Azalea Gardens Nursing Center
Nursing Home · Mississippi, MS
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.

Azalea Gardens Nursing Center

Nursing Home · Mississippi, MS
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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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.
(601) 928-5281

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.
▲ 17.2% Above MS avg.
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.
▲ 41.3% Above MS avg.
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.
▲ 22.3% Above MS avg.
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.
▼ 53.9% Below MS avg.

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 Mississippi state averages

Total nursing care / resident Info This home is ranked 50th out of 100 homes in Mississippi.

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 #50 / 100Nurse hours — state benchmarkedThis home is ranked 50th out of 100 homes in Mississippi.Shows adjusted nurse hours per resident per day benchmarked to the Mississippi average, with a ranking across 100 Mississippi SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Mississippi avg (4h 20m per day)
vs Mississippi avg
+0%

3 of 5 metrics below state avg

Standout metric RN (Weekend) is +23% above state avg
Staff typeHours / dayvs 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. 43m per day ▲ 13% 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 ▼ 5% 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 6m per day ▼ 15% State avg: 2h 29m per day · National avg: 2h 20m per day
Total Nursing (Weekend) 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 19m per day ▼ 6% State avg: 3h 31m per day · National avg: 3h 26m per day
RN (Weekend) 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. 27m per day ▲ 23% State avg: 22m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
656 days

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

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

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$9.4M
Profit
$1.4M
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$9.4M Rank #57 / 101Revenue — state benchmarkedThis home is ranked 57th out of 101 homes in Mississippi.Shows this facility's annual revenue compared to the Mississippi SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$1.4M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #46 / 101Payroll — state benchmarkedThis home is ranked 46th out of 101 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.
$4.3M
45.8% of revenue Rank #32 / 101Payroll % — state benchmarkedThis home is ranked 32nd out of 101 homes in Mississippi.Shows payroll as a percentage of revenue versus the Mississippi average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.7M
Total costs $8.0M
Bed community size
99-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 47 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
65%
Rank #93 / 101Occupancy rate — state benchmarkedThis home is ranked 93rd out of 101 homes in Mississippi.Shows this facility's occupancy rate versus the Mississippi average, with its statewide rank out of 101. Higher occupancy signals strong local demand and financial stability.
Lower than the Mississippi average: 82.3%
Occupied beds
65 / 99
Average residents per home in Mississippi 74 per day

License Details

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

Ownership & Operating Entity

Azalea Gardens Nursing Center is administrated by Michele Hatten.

Owner NameAvonna Cain

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Specific ProgramsSkilled Nursing Care

Contact Azalea Gardens Nursing Center

Health Inspection History

Inspections
Total health inspections 4

Mississippi average 4.4


Last Health inspection on Mar 2025

Total health citations
13 Rank #38 / 103Health citations — state benchmarkedThis home is ranked 38th out of 103 homes in Mississippi.Shows this facility's total health deficiency citations benchmarked to the Mississippi state average, with a ranking across all 103 MS SNFs. Lower citation counts earn a better rank.

Mississippi average 16.9

Citations per inspection
3.25 Rank #31 / 103Citations per inspection — state benchmarkedThis home is ranked 31st out of 103 homes in Mississippi.Shows average deficiency citations per CMS inspection for this facility versus the Mississippi mean across 103 SNFs with citation data. Lower is better.

Mississippi average 3.83


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 More info
5
400% worse than Mississippi average

Mississippi average: 1


Serious Health citations More info 1
9% better than Mississippi average

Mississippi average: 1.1

5 critical citations More info Mississippi average: 1

1 serious citation More info Mississippi average: 1.1

6 moderate citations More info Mississippi average: 14.6

1 minor citation More info Mississippi average: 0.3
Citations history (last 6 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 06, 2025
Corrected

Nursing Services minor citation Info Issues related to the availability and quality of nursing staff and the care they provide. Mar 06, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 06, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jun 22, 2023
Corrected

Financial Assistance for
Nursing Home in Mississippi

Azalea Gardens Nursing Center is located in Wiggins, Mississippi.
Here are the financial assistance programs available to residents in Mississippi.

Get Financial aid guidance

Elderly and Disabled Waiver

Mississippi Medicaid E&D Waiver

Age 65+ or disabled
General Mississippi resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $4,000 individual, higher than most states
MS

Higher asset limit; rural focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Meals ($6/meal)

Mississippi Caregiver Respite Program

MS NFCSP Respite

Age Caregiver of someone 60+
General Mississippi resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
MS

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Assisted Living (AL) Waiver

Mississippi Assisted Living Waiver

Age 65+ or disabled
General Mississippi resident, Medicaid-eligible, NFLOC, living in approved AL facility.
Income Limits (2025) ~$2,829/month (300% FBR, individual); QIT required.
Asset Limits $4,000 (individual), $6,000 (couple).
MS

Only for AL facilities with waiver contracts; small program size.

Benefits
Personal care Meals Medication management Respite Transportation within AL facility

Independent Living (IL) Waiver

Mississippi Independent Living Waiver

Age 16+ (65+ for seniors)
General Mississippi resident, Medicaid-eligible, NFLOC but capable of self-direction.
Income Limits (2025) ~$2,829/month (300% FBR, individual); QIT required.
Asset Limits $4,000 (individual), $6,000 (couple).
MS

Self-directed care; limited to in-home settings.

Benefits
Personal care (4-6 hours/day) Respite (~200 hours/year) Home mods Assistive tech Transition services

Medicare Savings Program (MSP)

Mississippi Medicare Savings Program

Age 65+ or disabled
General Mississippi resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MS

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Mississippi Homemaker Program

Mississippi Homemaker Program (via Area Agencies on Aging)

Age 60+
General Mississippi resident, not Medicaid-eligible, needs assistance with daily living.
Income Limits (2025) ~$1,063/month (100% FPL, individual); prioritizes low-income.
Asset Limits Not strictly assessed; need-based focus.
MS

10 AAAs; waitlist possible due to funding caps.

Benefits
Homemaker services (2-4 hours/day, e.g., cleaning, meal prep) Respite (~2 days/year) Transportation Meals

VA Aid and Attendance (A&A) and Housebound Benefits

Mississippi VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Mississippi resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MS

High veteran population in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

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

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 90
Employees 67
Contractors 23
Staff to resident ratio 1.43:1
16% worse than Mississippi average

Mississippi average ratio: 1.69:1

Avg staff/day 36
Average shift 7.5 hours
6% worse than Mississippi average

Mississippi average: 8 hours

Total staff hours (quarter) 24,653

Nursing staff breakdown

Registered Nurse

Manages medical care and health needs.

Total count 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 53
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

2.3%

575 contractor hours this quarter

Certified Nursing Assistant: 20 Medical Director: 1 Feeding Assistant: 1 Occupational Therapy Assistant: 1

Staff by category

Certified Nursing Assistant33205311,61391100%7.4
Licensed Practical Nurse180186,21091100%7.8
Registered Nurse7072,99991100%7.7
Other Dietary Services Staff4041,65391100%8.3
Administrator1015206571%8
Dietitian1015056369%8
Dental Services Staff1015036369%8
Nurse Practitioner1014906066%8.2
Feeding Assistant011511719%3
Occupational Therapy Aide1013767%6.1
Medical Director011361213%3
Occupational Therapy Assistant0113633%12
53 Certified Nursing Assistant
% of Days 100%
18 Licensed Practical Nurse
% of Days 100%
7 Registered Nurse
% of Days 100%
4 Other Dietary Services Staff
% of Days 100%
1 Administrator
% of Days 71%
1 Dietitian
% of Days 69%
1 Dental Services Staff
% of Days 69%
1 Nurse Practitioner
% of Days 66%
1 Feeding Assistant
% of Days 19%
1 Occupational Therapy Aide
% of Days 7%
1 Medical Director
% of Days 13%
1 Occupational Therapy Assistant
% of Days 3%

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.

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 Mississippi average

Mississippi 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 Mississippi average

Mississippi average: 22.3

Long-stay resident measures
Significantly below average Mississippi 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 Mississippi average

Mississippi average: 21.2%

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

Mississippi 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 Mississippi average

Mississippi 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 Mississippi average

Mississippi 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 Mississippi average

Mississippi average: 7.1%

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

Mississippi average: 2.6%

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

Mississippi average: 6.2%

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

Mississippi average: 1.5%

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

Mississippi average: 21.2%

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

Mississippi average: 95.9%

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

Mississippi average: 97.0%

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

Mississippi 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 Mississippi average

Mississippi 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 Mississippi average

Mississippi average: 87.9%

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

Mississippi average: 2.5%

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

Mississippi 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 Mississippi average

Mississippi average: 0.8%

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.

Compare Nursing Home around Mississippi

The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.

5 facilities compared · CMS & MS Dept. of Health data · Updated May 2026

Filter by care type
Bedford Care Center of Mendenhall
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Mendenhall60 93.5% +14%5.42 +2%+17%151.7-56 40 Bedford Health Properties, LLC$8.7M$2.5M29.2%255149
Billdora Senior Care
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Tylertown60 77.1% -6%5.14 -26%+11%192.3149 41 -$6.3M$2.5M39.8%255243
Azalea Gardens Nursing Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Wiggins99 65.4% -21%4.32 -16%-7%0133.3661 47 Avonna Cain$9.4M$3.3M35.1%255233
Attala County Nursing Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Kosciusko120 75.9% -8%4.03 -7%-13%0184.52100 55 Amy Hood$8.8M$4.3M48.2%255191
Brandon Community Carew Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Brandon230 90.4% +10%4.85 -56%+5%2433.910210 28 Joyce Course$21.6M$8.5M39.2%255106

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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 65%.

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 are 3 photos of Azalea Gardens Nursing Center in the photo gallery on this page.

What is the address of Azalea Gardens Nursing Center?

Azalea Gardens Nursing Center is located at 530 Hall Street.

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