Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under private pay (38% of admissions), and a typical private pay stay runs around 1 - 2 months.
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.
Grand Trace Health Care and Rehabilitation is legally operated by Angelica Higgins, and administered 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.
Deficiencies
|
This Facility | MS Average | vs. MS Avg |
|---|---|---|---|
|
Total deficiencies
|
36 | 45 | This facility has 20% fewer total deficiencies than a typical Mississippi assisted living residence (36 vs. MS avg 45).↓ 20% better |
|
Deficiencies per year
|
9 | 11.3 | This facility has 20% fewer deficiencies per year than a typical Mississippi assisted living residence (9 vs. MS avg 11.3).↓ 20% better |
State average N/A
Last Health inspection on Aug 2025
State average N/A
State average N/A
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).
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
2,631 contractor hours this quarter
| 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)
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.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive 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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
Historical financial and operational data for Grand Trace Health Care and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under private pay (38% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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
The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.
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| Grand Trace Health Care and Rehabilitation |
NH
MC
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Natchez | - | 96 | - | 64 | - |
| Traceway Retirement Community |
NH
AL
IL
MC
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Tupelo (West Main Street) | - | 140 | - | 43 | Private Rooms / Semi-Private Rooms |
| Tunica Nursing Home |
NH
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Tunica | - | 60 | - | 49 | - |
| Landmark of DeSoto |
NH
HC
MC
PC
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Horn Lake | - | 60 | A+ | 60 | - |
| Vaiden Community Living Center |
NH
HC
NC
RC
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Vaiden | - | 60 | A+ | 19 | - |
Grand Trace Health Care and Rehabilitation is legally operated by Angelica Higgins, and administered by 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%.
Grand Trace Health Care and Rehabilitation is registered as a for-profit in MS.
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, Natchez, MS 39120.
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