Overview of Bedford Care Center – Monroe Hall Bedford Care Center – Monroe Hall is an 80-bed skilled nursing facility at 300 Cahal Street, Hattiesburg, Forrest County, Mississippi. Daniel Casada administers the privately-owned center. The facility serves a mix of Medicare short-stay rehab residents (7% of census), Medicaid long-term care residents (79.4%), and private-pay patients (13.6%), with an average length of stay of 236 days.
Staffing is notably above state average. Total nursing care reaches 4 hours 48 minutes per resident per day, 11% above Mississippi’s benchmark of 4 hours 20 minutes. The facility deploys 9 registered nurses, 21 licensed practical nurses, and 79 certified nursing assistants, supported by a staff-to-resident ratio of 2.01:1; 19% better than the state average. This staffing investment positions the facility 30th among 100 Mississippi nursing homes for total nursing hours.
Weekend coverage maintains continuity at 3 hours 50 minutes per resident daily. Contractor hours account for 10.4% of staffing, primarily in therapy and social services roles.
CMS ratings diverge sharply. Health Inspection earns 3 out of 5 stars, 41.3% above state average. Overall rating of 3 stars runs 17.2% above state average, and Staffing rating of 3 stars is 22.3% above benchmark. Quality Measures, however, rate only 2 stars, a deficit of 53.9% below state average.
This gap warrants family scrutiny of clinical outcomes alongside regulatory compliance.
Quality measures reveal patterns that demand direct verification. Long-stay residents show strength in mobility: walking ability worsened in only 17.2% of residents (30% better than state), and falls with major injury occurred in just 1.9% (39% better than state). However, infection and mood outcomes diverge sharply from state norms. Urinary tract infection prevalence reaches 6.7%; this is a rate 155% worse than the state average of 2.6%, suggesting either higher-acuity admissions or lapses in infection prevention.
Depressive symptoms affect 10.7% of residents, 591% worse than the state average of 1.5%, an extremely elevated rate. Weight loss of 8.8% trails state average by 41%. Pressure ulcers in high-risk residents stand at 8.8%, slightly worse than state at 7.1%. These measures paired together suggest gaps in mood assessment, infection management, or nutritional support.
Inspection history reflects overall compliance strength tempered by recurring care lapses. Since 2022, the facility recorded 11 deficiencies (76% below the state average of 45) across five inspections. The most recent routine inspection on August 28, 2025, cited two moderate deficiencies: resident dignity during feeding assistance and expired food items in storage. A substantiated complaint investigation in October 2024 revealed a resident left unattended in a locked transportation van, compounded by the facility’s failure to report and investigate the incident; a serious gap in resident safeguarding and incident management protocols.
Earlier reports documented deficiencies in timely resident assessments, respiratory care practices, transfer notification procedures, and infection control protocols. The facility carries no critical or serious citations (zero versus state averages of 1 and 1.1 respectively), with all 14 citations rated moderate. Per-inspection frequency stands at 2.8 citations versus state average of 3.83. No fines, immediate jeopardy findings, or license actions have been imposed in the available record.
Request current protocols for infection control and depression screening given the elevated UTI and depressive symptom rates.
Occupancy of 93.9% ranks 16th among 101 Mississippi nursing homes and runs 14% above state average, indicating strong local market demand and financial stability. Operationally, the facility reported $10.1M in revenue against a $297K operating loss in 2023, with payroll at $5.3M (52.2% of revenue).
The facility received a 2018 Bronze Commitment to Quality Award. It is located 7.8 miles from Hattiesburg city center in a car-dependent area.
Amenities include outdoor patios, landscaped grounds, beauty shop, large activity room, family room with fireplace, wheelchair-accessible raised gardens, and transportation van.
Families should address the October 2024 incident directly; specifically what corrective actions the facility implemented regarding incident reporting, resident supervision protocols, and staff training.