Care is a 98-bed skilled nursing facility at 201 South Market Street in Charleston, Tallahatchie County, Mississippi, owned and administered by Jan Maddux.

Staffing presents mixed patterns relative to state benchmarks. Registered nurses provide 27 minutes per resident per day, falling 29% below the state average of 38 minutes. Licensed practical nurses deliver 1 hour 23 minutes per resident per day, a 26% advantage over the state average of 1 hour 6 minutes. Certified nursing aides contribute 2 hours 31 minutes daily, matching the state benchmark of 2 hours 29 minutes.

Weekend coverage reaches 3 hours 48 minutes per resident per day, or 8% above the state average. The staff-to-resident ratio is 1.49:1, running 12% worse than the Mississippi average of 1.69:1. The facility maintains 139 total staff (98 employees, 41 contractors) including 9 registered nurses, 44 licensed practical nurses, and 71 certified nursing aides, supplemented by speech language pathologists and mental health workers.

Compliance results show a clean recent record. Four health inspections yielded 12 citations, with the most recent October 2025 inspection identifying three moderate citations in infection control, quality of care, and resident rights, all marked corrected. December 2024 produced one pharmacy citation (corrected). Prior inspections accounted for 8 additional citations.

The facility has received no critical citations (100% better than the state average of 1 critical per facility), 2 serious citations (82% worse than state average of 1.1 serious), and 9 moderate citations (38% better than state average of 14.6 moderate). One minor citation also appears. Citation frequency averages 3.0 per inspection against the state benchmark of 3.83. A single civil penalty of $11,000 was imposed in August 2023, representing 71% lower penalties than the Mississippi average of $39,000.

No payment denials have been imposed.

Quality measures reflect capacity for clinical management alongside identified weaknesses. Functional decline scores of 13.9 for long-stay residents run 38% better than the state average of 22.3. High-risk clinical events score 8.5, or 31% better than the state average of 12.4. However, falls with major injury affect 4.1% of long-stay residents, which is 29% worse than the state average of 3.2%.

Pressure ulcers appear in 8.6% of high-risk long-stay residents, or 21% worse than the state average of 7.1%. Antipsychotic medication use reaches 37.6% of long-stay residents, significantly above the state average of 21.2%. Hospitalizations occur at 1.79 per 1,000 resident days (27% better than state average of 2.44), and emergency department visits at 1.59 per 1,000 resident days (45% better than state average of 2.88).

The facility serves 93 residents, 94.6% Medicaid and 5.4% private pay, and operates Emergency Services, Inpatient Rehabilitation, Outpatient Therapy, TGH Discount Pharmacy, The Horizon program, and the James C. Kennedy Wellness Center. Walk score of 50 indicates moderate walkability.

Families evaluating Tallahatchie should ask directly about medication management protocols, antipsychotic prescribing practices, fall prevention measures, and pressure ulcer assessment procedures before enrollment.

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