Best Nursing Homes in Mississippi

Lakeview Nursing Center is a 105-bed nursing home at 16411 Robinson Road, Gulfport, Harrison County, Mississippi. Ashley Thomas administers. Lakeview Corporation owns the facility; Brian Cain is the legal owner. CMS-certified; accepts Medicare, Medicaid, and private pay.

Walk score 1 (car-dependent).

Staffing is above average overall with notable LPN and weekend RN strengths. Total nursing hours 4 hours 42 minutes per resident per day. The facility is ranked 35th of 100 MS facilities, above state norm. RN 40 minutes (5% above state).

LPN 1 hour 21 minutes (23% above state). CNA 2 hours 5 minutes (16% below state). Weekend nursing 3 hours 16 minutes (7% below state). Weekend RN 28 minutes (27% above state.

The staffing profile is uneven: excellent LPN and weekend RN coverage offset by reduced CNA hours and below-average total payroll percentage (44.8% vs. typical 55-65%).

Occupancy 82% (86 of 105 beds), in line with state average. Revenue $12M, ranked 30th; payroll $5.4M, ranked 20th. Profit margin 14.3%. Payer mix reflects high Medicare (42%) and private pay (44%) admissions; Medicaid 14%.

Financially stable with strong recovery from 2022-2023 downturn.

The inspection and citation record is troubling. Seven inspections (vs. state average 4.4) yielded 30 total citations (78% above state average), ranked 87th of 103 facilities. Citations per inspection: 4.29 (12% above state), ranked 68th.

6 critical citations in 3 years (500% worse than state). 2 serious citations (82% worse than state). 21 moderate, 1 minor. Top deficiencies: Quality of Life & Care (8), Resident Rights (4), Administration (4), Abuse/Neglect (3), Infection Control (2), Pharmacy (2).

September 2025 inspection (most recent) cited nutrition, pharmacy, quality of care, and administration. These deficiencies were corrected but are representative of recurring patterns. Complaint investigations account for 10 of 30 citations, signaling resident or family concerns. No documented trend improvement across 7 inspections.

Penalties reflect compliance severity: $450K total fines (1,045% above state average), ranked among highest in Mississippi. Payment denial 1 (340% above state average). These penalties signal serious federal regulatory failure.

Quality outcomes compound the concern. Long-stay ED visits 4.65 per 1,000 days (61% worse than state), notably elevated emergency utilization. Hospitalizations 2.80 (15% worse than state). Short-stay discharge functional ability 41.7% (22% worse than state); residents leaving with lower functional independence than typical.

Return to home 37.8% (25% worse than state). Short-stay re-hospitalization 31.1% (11% worse than state). However, pressure ulcers, UTI rates, and fall prevention metrics are above average, and depressive symptoms at 0% (vs. state 1.5%).

Families should understand that Lakeview’s citations are neither rare minor infractions nor recent anomalies, they span 7 inspections over years, with 6 critical findings in 3 years indicating repeated danger-level noncompliance. The $450K in penalties and 1 payment denial are extreme outliers. ED visits 61% worse than state for long-stay residents and weak discharge outcomes.

Families should tour the facility and speak with current residents about their experience. The combination of high citations, penalties, and ED visit elevation warrants scrutiny.

Overview of Grand Trace Health Care and Rehabilitation

Grand Trace Health Care and Rehabilitation is a 96-bed nursing home at 555 John R. Junkin Drive, Natchez, Adams County, Mississippi. Angelica Higgins is the administrator. Charles Borum is the owner.

It is CMS-certified and accepts Medicare, Medicaid, and private pay. Walk score 64 (moderately walkable). The facility is located within the city center.

CMS ratings: Overall 1 star (60.9% below state). Health Inspection 1 star (64.7% below state). Staffing 1 star (8.3% below state). Quality Measures 5 stars (84.3% above state).

RN 16 minutes per day (58% below state) is a severe shortage. LPN 1 hour 3 minutes (5% below state). CNA 1 hour 54 minutes (23% below state). Weekend nursing 2 hours 57 minutes (16% below state).

RN weekend 11 minutes (50% below state) shows critically low weekend clinical presence. Physical Therapist 1 minute (50% below state). Total 4 hours 43 minutes (9% above state, ranked 35th). Staff ratio 2.35:1 (39% better than state), but payroll is only 22.6% of revenue (ranked 99th); this is well below adequate staffing thresholds.

Occupancy 70% (ranked 89th). Average stay 221 days (mostly long-term residents). Medicare 29%, Private Pay 38%, Medicaid 34% admissions. Revenue $10.0M (ranked 37th).

Profit $8.9K (0.1% margin).

Four inspections (state average 4.4). 34 citations (101% above state, ranked 96th). Citations per inspection 8.5 (122% above state, ranked 102nd, second worst in Mississippi). 0 critical, 3 serious (173% worse than state), 31 moderate.

Recent inspection (August 2025) cited medical record documentation deficiency. Complaint investigations substantiated call light inaccessibility, disrespectful staff behavior, unsafe resident transport. Documented pattern of staffing shortages, inadequate resident hygiene and grooming, unsafe environment. Most complaints substantiated; findings ranged from minimal to actual harm.

Penalties $48K (2 in 3 years: September 2023 $8K, March 2025 $41K). No payment denials.

Long-stay hospitalizations 1.74 per 1,000 days (29% better than state). ED visits 2.25 (22% better than state). Clinical events and functional decline both 22-24% better than state. Falls 0.0%.

UTI 0.0%. However, weight loss 9.7% (56% worse than state). Antipsychotic use 33.5% (58% worse than state). Short-stay return to home 36.6% (28% worse than state).

Antipsychotic increase 6.1% (146% worse than state).

1-star Health Inspection and Staffing ratings contrast sharply with 5-star Quality Measures. RN staffing 58% below state and lowest payroll percentage in Mississippi (22.6%) paired with documented complaint substantiation of disrespectful staff and unsafe transport. Yet standardized quality metrics show strong hospitalization prevention and low fall rates. The gap between complaint findings and quality measures raises questions about care quality consistency and whether standardized measures capture actual resident experience.

Families should request detailed explanation of complaint substantiation outcomes, current staffing deployment protocols, RN shortage impact on care, and verification of quality measure methodology.

Copiah Living Center is a 60-bed nursing home at 806 West Georgetown Road, Crystal Springs, Copiah County, Mississippi. Bobbie Blackard is the administrator. It is accredited by the Mississippi Health Care Association, Crystal Springs Chamber of Commerce, and Lion’s Club. The facility accepts Medicare and Medicaid.

Walk score 55 (moderately walkable). It is 61.5 miles from the city center.

The facility provides skilled nursing, rehabilitation, and memory care services. It offers short-term rehab and long-term care in what the facility describes as a “homelike” environment. Meals are described as nutritious and carefully prepared. The facility operates with 24-hour staffing.

Staffing composition shows mixed performance. RN 28 minutes per day is 26% below state average. LPN 59 minutes is 11% below state. CNA 2 hours 34 minutes is 3% above state.

Weekend nursing is in line with state average. Physical Therapist 5 minutes per day is 150% above state average, indicating strong PT services. RN weekend 16 minutes is 27% below state.

Quality outcomes concerning for long-stay residents. Hospitalizations 3.53 per 1,000 days (45% worse than state) indicate elevated hospital use. ED visits 3.62 per 1,000 days (26% worse than state). Short-stay residents show mixed results: falls with major injury 2.0% (155% worse than state) is markedly elevated.

ED visits 11.8% (23% better than state). Discharge ability 60.7% (13% better than state). Return to home 41.7% (18% worse than state).

Long-stay hospitalization rates and ED visit rates are notably elevated; falls with major injury on short-stay are concerning. Families should verify CMS overall rating and category ratings (Health Inspection, Staffing, Quality Measures); occupancy rate and average length of stay; inspection history, deficiency and citation counts over the past three years, and complaint investigations; financial performance (revenue, payroll, profit margin); and payer mix.

Families should ask administrator directly about fall prevention protocols, reasons for elevated hospitalization and ED visit rates in long-stay residents, and PT service scope.

Overview of Coastal Health & Rehabilitation Center

Coastal Health & Rehabilitation Center is a 180-bed nursing home at 1530 Broad Avenue, Gulfport, Harrison County, Mississippi. Dennis C. Barnett is the administrator. Coastal Center Operations Holdings LLC is the owner.

It is CMS-certified and accepts Medicare, Medicaid, and private pay. Walk score 3 (car-dependent).The facility is 2.2 miles from the city center.

CMS ratings: Overall 1 star (60.9% below state). Health Inspection 1 star (64.7% below state). Staffing 1 star (69.4% below state). Quality Measures 1 star (7.8% below state).

Staffing presents critical deficiencies. Total nursing hours 1 hour 16 minutes per day is 71% below state average and ranked 95th of 100 Mississippi facilities. This is the lowest reported staffing level in the state. RN 25 minutes per day is 34% below state.

LPN 1 hour 0 minutes is 9% below state. CNA 1 hour 53 minutes is 24% below state. Weekend nursing 57 minutes is 73% below state. RN weekend 14 minutes is 36% below state.

Staff ratio 1.04:1 is 39% worse than state.

Occupancy 58% (ranked 97th). 105 of 180 beds are occupied. The average length of stay is 96 days. Medicare 21%, Private Pay 57%, Medicaid 22% admissions.

Revenue $16.8M (ranked 6th). Operating loss $198K (-1.2% margin). Payroll $6.3M (37.2% of revenue). The facility operates with significant financial loss despite high revenue.

Inspection and citation record are the worst in the state. Six inspections (state average 4.4). 44 citations (160% above state, ranked 101st of 103, second worst). Citations per inspection 7.33 (91% above state, ranked 98th of 103).

4 critical citations (300% worse than state), 7 serious (536% worse than state), 33 moderate. August 2025 inspection cited pest control, linen shortages, incomplete care planning. Earlier inspections documented care planning failures, wound care inadequacy, infection control violations, environmental cleanliness problems, and food service failures. Complaint investigations substantiated neglect including failure to prevent fecal impaction.

Top deficiencies: Quality of Life & Care (13), Resident Rights (8), Abuse/Neglect (3). Penalties $92K (5 in 3 years: November 2023 $6K, $6K; October 2024 $50K; November 2024 $7K, $7K). Pattern of persistent deficiencies without improvement trajectory.

Quality outcomes are mixed. Long-stay increased need for help 29.8% (41% worse than state). Pressure ulcers 10.7% (50% worse than state). Hospitalizations 2.99 per 1,000 days (23% worse than state).

ED visits 3.49 (21% worse than state). Short-stay discharge ability 83.1% (55% better than state). Return to home 49.1% (in line with state). Short-stay ED visits 20.1% (31% worse than state).

The facility’s 1-star staffing rating reflects the lowest total nursing hours in Mississippi (71% below average), a citation rate 160% above average with 4 critical and 7 serious citations), substantiated neglect findings, and operating loss despite high revenue. Families must understand that this facility carries a severe staffing deficit and among the worst citation records in Mississippi.

Families should verify directly detailed explanations of all substantiated neglect findings and corrective actions, and reasons for persistent deficiencies across multiple inspection years.

Bedford Care Center of Hattiesburg is a 120-bed skilled nursing facility at 10 Medical Boulevard, Hattiesburg, Forrest County, MS, administered by Lisa Fairchild under ownership by Bedford Health Properties, LLC. The facility is highly rated for compliance and operational management, with a 5-star overall CMS rating reflecting strong health inspection (5 stars, 95% above state average) and staffing performance (5 stars, 77% above state average). The facility received the 2017 Silver Achievement in Quality Award. Across three inspections since 2021, the facility accumulated 5 citations (ranked 4th best statewide), with zero critical and zero serious violations.

Citations involved quality of care (March 2025), infection control (October 2023), nutrition (October 2023), and care planning (October 2023), all marked corrected. The facility received a $22,000 penalty and 13-day Medicare and Medicaid payment denial in December 2023.

Staffing exceeds state benchmarks on several metrics. Total nursing hours per resident per day stand at 5 hours 25 minutes (25% above state average of 4 hours 20 minutes), ranking the facility 14th of 100 in Mississippi. Weekend total nursing is 3 hours 46 minutes. Registered nurse hours at 35 minutes per resident per day run 8% below state average, as do LPN (1 hour 2 minutes, 6% below) and CNA hours (2 hours 14 minutes, 10% below).

Staff-to-resident ratio is notably strong at 2.69:1 (59% better than state average), though 62% of total staffing hours derive from contract labor. Occupancy is significantly lower than state average at 71.3% (13% below the state average of 82.3%), with 86 of 120 beds occupied, suggesting demand challenges despite the facility’s quality ratings and amenities. Average length of stay is 146 days, reflecting the facility’s emphasis on short-term rehabilitation for Medicare beneficiaries (53% of admissions) and private pay residents (42%). The facility offers updated common areas, gazebo, raised flower gardens, manicured lawns, enclosed courtyard, large dining room with baby grand piano, fireplace, and dedicated rehabilitation and therapy units.

Long-stay quality outcomes reveal significant gaps. Hospitalization rates at 4.27 per 1,000 days and emergency department visits at 5.42 per 1,000 days suggest either higher-acuity admissions or challenges in preventive care management. Walking ability declined in 47.1% of long-stay residents, and incontinence among low-risk residents affected 32%. Depressive symptoms were documented in 14.6% of long-stay residents, and 39.3% received antipsychotic medications, indicating systematic reliance on psychiatric medication that warrants clinical review.

Preventive care strengths include pneumococcal and influenza vaccination rates at 100%, pressure ulcer rates at 3.4% (52% better than state), and urinary tract infection rates at 1.1% (56% better than state).

Short-stay rehabilitation outcomes are mixed. Re-hospitalization occurred in 35.6% of post-SNF residents, and successful return to home or community was 39.3%, suggesting that functional discharge planning or post-acute care coordination may need strengthening. Emergency department utilization in short-stay was 23%. However, short-stay medication stewardship is notably strong: zero residents newly started on antipsychotic medications and influenza vaccination 100%.

Given the high antipsychotic use rate and depressive symptom prevalence in long-stay residents, clarification on psychiatric medication review processes and non-pharmacological behavioral management approaches is warranted before placement.

Financially, the facility operates on a razor-thin 0.2% profit margin ($17K on $8.7M revenue), with payroll at 43.5% of revenue, substantially below the healthy 55-65% range. This compressed margin and low payroll percentage relative to revenue suggest organizational efficiency constraints or potential understaffing pressure.

The facility accepts Medicare, Medicaid, and private pay.

Accessibility: walk score 0 (car-dependent; most trips require transportation), located 7.8 miles from Hattiesburg city center.

The inspection history shows minimal regulatory issues with zero serious or critical citations. However, the significantly lower occupancy rate (71.3% vs. state average 82.3%) raises questions about market positioning, payer mix acceptance, or resident preference factors despite the facility’s quality ratings and amenities.

Families should ask directly about current infection control and quality care protocols, recent staffing turnover, and whether the lower occupancy reflects recent operational changes or market conditions.

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.

Bedford Alzheimer’s Care Center is a 60-bed memory care nursing facility at 298 Cahal Street, Hattiesburg, Forrest County, Mississippi. Tommie Carr administers the facility, which serves exclusively Medicaid residents with memory impairment, dementia, and Alzheimer’s Disease.

Staffing composition matches the Mississippi average at a ratio of 1.66:1, with 5 registered nurses working 9-hour shifts, 29 licensed practical nurses at 7.2-hour shifts, and 52 certified nursing assistants working 8-hour shifts. Contractors account for 6.1% of total staffing. A registered nurse director of nursing and clinical nurse specialist are employed.

The facility faced serious regulatory actions in December 2023. Two serious citations were issued for abuse and neglect and for deficient care planning. These violations resulted in a federal civil money penalty of $67,000, substantially exceeding the Mississippi state average fine of $39,000. A moderate nutrition citation was corrected in March 2024.

Quality measures reveal stark clinical contradictions. Falls with major injury occur in 6.5% of long-stay residents, double the state average of 3.2%, raising direct questions about fall prevention and safety protocols. Antipsychotic medication use reaches 40.3%, nearly double the state average of 21.2%, a rate 90% worse than state benchmarks. Residents experiencing worsening daily activity needs total 27.1%, 28% worse than state.

Weight loss occurs in 8.4%, 35% worse than state. Depression symptoms are extremely rare at 0.5%, and urinary tract infection rates are low at 0.9%, both substantially better than state averages. Pressure ulcer rates of 3.6% are 49% better than state.

The facility maintains high occupancy of 59 residents in a 60-bed facility and exclusively accepts Medicaid payment. It is located 7.8 miles from Hattiesburg city center. Amenities include an enclosed courtyard with walking path. The facility received a 2019 Bronze Commitment to Quality Award.

Families evaluating Bedford Alzheimer’s Care Center should address the December 2023 serious citations directly, and verify documentation of the $67K federal penalty outcome.

Overview of Trend Health & Rehab of Brookhaven, LLC

Trend Health & Rehab of Brookhaven is a privately run, 60-bed facility that accommodates a mix of short-term recovery and extended skilled nursing care. While short-term rehab clients make up the vast majority (86%) of incoming admissions, the property also serves a long-term census, pushing the total average length of stay to 356 days. The home coordinates coverage across Medicare, Medicaid, and private-pay plans. Recent financial logs note some budget tightening, with the building posting a $349.2 thousand operating loss in 2023 following a profitable stretch the year prior, while local utilization remains steady at an 80% occupancy rate.

Looking at official state healthcare logs, daily front-line staffing levels run ahead of regional baselines, though clinical tracking files show clear resident safety vulnerabilities. Direct nursing time averages 4 hours and 40 minutes per resident each day, outpacing the Mississippi state average by 8%.

On the compliance side, regulators have documented 17 total citations across four separate inspection cycles since 2019, including an October 2024 review that flagged moderate, subsequently resolved points involving care plan timelines, nutrition, infection control, and resident rights. The home’s long-term enforcement footprint is minimal, showing no recent admission freezes and a solitary $3,000 fine on record. Despite the solid daily nursing hours, clinical charts display high incident rates, noting that major injury falls track significantly above state benchmarks for both long-stay and short-stay populations, alongside elevated rates for urinary tract infections.

Prospective residents evaluating regional post-acute rehab or long-term nursing care can look over these public tracking summaries to examine the provider’s operational baseline. Since the state paperwork documents solid overall daily nurse coverage and a low historical fine count alongside notable physical safety risks and higher-than-average fall rates, the documentation outlines a high-staffed property facing clear clinical care challenges.

Overview of Stone County Nursing & Rehabilitation

Stone County Nursing & Rehabilitation is a privately owned, 59-bed skilled nursing facility that focuses on short-term rehabilitation, skilled nursing care, and specialized memory support. The property operates with an average resident stay of 76 days, serving an intake population heavily balanced between private-pay sources (52%) and Medicare (47%). Local utilization remains stable with 50 active residents, representing a 78% occupancy rate. To sustain its 24-hour clinical coverage and daily therapy offerings, business logs show that the operator devotes 59% of overall revenue to payroll, relying on external contract labor for 58% of its total operational hours.

A look at recent state health department databases reveals substantial front-line personnel depth and high marks for routine compliance, though permanent resident quality tracking shows some clinical gaps. Direct nursing coverage averages 5 hours and 21 minutes per resident daily to run 24% ahead of the Mississippi state average, ranking the facility 22nd highest out of 110 homes statewide. Routine oversight checks show strong regulatory compliance, with recent inspection performance tracking 41% better than state benchmarks.

Clinical profiles reveal mixed outcomes across different resident groups; short-term rehab charts display excellent emotional well-being metrics with zero reported depressive symptoms and standard fall-prevention rates, while long-stay resident files log elevated rates for pressure ulcers, urinary tract infections, and the use of antipsychotic medications.

Families researching regional post-acute rehabilitation programs or dedicated memory care options can examine these public health tracking data to review the property’s baseline. Since the official records show above-average daily nursing hours, strong regulatory compliance scores, and excellent short-term emotional metrics alongside chronic care tracking challenges, the documentation details a resource-heavy facility well-aligned for brief physical recovery needs.

Overview of Mississippi Care Center of Alcorn County

Mississippi Care Center of Alcorn County is a 119-bed nursing home in Corinth, Mississippi, operated by Alcorn County LTC under a privately owned structure. Occupancy sits at 80.4 percent, modestly below Mississippi’s 82.3 percent average signaling typical availability. Accepted are Medicare, Medicaid, and private pay, with admissions heavy on short-term Medicare rehabilitation, with 81 percent of new residents arriving on Medicare typically staying one to two months.

CMS rates the facility 1 star, 60.9 percent below Mississippi average, driven primarily by health inspection and quality measures performance. Across 5 inspections since 2022, the facility recorded 20 total citations, including 1 critical and 4 serious findings, with serious citations running 264 percent above the 1.1 Mississippi average. Three federal fines totaling $25,000 were assessed, most recently a $15,000 civil money penalty in March 2025, with no payment denials. Staffing is the facility’s clearest positive: nurse hours run 5h 0m per resident daily, 16 percent above Mississippi average and ranked 32nd out of 110 state facilities.

On-site programs include a state-approved nurse aide training program and an active resident council.

The mix of above-average direct care hours and current availability orients the community toward short-term Medicare rehabilitation stays in Alcorn County, for families prioritizing staffing levels in a facility with open capacity.