Home / Mississippi / Tylertown
Billdora Senior Care
314 Enochs St., Tylertown, MS 39667 · Walthall County · (601) 876-2173
60 certified beds, about 44 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 255243 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 9, 2026, inspectors cited 2 health deficiencies (the Mississippi average is 6.8, the national average 9.2).
Of 8 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $9,113 in the last three years; the largest was $9,113, and the latest is dated April 9, 2026.
Nurses and nurse aides worked 4.67 hours per resident per day, against 4.18 across Mississippi and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
41.8% of nursing staff left within the year CMS measured (Mississippi average 45.7%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
111/23
403/25
101/26
204/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
1E
0F
Potential for minimal harm
0A
0B
0C
April 9, 2026Standard inspection · 2 citations
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview, record review and facility policy review the facility failed to provide sufficient pain medication prior to wound care for a resident who moaned and yelled out during wound care for one (1) of two (2) wound care observations. Resident #1Findings Include:Policy review of facility's policy Pain Management dated 2025 revealed the facility should provide adequate management of pain to ensure that residents attain or maintain the highest practicable physical, mental and psychosocial well-being. Behavioral signs and symptoms they may suggest the presence of pain include but are not limited to facial expressions grimacing, groaning. [...]
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, and facility policy review the facility failed to ensure staff followed proper hand hygiene and Enhanced Barrier Precautions (EBP) during wound care and peri care for one (1) of two (2) sampled residents reviewed for pressure ulcers. Resident #1. Findings Include:Record review of the facility policy Hand Hygiene Policy dated 2025 revealed, Policy: Staff involved direct contact will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents and visitors. Record review of the facility policy Enhanced Barrier Precautions undated, revealed Policy: It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms.4. High-contact resident care activities include.d. Providing hygiene.f. [...]
January 29, 2026Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to ensure adequate supervision was provided to prevent an elopement from the facility for one (1) of four (4) sampled residents reviewed. Resident #1The facility's failure to provide adequate supervision resulted in Resident #1 leaving the facility unnoticed and unsupervised on 1/20/26. This placed Resident #1 and all other residents who are at risk for wandering in a situation that is likely to cause serious injury, serious harm, serious impairment, or death. This situation was determined to be an Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) that began on 1/20/26 when Resident #1 eloped from the facility. The facility Administrator was notified of the IJ on 1/28/26 at 6:00 PM and was presented with the IJ template. [...]
March 6, 2025Standard inspection · 4 citations
- D Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on facility policy review, interviews, and record review, the facility failed to provide residents with mail on Saturdays for one (1) of (17) sampled residents, Resident #25.
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on interview, record review and facility policy review the facility failed to provide prompt resolution of a grievance related to a resident's missing property for one (1) of (17) sampled residents. Resident #22.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and staff interviews, the facility failed to provide written notification of the reason for a resident's hospital discharge to the resident and/or Resident Representative (RR) for one (1) of (1) residents reviewed for hospitalization (Resident #18).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to ensure a resident requiring oxygen therapy had an Oxygen in Use sign placed on the resident's door as specified in the facility policy for one (1) of four (4) days of survey observations. (Resident #107). Findings Include: A record review of the facility's Oxygen Concentrator policy, revised April 2017, revealed Policy: To administer oxygen for the treatment of certain diseases or conditions. Policy Explanation and Compliance Guidelines: 1. Care of the Resident . h. Place an oxygen warning sign on the resident's door . On 03/03/25 at 11:30 AM, an observation of Resident #107 in her room, up in a wheelchair, revealed that oxygen was flowing at 3 milliliters per hour. However, there was no Oxygen in Use signage on the door. [...]
November 16, 2023Standard inspection · 1 citation
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on staff interviews, record reviews, and facility policy reviews the facility failed to collaborate with hospice services related to a resident's continuous plan of care for one( 1) of two (2) hospice residents reviewed. Resident #30. Findings Include: Record review of the facility's policy, Hospice Care-Facility Responsibilities, with a revision date of 4/2017, revealed, It is the policy of this facility to improve quality and consistency of care between hospice and the facility in the provision of hospice care to our residents in order to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Policy Explanation and Compliance Guidelines: . 2. b. [...]
Fire safety inspections
1 fire safety citation on file: 1 on April 9, 2026.
Every fire safety citation1 citation
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 9, 2026 | Payment Denial | 8 days from May 5, 2026 |
| January 29, 2026 | Fine | $9,113 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Mississippi | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.67 | 4.18 | 3.86 |
| Registered nurses | 0.41 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.66 | 3.50 | 3.42 |
| Nurse aides | 2.69 | ||
| Licensed practical nurses | 1.56 | ||
| Nursing staff turnover (share who left in a year) | 41.8% | 45.7% | 45.8% |
| Registered nurse turnover | 33.3% | 38.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.05 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.08 on weekdays and 3.66 on weekends, 28% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.53 in April to June 2025 to 4.67 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.67 | 0.41 | 5.08 | 3.66 | 0.0% | 0 of 90 | 44 |
| Oct to Dec 2025 | 4.87 | 0.42 | 5.32 | 3.73 | 0.0% | 1 of 92 | 43 |
| Jul to Sep 2025 | 5.01 | 0.39 | 5.44 | 3.91 | 0.0% | 0 of 92 | 46 |
| Apr to Jun 2025 | 4.53 | 0.40 | 4.92 | 3.55 | 0.0% | 0 of 91 | 49 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Mississippi, Jan to Mar 2026 | 4.09 | 0.60 | 4.35 | 3.44 | 6.2% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Mississippi | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.9 | 20.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 11.2 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.4 | 19.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.5 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.3 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 10.6 | 27.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.2 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.6 | 2.9 | 1.8 |
Owners and operators
Legal business name: BILLDORA SENIOR CARE LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Tillman Senior Care, LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2017 |
| Tillman, Clifford | Indirect ownership interest | Individual | 01/01/2017 | |
| Montgomery, Andrew | Operational/managerial control | Individual | 03/01/2022 | |
| Burton, Stephanie | Adp of the SNF | Individual | 07/14/2025 | |
| Montgomery, Andrew | Adp of the SNF | Individual | 03/01/2022 | |
| Tillman, Clifford | Adp of the SNF | Individual | 08/01/2007 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 9, 2026: "Provide safe, appropriate pain management for a resident who requires such services."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on March 6, 2025: "Ensure residents have reasonable access to and privacy in their use of communication methods."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 9, 2026: "Provide and implement an infection prevention and control program."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on November 16, 2023: "Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services."
Other nursing homes nearby
- Diversicare of Tylertown Tylertown, 0.9 mi · 5 of 5 stars · 10 citations
- Good Samaritan Living Center Franklinton, 17.8 mi · 1 of 5 stars · 14 citations
- Fair City Health and Rehab Franklinton, 19.3 mi · 1 of 5 stars · 25 citations
- Courtyard Health and Rehabilitation McComb, 19.6 mi · 1 of 5 stars · 30 citations
- Columbia Rehabilitation and Healthcare Center Columbia, 20.6 mi · 3 of 5 stars · 9 citations
- Myrtles Nursing Center, LLC Columbia, 21.7 mi · 2 of 5 stars · 18 citations
- McComb Community Care Center McComb, 21.7 mi · 2 of 5 stars · 18 citations
- Camellia Estates McComb, 21.9 mi · 4 of 5 stars · 9 citations
Mississippi contacts for a concern about a nursing home
These are the official offices in Mississippi. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Mississippi State Department of Health, Health Facilities Licensure and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Mississippi Long-Term Care Ombudsman Program, MDHS Division of Aging and Adult Services, 1-888-844-0041. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: MSDH Nursing Home Search, where Mississippi publishes its own records on licensed homes.
Common questions
- What is Billdora Senior Care's Medicare star rating?
- CMS rates Billdora Senior Care 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Billdora Senior Care get at its last inspection?
- 2 health deficiencies at the standard inspection on April 9, 2026. The Mississippi average is 6.8.
- Has Billdora Senior Care been fined?
- Yes. CMS lists 1 fine totaling $9,113 in the last three years.
- Does Billdora Senior Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Billdora Senior Care?
- CMS lists 6 owners and managers. Legal business name: BILLDORA SENIOR CARE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.