Occupancy rate
70%
In line with Mississippi averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home
Grand Trace Health Care and Rehabilitation
Grand Trace Health Care and Rehabilitation is located in Natchez, MS. It offers skilled nursing care, rehabilitation therapy, and specialized services for Alzheimer's and dementia care. The facility is committed to providing personalized and compassionate care to support patients in their journey of aging.
Quality ratings
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.
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.
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.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
96
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
69.8%
Residents per day (avg)
61
Occupancy rate
69.8%
Residents per day (avg)
61
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
38% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
34% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Home revenue
$10.0M
Profit
$8.9K
Privately-owned community
Home revenue
$9,958,409.00
Profit
$8,885.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.9M
96-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Mississippi averageOccupied beds
67 / 96
Average residents
74 per day
License details
Facility type
Nursing Home Facilities
County:
Adams
Additional licensing details
CMS Certification Number:
255173
Ownership & operating entity
Grand Trace Health Care and Rehabilitation is administrated by Angelica Higgins.
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Programs & Activities
Specific Programs
Skilled Nursing Care, Comprehensive Post-acute Care, Rehabilitation Therapy, Physical Therapy, Occupational Therapy, Speech Therapy, Long-term Care Services, Alzheimer's and Dementia Care
Operating Hours
Always Open 24 Hours
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
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.
5 visits/inspections
6 visits/inspections triggered by complaints
Results
5 with issues
0 without issues
Latest inspection
Date:August 27, 2025
Type:Complaint Investigation
36 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
4
Mississippi average 4.4
Last Health inspection on Aug 2025
Total health citations
34
Mississippi average 16.9
Citations per inspection
8.5
Mississippi average 3.83
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 34 citations resulted from standard inspections; 6 of 34 resulted from complaint investigations; and 2 of 34 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Mississippi averageMississippi average: 1
Serious Health citations
3
3
173% worse than Mississippi averageMississippi average: 1.1
0 critical citations
3 serious citations
31 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 27, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 27, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 27, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 27, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 27, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 27, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Mar 27, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Mar 27, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Mississippi The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.
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.
Mendenhall
60
93.5%
+14%
5.42
+17%
1
5
0
56
Bedford Health Properties, Llc
$8,7M
$2,5M
29.3%
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.
Tylertown
60
77.1%
-6%
5.14
+11%
1
9
1
49
-
$5,9M
$2,5M
42.7%
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.
Wiggins
99
65.4%
-21%
4.32
-7%
0
13
6
61
Cain, Avonna
$8,2M
$3,3M
40.3%
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.
Kosciusko
120
75.9%
-8%
4.03
-13%
0
18
2
100
Hood, Amy
$8,7M
$4,3M
48.8%
255191
Grand Trace Health Care and Rehabilitation
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.
Natchez
96
68.7%
-17%
4.72
+2%
2
34
3
61
Borum, Charles
$9,9M
$2,0M
20%
255173
Places of interest near Grand Trace Health Care and Rehabilitation
0.0 miles from city center
555 John R. Junkin Drive, Natchez, MS 39120
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
162
Employees
145
Contractors
17
Staff to resident ratio
2.35:1
39% better than Mississippi averageMississippi average ratio: 1.69:1
Avg staff/day
34
Average shift
7.8 hours
0% compared with Mississippi averageMississippi average: 8 hours
Total staff hours (quarter)
24,145
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
26
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
75
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
10.6%
2,566 contractor hours this quarter
Occupational Therapy Assistant: 3
Physical Therapy Aide: 3
Speech Language Pathologist: 3
Qualified Social Worker: 3
Medical Director: 2
Respiratory Therapy Technician: 1
Physical Therapy Assistant: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 75 | 0 | 75 | 10,592 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 26 | 0 | 26 | 5,076 | 91 | 100% | 9.1 |
| Nurse Aide in Training | 14 | 0 | 14 | 1,592 | 69 | 76% | 8 |
| RN Director of Nursing | 5 | 0 | 5 | 1,227 | 67 | 74% | 8 |
| Registered Nurse | 10 | 0 | 10 | 1,037 | 85 | 93% | 7.4 |
| Qualified Social Worker | 0 | 3 | 3 | 750 | 45 | 49% | 7.3 |
| Speech Language Pathologist | 0 | 3 | 3 | 732 | 44 | 48% | 7.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 713 | 46 | 51% | 8.2 |
| Administrator | 4 | 0 | 4 | 528 | 65 | 71% | 8 |
| Nurse Practitioner | 3 | 0 | 3 | 480 | 60 | 66% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 419 | 53 | 58% | 7.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 349 | 44 | 48% | 7.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 280 | 35 | 38% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 201 | 28 | 31% | 7.2 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 95 | 37 | 41% | 2.6 |
| Medical Director | 0 | 2 | 2 | 49 | 65 | 71% | 0.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 16 | 5 | 5% | 3.2 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 10 | 7 | 8% | 1.5 |
75 Certified Nursing Assistant
% of Days
100%
26 Licensed Practical Nurse
% of Days
100%
14 Nurse Aide in Training
% of Days
76%
5 RN Director of Nursing
% of Days
74%
10 Registered Nurse
% of Days
93%
3 Qualified Social Worker
% of Days
49%
3 Speech Language Pathologist
% of Days
48%
3 Physical Therapy Aide
% of Days
51%
4 Administrator
% of Days
71%
3 Nurse Practitioner
% of Days
66%
3 Other Dietary Services Staff
% of Days
58%
2 Mental Health Service Worker
% of Days
48%
3 Clinical Nurse Specialist
% of Days
38%
1 Physical Therapy Assistant
% of Days
31%
1 Respiratory Therapy Technician
% of Days
41%
2 Medical Director
% of Days
71%
1 Occupational Therapy Aide
% of Days
5%
3 Occupational Therapy Assistant
% of Days
8%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
69 residents
Residents by payment source
Medicare
5 residents (7.2%)
Medicaid
63 residents (91.3%)
Private pay or other
1 resident (1.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.7
22% better than Mississippi averageMississippi average: 12.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.9
24% better than Mississippi averageMississippi average: 22.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.7%
Percent of long-stay residents whose need for help with daily activities has increased
16.7%
21% better than Mississippi averageMississippi average: 21.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.1%
Percent of long-stay residents whose ability to move independently worsened
14.1%
43% better than Mississippi averageMississippi average: 24.5%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.8%
8% better than Mississippi averageMississippi average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Mississippi averageMississippi average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.0%
Percent of long-stay high risk residents with pressure ulcers
8.0%
11% worse than Mississippi averageMississippi average: 7.1%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Mississippi averageMississippi average: 2.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.7%
Percent of long-stay residents who lose too much weight
9.7%
56% worse than Mississippi averageMississippi average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Mississippi averageMississippi average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
33.5%
Percent of long-stay residents who received an antipsychotic medication
33.5%
58% worse than Mississippi averageMississippi average: 21.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
In line with Mississippi averageMississippi average: 95.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with Mississippi averageMississippi average: 97.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.2%
In line with Mississippi averageMississippi average: 87.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
6.1%
Percent of short-stay residents who newly received an antipsychotic medication
6.1%
146% worse than Mississippi averageMississippi average: 2.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.3%
9% better than Mississippi averageMississippi average: 84.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$48K
22% higher than Mississippi averageMississippi average: $39K
Number of fines
2
In line with Mississippi averageMississippi average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Mississippi averageMississippi average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$48K
Mississippi average
$39K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 27, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 27, 2025
$41K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 7, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 7, 2023
$8K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Grand Trace Health Care and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
68.7%
↑ 10.4pp vs 2022
Net Income
$8,885
↑ ~$24K vs 2022
Total Payroll
$2,248,555
↑ ~$131K vs 2022
Profit Margin
0.1%
↑ 0.3pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Mississippi Seniors
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