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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.
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.
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.
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.
This home is ranked 36th out of 108 homes in Mississippi.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 16m per day | ▼ 58% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
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
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.
| 1h 54m per day | ▼ 23% State avg: 2h 29m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 2h 57m per day | ▼ 16% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
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 | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 11m per day | ▼ 50% State avg: 22m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
29% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
34% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #104 / 109Payroll — state benchmarkedThis home is ranked 104th out of 109 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Mississippi average: 82.3%Grand Trace Health Care and Rehabilitation is administrated by Angelica Higgins.
Ways to qualify for care at this community, including accepted programs and payment options.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Mississippi average: 45 deficiencies
The most recent inspection on August 27, 2025, identified a deficiency related to inaccurate medical record documentation for a resident’s diagnosis. Earlier inspections showed a pattern of deficiencies involving staffing shortages, inadequate resident care including grooming and personal hygiene, and failure to maintain a clean and safe environment. Complaint investigations substantiated issues such as inaccessible call lights, disrespectful staff behavior, and unsafe resident transport resulting in injury, but enforcement actions like fines or license suspensions were not listed in the available reports. Most complaints were substantiated, with findings of minimal to actual harm in some cases. The facility’s inspection history indicates ongoing challenges with staffing and care documentation, with no clear trend of improvement or worsening over time.
Mississippi average 4.4
Last Health inspection on Aug 2025
Mississippi average 16.9
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).
100% better than Mississippi averageMississippi average: 1
3
173% worse than Mississippi averageMississippi average: 1.1
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 27, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 27, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 27, 2025
Corrected
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.
| 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 | +2% | +17% | 1 | 5 | 1.7 | 0 | 56 | - | - | Bedford Health Properties, Llc | $8.7M | $2.5M | 29.2% | 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. | Tylertown | 60 | 77.1% | -6% | 5.14 | -26% | +11% | 1 | 9 | 2.3 | 1 | 49 | - | - | - | $6.3M | $2.5M | 39.8% | 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. | Wiggins | 99 | 65.4% | -21% | 4.32 | -16% | -7% | 0 | 13 | 3.3 | 6 | 61 | - | - | Cain, Avonna | $9.4M | $3.3M | 35.1% | 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. | Kosciusko | 120 | 75.9% | -8% | 4.03 | -7% | -13% | 0 | 18 | 4.5 | 2 | 100 | - | - | Hood, Amy | $8.8M | $4.3M | 48.2% | 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 | -33% | +2% | 2 | 34 | 8.5 | 3 | 61 | - | - | Borum, Charles | $10.0M | $2.0M | 19.9% | 255173 |
0.0 miles from city center
Estimated distance in miles from Natchez's city center to Grand Trace Health Care and Rehabilitation's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
39% better than Mississippi averageMississippi average ratio: 1.69:1
0% compared with Mississippi averageMississippi average: 8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Total hours from contractors
2,566 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
69Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
16.7%
21% better than Mississippi averageMississippi average: 21.2%
Percent of long-stay residents whose ability to move independently worsened
14.1%
43% better than Mississippi averageMississippi average: 24.5%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Mississippi averageMississippi average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
8.0%
11% worse than Mississippi averageMississippi average: 7.1%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Mississippi averageMississippi average: 2.6%
Percent of long-stay residents who lose too much weight
9.7%
56% worse than Mississippi averageMississippi average: 6.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Mississippi averageMississippi average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
33.5%
58% worse than Mississippi averageMississippi average: 21.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
In line with Mississippi averageMississippi average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with Mississippi averageMississippi average: 97.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.74
29% better than Mississippi averageMississippi average: 2.44
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.25
22% better than Mississippi averageMississippi average: 2.88
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.2%
In line with Mississippi averageMississippi average: 87.9%
Percent of short-stay residents who newly received an antipsychotic medication
6.1%
146% worse than Mississippi averageMississippi average: 2.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.3%
9% better than Mississippi averageMississippi average: 84.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.9%
11% better than Mississippi averageMississippi average: 27.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.1%
8% better than Mississippi averageMississippi average: 15.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Mississippi averageMississippi average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.7%
6% better than Mississippi averageMississippi average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
36.6%
28% worse than Mississippi averageMississippi average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
22% higher than Mississippi averageMississippi average: $39K
In line with Mississippi averageMississippi average: 2.0
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
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.
Sep 7, 2023Last updated: Jan 2026
Historical financial and operational data for Grand Trace Health Care and Rehabilitation based on CMS SNF Cost Reports.
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