Azalea Gardens Nursing Center
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Azalea Gardens Nursing Center

CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Azalea Gardens Nursing Center accepts Medicaid, Medicare, and private pay.

Overview of Azalea Gardens Nursing Center

Azalea Gardens Nursing Center is a nursing center located in D'Iberville, Mississippi. It provides skilled nursing and long-term care tailored to the needs of residents. The center emphasizes a compassionate and welcoming environment for both residents and families.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 19m per day
Rank #62 / 117Nurse hours — State benchmarkedThis home is ranked 62nd out of 117 homes in Mississippi. Shows adjusted nurse hours per resident per day benchmarked to the Mississippi average, with a ranking across 117 Mississippi facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

4 of 6 metrics below state avg

Standout metric Weekend RN is +13% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 40m per day ▲ 6% State avg: 38m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 3m per day ▼ 4% State avg: 1h 6m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 5m per day ▼ 16% State avg: 2h 29m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 18m per day ▼ 6% State avg: 3h 31m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 1m per day ▼ 74% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 25m per day ▲ 13% State avg: 22m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
656 days
Bed community size
99-bed community Rank #73 / 267Bed count — State benchmarkedThis home is ranked 73rd out of 267 homes in Mississippi. Shows this facility's certified or reported bed count compared to other Mississippi facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 47 / 100 Rank #100 / 319Walk Score — State benchmarkedThis home is ranked 100th out of 319 homes in Mississippi. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Mississippi facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
64%
Rank #112 / 121Occupancy rate — State benchmarkedThis home is ranked 112th out of 121 homes in Mississippi. Shows this facility's occupancy rate versus the Mississippi average, with its Statewide rank out of 121. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Mississippi average: 82.3%
Occupied beds
63 / 99
Average occupied beds in Mississippi homes 74 beds

License Details

Facility TypeNursing Home
CountyStone
CMS Certification Number255233
AccreditationsFour-Star Rating from the Centers for Medicare & Medicaid Services (CMS)

Ownership & Operating Entity

Azalea Gardens Nursing Center is legally operated by Avonna Cain, and administered by Michele Hatten.

Owner NameAvonna Cain
Ownership TypeProprietary

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Contact Azalea Gardens Nursing Center

Inspection History

In Mississippi, the State Department of Health, Bureau of Health Facilities Licensure conducts unannounced surveys to monitor facility compliance with health, safety, and resident rights laws.

Since 2020 · 6 years of data 11 deficiencies 4 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Mississippi state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Mississippi state average
Overall vs. MS average 1 Worse Metrics worse than Mississippi average:
• Deficiencies per inspection (211% above)
3 Better Metrics better than Mississippi average:
• Total deficiencies (76% below)
• Deficiencies per year (76% below)
• Total inspections (92% below)
Latest Inspection March 6, 2025 Routine

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMS Averagevs. MS Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1145 This facility has 76% fewer total deficiencies than a typical Mississippi assisted living residence (11 vs. MS avg 45).↓ 76% better
Deficiencies per year Info Average deficiencies per year since 2020. 1.87.5 This facility has 76% fewer deficiencies per year than a typical Mississippi assisted living residence (1.8 vs. MS avg 7.5).↓ 76% better
Deficiencies per inspection Info Average deficiencies per inspection. 2.80.9 This facility has 211% more deficiencies per inspection than a typical Mississippi assisted living residence (2.8 vs. MS avg 0.9).↑ 211% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMS Averagevs. MS Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 450 This facility has 92% fewer total inspections than a typical Mississippi assisted living residence (4 vs. MS avg 50).↓ 92% better

Health Inspection History

Inspections since 2020
Total health inspections 4

State average N/A


Last Health inspection on Mar 2025

Total health citations
13 Rank #38 / 120Health citations — State benchmarkedThis home is ranked 38th out of 120 homes in Mississippi. Shows this facility's total health deficiency citations benchmarked to the Mississippi State average, with a ranking across all 120 MS facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.25 Rank #35 / 120Citations per inspection — State benchmarkedThis home is ranked 35th out of 120 homes in Mississippi. Shows average deficiency citations per CMS inspection for this facility versus the Mississippi mean across 120 facilities with citation data. Lower is better.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

12 of 13 citations resulted from standard inspections; and 1 of 13 resulted from complaint investigations.

Breakdown of citation severity (last 6 years)
Critical health citations
5
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

5 critical citations State average: N/A

1 serious citation State average: N/A

6 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 6 years)
Infection Control moderate citation Mar 06, 2025
Corrected

Nursing Services minor citation Mar 06, 2025
Corrected

Nutrition moderate citation Mar 06, 2025
Corrected

Abuse/Neglect moderate citation Jun 22, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 91
Employees 63
Contractors 28
Staff to resident ratio 1.44 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 37
Average shift 7.6 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 25,800

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 17 LPN Staff are full-time employees. No contractors work on this role. 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 37 total: 30 full-time employees and 7 contractors. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.3%

1,374 contractor hours this quarter

Certified Nursing Assistant: 7 Qualified Social Worker: 6 Speech Language Pathologist: 4 Physical Therapy Assistant: 3 Physical Therapy Aide: 3 Occupational Therapy Assistant: 2 Medical Director: 1 Feeding Assistant: 1 Respiratory Therapy Technician: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3073711,71292100%7.7
Licensed Practical Nurse170175,91392100%7.6
Registered Nurse8083,25292100%7.7
Other Dietary Services Staff3031,54792100%7.9
Physical Therapy Aide0335316672%6.5
Administrator1015286672%8
Dental Services Staff1015186470%8.1
Nurse Practitioner1015095964%8.6
Dietitian1014986470%7.8
Speech Language Pathologist0443426470%5.2
Qualified Social Worker0661663942%4.2
Physical Therapy Assistant033731921%3.8
Occupational Therapy Aide1014989%6.2
Respiratory Therapy Technician011481617%3
Medical Director011451415%3.2
Occupational Therapy Assistant0223633%12
Feeding Assistant011331112%3
37 Certified Nursing Assistant
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 100%
3 Other Dietary Services Staff
% of Days 100%
3 Physical Therapy Aide
% of Days 72%
1 Administrator
% of Days 72%
1 Dental Services Staff
% of Days 70%
1 Nurse Practitioner
% of Days 64%
1 Dietitian
% of Days 70%
4 Speech Language Pathologist
% of Days 70%
6 Qualified Social Worker
% of Days 42%
3 Physical Therapy Assistant
% of Days 21%
1 Occupational Therapy Aide
% of Days 9%
1 Respiratory Therapy Technician
% of Days 17%
1 Medical Director
% of Days 15%
2 Occupational Therapy Assistant
% of Days 3%
1 Feeding Assistant
% of Days 12%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.6
17% worse than State average

State average: 12.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 26.6
19% worse than State average

State average: 22.3

Long-stay resident measures
Significantly below average State avg: 2.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 29.5%
39% worse than State average

State average: 21.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.7%
21% worse than State average

State average: 24.5%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.7%
In line with State average

State average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.8%
45% better than State average

State average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.7%
34% better than State average

State average: 7.1%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 8.9%
239% worse than State average

State average: 2.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.2%
16% worse than State average

State average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.9%
21% worse than State average

State average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 23.6%
12% worse than State average

State average: 21.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.5%
In line with State average

State average: 95.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 97.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.44
41% better than State average

State average: 2.44

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.94
33% better than State average

State average: 2.88

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.4%
In line with State average

State average: 87.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.5%
39% worse than State average

State average: 2.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 81.0%
In line with State average

State average: 84.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 5.0%
549% worse than State average

State average: 0.8%

Breakdown by payment type

Medicare

22% of new residents, usually for short-term rehab.

Typical stay 3 months

Private pay

9% of new residents, often for short stays.

Typical stay 4 years

Medicaid

69% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 63
Medicare
2
3.2% of residents
Medicaid
60
95.2% of residents
Private pay or other
1
1.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$165.0K
For-profit Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.4M Rank #56 / 113Revenue — State benchmarkedThis home is ranked 56th out of 113 homes in Mississippi. Shows this facility's annual revenue compared to the Mississippi average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$165.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.2M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #59 / 113Payroll — State benchmarkedThis home is ranked 59th out of 113 homes in Mississippi. Shows total annual staff payroll benchmarked to the Mississippi average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.7M 58.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #65 / 113Payroll % — State benchmarkedThis home is ranked 65th out of 113 homes in Mississippi. Shows payroll as a percentage of revenue versus the Mississippi average. Well-run Mississippi facilities typically land around 51–70% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.2M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (69% of admissions), and a typical Medicaid stay runs around 2 - 3 years.

Admissions
32 total

Coverage residents most often arrive under.

Medicare 22%
Private pay 9%
Medicaid 69%
Discharges
36 total

Coverage residents most often leave under.

Medicare 22%
Private pay 6%
Medicaid 72%

Places of interest near Azalea Gardens Nursing Center

Address 0.0 miles from city center Info Estimated distance in miles from Wiggins's city center to Azalea Gardens Nursing Center's address, calculated via Google Maps.

Calculate Travel Distance to Azalea Gardens Nursing Center

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Address

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Frequently Asked Questions about Azalea Gardens Nursing Center

Who is the owner of Azalea Gardens Nursing Center?

The legal owner and operator of Azalea Gardens Nursing Center is Avonna Cain.

Is Azalea Gardens Nursing Center in a walkable area?

Azalea Gardens Nursing Center has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Azalea Gardens Nursing Center?

Azalea Gardens Nursing Center's occupancy is 64%.

Does Azalea Gardens Nursing Center operate as a for-profit or non-profit?

Azalea Gardens Nursing Center is registered as a for-profit in MS.

Who is the administrator of Azalea Gardens Nursing Center?

Michele Hatten is the administrator of Azalea Gardens Nursing Center.

How many beds does Azalea Gardens Nursing Center have?

Azalea Gardens Nursing Center has 99 beds.

Are there photos of Azalea Gardens Nursing Center?

Yes — there is 1 photo of Azalea Gardens Nursing Center in the photo gallery on this page.

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