Total health inspections
4
Mississippi average 4.4
Last Health inspection on Oct 2025
Tallahatchie General Hospital Extended Care
Tallahatchie General Hospital Extended Care
Overview of Tallahatchie General Hospital Extended Care
Tallahatchie General Hospital Extended Care is a 98-bed skilled nursing facility at 201 South Market Street in Charleston, Tallahatchie County, Mississippi, owned and administered by Jan Maddux.
Staffing presents mixed patterns relative to state benchmarks. Registered nurses provide 27 minutes per resident per day, falling 29% below the state average of 38 minutes. Licensed practical nurses deliver 1 hour 23 minutes per resident per day, a 26% advantage over the state average of 1 hour 6 minutes. Certified nursing aides contribute 2 hours 31 minutes daily, matching the state benchmark of 2 hours 29 minutes.
Weekend coverage reaches 3 hours 48 minutes per resident per day, or 8% above the state average. The staff-to-resident ratio is 1.49:1, running 12% worse than the Mississippi average of 1.69:1. The facility maintains 139 total staff (98 employees, 41 contractors) including 9 registered nurses, 44 licensed practical nurses, and 71 certified nursing aides, supplemented by speech language pathologists and mental health workers.
Compliance results show a clean recent record. Four health inspections yielded 12 citations, with the most recent October 2025 inspection identifying three moderate citations in infection control, quality of care, and resident rights, all marked corrected. December 2024 produced one pharmacy citation (corrected). Prior inspections accounted for 8 additional citations.
The facility has received no critical citations (100% better than the state average of 1 critical per facility), 2 serious citations (82% worse than state average of 1.1 serious), and 9 moderate citations (38% better than state average of 14.6 moderate). One minor citation also appears. Citation frequency averages 3.0 per inspection against the state benchmark of 3.83. A single civil penalty of $11,000 was imposed in August 2023, representing 71% lower penalties than the Mississippi average of $39,000.
No payment denials have been imposed.
Quality measures reflect capacity for clinical management alongside identified weaknesses. Functional decline scores of 13.9 for long-stay residents run 38% better than the state average of 22.3. High-risk clinical events score 8.5, or 31% better than the state average of 12.4. However, falls with major injury affect 4.1% of long-stay residents, which is 29% worse than the state average of 3.2%.
Pressure ulcers appear in 8.6% of high-risk long-stay residents, or 21% worse than the state average of 7.1%. Antipsychotic medication use reaches 37.6% of long-stay residents, significantly above the state average of 21.2%. Hospitalizations occur at 1.79 per 1,000 resident days (27% better than state average of 2.44), and emergency department visits at 1.59 per 1,000 resident days (45% better than state average of 2.88).
The facility serves 93 residents, 94.6% Medicaid and 5.4% private pay, and operates Emergency Services, Inpatient Rehabilitation, Outpatient Therapy, TGH Discount Pharmacy, The Horizon program, and the James C. Kennedy Wellness Center. Walk score of 50 indicates moderate walkability.
Families evaluating Tallahatchie should ask directly about medication management protocols, antipsychotic prescribing practices, fall prevention measures, and pressure ulcer assessment procedures before enrollment.
Staffing hours breakdown
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.
| 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.
| 27m per day | ▼ 29% 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 23m per day | ▲ 26% 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.
| 2h 31m per day | ■ Avg 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.
| 3h 48m per day | ▲ 8% 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.
| 16m per day | ▼ 27% State avg: 22m per day · National avg: 28m per day |
98-bed community Rank #75 / 267Bed count — State benchmarkedThis home is ranked 75th out of 267 homes in Mississippi for bed count. Shows this facility's certified or reported bed count compared to other Mississippi SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 50 / 100 Rank #83 / 319Walk Score — State benchmarkedThis home is ranked 83rd out of 319 homes in Mississippi for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Mississippi SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Facility TypeNursing Home Facilities
CountyTallahatchie
Tallahatchie General Hospital Extended Care is administrated by Jan Maddux.
Owner NameJan Maddux
Rehabilitation Services
Specific ProgramsEmergency Services, Extended Care Facility, Inpatient Rehabilitation, Outpatient Therapy, TGH Discount Pharmacy, The Horizon, James C. Kennedy Wellness Center
Health Inspection History
Inspections
Total health citations
12
Rank #30 / 113Health citations — State benchmarkedThis home is ranked 30th out of 113 homes in Mississippi for health citations. Shows this facility's total health deficiency citations benchmarked to the Mississippi State average, with a ranking across all 113 MS SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Mississippi average 16.9
Citations per inspection
3
Rank #22 / 113Citations per inspection — State benchmarkedThis home is ranked 22nd out of 113 homes in Mississippi for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Mississippi mean across 113 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Mississippi average 3.83
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 12 citations resulted from standard inspections; and 1 of 12 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than Mississippi averageMississippi average: 1
Serious health citations
2
82% worse than Mississippi averageMississippi average: 1.1
Citations history (last 3 years)
Infection Control moderate citation
Oct 29, 2025
Corrected
Quality of Care moderate citation
Oct 29, 2025
Corrected
Resident Rights moderate citation
Oct 29, 2025
Corrected
Pharmacy moderate citation
Dec 04, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
140
Employees
96
Contractors
44
Staff to resident ratio
1.51 : 1
8% fewer staff per resident than Mississippi average
Avg staff/day
47
Average shift
9.3 hours
16% better than Mississippi average
Total staff hours (quarter)
40,154
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 8 RN Staff are full-time employees. No contractors work on this role.
8
All 8 RN Staff are full-time employees. No contractors work on this role.
8
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 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
39 total: 25 full-time employees and 14 contractors.
39
39 total: 25 full-time employees and 14 contractors.
39
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
78 total: 48 full-time employees and 30 contractors.
78
78 total: 48 full-time employees and 30 contractors.
78
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6.3%
2,511 contractor hours this quarter
Certified Nursing Assistant: 30
Licensed Practical Nurse: 14
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 30 | 78 | 22,337 | 92 | 100% | 10.1 |
| Licensed Practical Nurse | 25 | 14 | 39 | 11,159 | 92 | 100% | 9.4 |
| Registered Nurse | 8 | 0 | 8 | 3,543 | 92 | 100% | 9.1 |
| RN Director of Nursing | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 392 | 49 | 53% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 166 | 43 | 47% | 3.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 154 | 49 | 53% | 3 |
| Qualified Social Worker | 3 | 0 | 3 | 151 | 40 | 43% | 3.8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 132 | 46 | 50% | 2.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 121 | 40 | 43% | 3 |
78 Certified Nursing Assistant
% of Days
100%
39 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
100%
1 RN Director of Nursing
% of Days
72%
1 Mental Health Service Worker
% of Days
68%
1 Nurse Practitioner
% of Days
67%
1 Dietitian
% of Days
64%
1 Administrator
% of Days
53%
2 Physical Therapy Aide
% of Days
47%
2 Speech Language Pathologist
% of Days
53%
3 Qualified Social Worker
% of Days
43%
1 Respiratory Therapy Technician
% of Days
50%
2 Physical Therapy Assistant
% of Days
43%
Penalties and fines
Includes penalties issued in 2023
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
$11K Rank #69 / 114Federal fines — State benchmarkedThis home is ranked 69th out of 114 homes in Mississippi for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Mississippi average among facilities with fines, and where it ranks among 114 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
71% lower than Mississippi averageMississippi average: $39K
Number of fines
1
50% fewer fines than 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
$11K
Mississippi average
$39K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 24, 2023 · $11K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 24, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 24, 2023
$11K
Last updated: Jan 2026
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.
8.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.5
31% 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.
13.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.9
38% better than Mississippi averageMississippi average: 22.3
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
43% better than Mississippi averageMississippi average: 21.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.2%
Percent of long-stay residents whose ability to move independently worsened
14.2%
42% 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
15.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.5%
28% better than Mississippi averageMississippi average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
29% worse than Mississippi averageMississippi average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.6%
Percent of long-stay high risk residents with pressure ulcers
8.6%
21% worse than Mississippi averageMississippi average: 7.1%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.0%
Percent of long-stay residents with a urinary tract infection
2.0%
24% better than Mississippi averageMississippi average: 2.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.6%
Percent of long-stay residents who lose too much weight
3.6%
43% better 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
37.6%
Percent of long-stay residents who received an antipsychotic medication
37.6%
77% worse than Mississippi averageMississippi average: 21.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
In line with Mississippi averageMississippi average: 95.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
In line with Mississippi averageMississippi average: 97.0%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.79
Number of hospitalizations per 1,000 long-stay resident days.
1.79
27% better than Mississippi averageMississippi average: 2.44
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.59
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.59
45% better than Mississippi averageMississippi average: 2.88
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
60.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
60.5%
31% worse than Mississippi averageMississippi average: 87.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93
Medicaid
88
94.6% of residents
Private pay or other
5
5.4% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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Nursing Home in Mississippi
Tallahatchie General Hospital Extended Care is located in Charleston, Mississippi.
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The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.
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| Tallahatchie General Hospital Extended 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).
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Facility
98
MS AVG
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Rank
#75 / 267 | - | - | - | - | - | - | -39% | - | - | 12 | 3.0 | 2 | - |
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MS AVG
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#83 / 319 | - | - | - | - | 25A190 |
Frequently Asked Questions about Tallahatchie General Hospital Extended Care
Who is the owner of Tallahatchie General Hospital Extended Care?
The legal owner and operator of Tallahatchie General Hospital Extended Care is Jan Maddux.
Is Tallahatchie General Hospital Extended Care in a walkable area?
Tallahatchie General Hospital Extended Care has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Who is the administrator of Tallahatchie General Hospital Extended Care?
Jan Maddux is the administrator of Tallahatchie General Hospital Extended Care.
How many beds does Tallahatchie General Hospital Extended Care have?
Tallahatchie General Hospital Extended Care has 98 beds.
Are there photos of Tallahatchie General Hospital Extended Care?
Yes — there are 5 photos of Tallahatchie General Hospital Extended Care in the photo gallery on this page.
What is the address of Tallahatchie General Hospital Extended Care?
Tallahatchie General Hospital Extended Care is located at 201 South Market Street.
What is the phone number of Tallahatchie General Hospital Extended Care?
(662) 647-5535 will put you in contact with the team at Tallahatchie General Hospital Extended Care.
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