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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.
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.
Grand Trace Health Care and Rehabilitation is a 96-bed nursing home at 555 John R. Junkin Drive, Natchez, Adams County, Mississippi. Angelica Higgins is the administrator. Charles Borum is the owner.
It is CMS-certified and accepts Medicare, Medicaid, and private pay. Walk score 64 (moderately walkable). The facility is located within the city center.
CMS ratings: Overall 1 star (60.9% below state). Health Inspection 1 star (64.7% below state). Staffing 1 star (8.3% below state). Quality Measures 5 stars (84.3% above state).
RN 16 minutes per day (58% below state) is a severe shortage. LPN 1 hour 3 minutes (5% below state). CNA 1 hour 54 minutes (23% below state). Weekend nursing 2 hours 57 minutes (16% below state).
RN weekend 11 minutes (50% below state) shows critically low weekend clinical presence. Physical Therapist 1 minute (50% below state). Total 4 hours 43 minutes (9% above state, ranked 35th). Staff ratio 2.35:1 (39% better than state), but payroll is only 22.6% of revenue (ranked 99th); this is well below adequate staffing thresholds.
Occupancy 70% (ranked 89th). Average stay 221 days (mostly long-term residents). Medicare 29%, Private Pay 38%, Medicaid 34% admissions. Revenue $10.0M (ranked 37th).
Profit $8.9K (0.1% margin).
Four inspections (state average 4.4). 34 citations (101% above state, ranked 96th). Citations per inspection 8.5 (122% above state, ranked 102nd, second worst in Mississippi). 0 critical, 3 serious (173% worse than state), 31 moderate.
Recent inspection (August 2025) cited medical record documentation deficiency. Complaint investigations substantiated call light inaccessibility, disrespectful staff behavior, unsafe resident transport. Documented pattern of staffing shortages, inadequate resident hygiene and grooming, unsafe environment. Most complaints substantiated; findings ranged from minimal to actual harm.
Penalties $48K (2 in 3 years: September 2023 $8K, March 2025 $41K). No payment denials.
Long-stay hospitalizations 1.74 per 1,000 days (29% better than state). ED visits 2.25 (22% better than state). Clinical events and functional decline both 22-24% better than state. Falls 0.0%.
UTI 0.0%. However, weight loss 9.7% (56% worse than state). Antipsychotic use 33.5% (58% worse than state). Short-stay return to home 36.6% (28% worse than state).
Antipsychotic increase 6.1% (146% worse than state).
1-star Health Inspection and Staffing ratings contrast sharply with 5-star Quality Measures. RN staffing 58% below state and lowest payroll percentage in Mississippi (22.6%) paired with documented complaint substantiation of disrespectful staff and unsafe transport. Yet standardized quality metrics show strong hospitalization prevention and low fall rates. The gap between complaint findings and quality measures raises questions about care quality consistency and whether standardized measures capture actual resident experience.
Families should request detailed explanation of complaint substantiation outcomes, current staffing deployment protocols, RN shortage impact on care, and verification of quality measure methodology.
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 42nd out of 110 homes in Mississippi for nurse hours. 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.
| Staff type | Hours / Day / Resident | 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 |
|
Weekend Total Nursing
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 |
|
Weekend RN
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 |
Lower than the Mississippi average: 82.3%Grand Trace Health Care and Rehabilitation is legally operated by Angelica Higgins, and administrated by Angelica Higgins.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | MS Average | vs. MS Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 36 | 45 | This facility has 20% fewer total deficiencies than a typical Mississippi nursing home (36 vs. MS avg 45).↓ 20% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 9 | 11.3 | This facility has 20% fewer deficiencies per year than a typical Mississippi nursing home (9 vs. MS avg 11.3).↓ 20% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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
173% worse than Mississippi averageMississippi average: 1.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
28% fewer staff per resident than Mississippi average
0% compared with Mississippi average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
All 20 LPN Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
All 31 CNA Staff are full-time employees. No contractors work on this role.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,631 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 31 | 0 | 31 | 11,671 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 20 | 0 | 20 | 5,288 | 92 | 100% | 8.4 |
| Registered Nurse | 7 | 0 | 7 | 1,174 | 87 | 95% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 827 | 69 | 75% | 6.9 |
| Qualified Social Worker | 0 | 2 | 2 | 794 | 67 | 73% | 6.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 689 | 66 | 72% | 6.2 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 485 | 61 | 66% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 477 | 53 | 58% | 7 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 390 | 55 | 60% | 7.1 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 208 | 26 | 28% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 119 | 51 | 55% | 2.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 114 | 35 | 38% | 3.1 |
| Medical Director | 0 | 1 | 1 | 48 | 66 | 72% | 0.7 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 35 | 25 | 27% | 1.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 5 | 2 | 2% | 2.5 |
Includes penalties issued in 2023-2025
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.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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
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.
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.
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.
Historical financial and operational data for Grand Trace Health Care and Rehabilitation based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #104 / 106Payroll — State benchmarkedThis home is ranked 104th out of 106 homes in Mississippi for payroll. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
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.
Add your location
Grand Trace Health Care and Rehabilitation is located in Natchez, Mississippi.
Here are the financial assistance programs available to residents in Mississippi.
The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.
| Forrest General Hospital Skilled Nursing Unit |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Hattiesburg (Parkhaven) | 29
Facility
29
MS AVG
71
Rank
#219 / 267 | - | - | 8.64 | +89% | +87% | $0 | 3 | 1.0 | - | 28 |
67
Facility
67
MS AVG
33
Rank
#19 / 319 | - | - | - | - | 255335 | ||||
| Bedford Care Center of Petal |
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. | Petal | 60
Facility
60
MS AVG
71
Rank
#123 / 267 | 95.0% | +15% | 5.42 | -7% | +17% | $22.2k | 5 | 1.7 | - | 53 |
27
Facility
27
MS AVG
33
Rank
#188 / 319 | Bedford Health Properties, LLC | $8.7M | $3.8M | 43.5% | 255149 | ||||
| Traceway Retirement Community |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Tupelo (West Main Street) | 140
Facility
140
MS AVG
71
Rank
#15 / 267 | - | - | 5.85 | -43% | +26% | $0 | 17 | 2.8 | 1 | 133 |
43
Facility
43
MS AVG
33
Rank
#122 / 319 | United Methodist Senior Services Health Care, Inc | $22.0M | $11.6M | 52.7% | 255309 | ||||
| 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
Facility
96
MS AVG
71
Rank
#77 / 267 | 69.8% | -15% | 4.72 | -9% | +2% | $48.2k | 34 | 8.5 | 3 | 67 |
64
Facility
64
MS AVG
33
Rank
#23 / 319 | Charles Borum | $10.0M | $2.2M | 22.6% | 255173 | ||||
| Gulfport Care 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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Gulfport | 90
Facility
90
MS AVG
71
Rank
#82 / 267 | 82.2% | 0% | 4.67 | -28% | +1% | $33.6k | 24 | 6.0 | 5 | 74 |
9
Facility
9
MS AVG
33
Rank
#248 / 319 | Gerard And Alison Danos Childrens Tr | $6.9M | $4.8M | 70.1% | 255341 |
The legal owner and operator of Grand Trace Health Care and Rehabilitation is Angelica Higgins.
Grand Trace Health Care and Rehabilitation has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Grand Trace Health Care and Rehabilitation's occupancy is 70%.
Angelica Higgins is the administrator of Grand Trace Health Care and Rehabilitation.
Grand Trace Health Care and Rehabilitation has 96 beds.
Grand Trace Health Care and Rehabilitation is located at 555 John R. Junkin Drive.
(601) 442-4395 will put you in contact with the team at Grand Trace Health Care and Rehabilitation.
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