Home / Mississippi / Cleveland
Delta Rehabilitation and Healthcare Center
200 Dr Martin Luther King Jr Drive, Cleveland, MS 38732 · Bolivar County · (662) 843-5347
75 certified beds, about 67 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 255228 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 31, 2025, inspectors cited 7 health deficiencies (the Mississippi average is 6.8, the national average 9.2).
None of its 14 health citations since October 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.29 hours per resident per day, against 4.18 across Mississippi and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.
43.1% of nursing staff left within the year CMS measured (Mississippi average 45.7%).
CMS links it to Nexion Health, an affiliated group of 51 nursing homes.
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.
210/22
309/23
111/23
102/25
707/25
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
0E
1F
Potential for minimal harm
0A
0B
0C
July 31, 2025Standard inspection · 7 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on staff interview, record review, and Payroll-Based Journal (PBJ) staffing data review, the facility failed to submit PBJ data accurately to the Centers for Medicare and Medicaid Services (CMS) for one (1) of four (4) quarters reviewed. 2nd Quarter, 2025 (January 1 through March 31, 2025) Findings Include: Review of the typed statement on facility letterhead dated 7/30/25 and signed by the Administrator (ADM) revealed that the facility did not have a policy on PBJ submission. Record review of the “PBJ Staffing Data Report” revealed the facility triggered for excessively low weekend staffing for the 2nd quarter, 2025 (January 1 through March 31, 2025). During an interview with the ADM on 7/31/25 at 9:00 AM, she acknowledged that the corporate office was responsible for submitting the PBJ information. [...]
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on staff interview and record review, the facility failed to ensure a Discharge Minimum Data Set (MDS) was completed and transmitted within the required timeframes in accordance with the Resident Assessment Instrument (RAI) Manual for one (1) of 21 residents reviewed for MDS assessments. (Resident #58)
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview and record review, the facility failed to accurately complete section N of the Minimum Data Set (MDS) for a resident taking anticoagulant medication for one (1) of five (5) residents reviewed for unnecessary medications.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, staff interviews, record review, and facility policy review, the facility failed to develop a comprehensive care plan for one (1) of the twenty-one resident care plans reviewed. (Resident #36). Findings Include Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered with review date January 2023, revealed, Policy Statement: A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident . On 7/29/2025 at 11:34 AM during an observation and interview with Resident #36, it was noted that the resident had dark facial hair on her upper lip, approximately one-fourth of an inch long, along with sparce hair on her chin. [...]
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident and staff interviews, record review, and facility policy review, the facility failed to provide Activities of Daily Living (ADL) care to maintain personal hygiene for one (1) of four (4) residents reviewed for ADL's. (Resident #36).
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, facility policy review, and record review, the facility failed to ensure medications were securely stored in the medication room for one (1) of four (4) medication storage areas observed in the facility.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, staff interviews, record review, and facility policy review, the facility failed to ensure adaptive equipment was provided to a resident during dining for one (1) of seven (7) residents reviewed for dining. Resident #3 Review of the facility policy titled “Assistance with Meals” reviewed 6/18/25, revealed, “Residents Who May Benefit from Assistive Devices: 1. Adaptive devices (special eating equipment and utensils) will be provided for residents who need or request them .” An observation on 7/28/25 at 6:24 PM of Resident #3 revealed she was lying in bed. She was holding a regular spoon and dipping it into a divided plate that contained remnants of the pureed dinner meal. Record review of the 7/28/25 dinner meal ticket revealed Resident #3 was listed to have a weighted spoon and fork. [...]
February 12, 2025Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on staff interviews, record reviews, and facility policy reviews, the facility failed to ensure that a resident was free from significant medication errors when Licensed Practical Nurse (LPN) #1 failed to administer prescribed antianxiety medications for one (1) of four (4) residents reviewed for medication administration. Resident #1. Based on interviews and record reviews the State Agency (SA) determined that all corrective actions had been implemented as of 11/14/24 and the facility was in compliance on 11/15/24, prior to the SA entrance on 2/12/25. This was cited as Past Non-Compliance. Findings Include: A record review of the facility policy titled Administering Medications with a revision date of April 2019 revealed Medications are administered in a safe and timely manner and as prescribed .22. [...]
November 16, 2023Standard inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, staff interview, record review, and facility policy review the facility failed to safely administer a resident's medication when staff failed to check the five rights of medication administration and sign the medication as administered for two (2) of five (5) residents observed during medication administration observations. (Resident #2 and #54).
September 13, 2023Complaint inspection · 3 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review, staff interview and facility document reveiew the facility failed to notify the Resident Representative (RR) of a change in a medication dosage for one (1) of four (4) residents reviewed for notification.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, staff interview and facility document review the facility failed to provide a clean environment, as evidenced by staff failure to remove soiled items from the shower room for one (1) of two (2) shower rooms observed for cleanliness.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, record review and facility policy review the facility failed to ensure staff administered and removed transdermal Fentanyl patches as ordered for one (1) of four (4) residents reviewed for the use of Fentanyl patches. Resident # 1.
October 28, 2022Standard inspection · 2 citations
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, staff and resident interview, record review and facility policy review the facility failed to provide a clean and sanitary environment and a building in good repair, as evidenced by, urine odors, unclean fall mat and resident room floors for four (4) of 65 residents reviewed. Resident #2, #17, #27, and #33.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, staff and resident interviews, record review and facility policy review, the facility failed provide access to the call light for one (1) of 64 residents observed Resident #2
Fire safety inspections
2 fire safety citations on file: 1 on July 31, 2025, 1 on November 16, 2023.
Every fire safety citation2 citations
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.29 | 4.18 | 3.86 |
| Registered nurses | 0.56 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.03 | 3.50 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 43.1% | 45.7% | 45.8% |
| Registered nurse turnover | 33.3% | 38.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.49 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 3.40 on weekdays and 3.03 on weekends, 11% 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 3.27 in April to June 2025 to 3.29 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 | 3.29 | 0.56 | 3.40 | 3.03 | 0.0% | 0 of 90 | 67 |
| Oct to Dec 2025 | 3.32 | 0.64 | 3.41 | 3.09 | 0.0% | 0 of 92 | 69 |
| Jul to Sep 2025 | 3.17 | 0.71 | 3.25 | 2.95 | 0.0% | 0 of 92 | 68 |
| Apr to Jun 2025 | 3.27 | 0.57 | 3.44 | 2.85 | 0.0% | 0 of 91 | 68 |
| 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 | 16.0 | 20.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.2 | 2.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.8 | 19.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.6 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.7 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 37.9 | 27.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.5 | 15.5 | 12.0 |
Owners and operators
Legal business name: NEXION HEALTH AT CLEVELAND, INC.. CMS links this home to Nexion Health, a group of 51 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nexion Health of Ohi Inc | 5% or greater direct ownership interest | Organization | 100% | 03/29/2018 |
| Nexion Health Leasing, Inc. | 5% or greater indirect ownership interest | Organization | 03/29/2018 | |
| Bolt, Bretton | 5% or greater indirect ownership interest | Individual | 03/29/2018 | |
| Kirley, Francis | 5% or greater indirect ownership interest | Individual | 03/29/2018 | |
| Matthews, Wanda | W-2 managing employee | Individual | 07/01/2018 | |
| Herdrich, William | Corporate director | Individual | 03/29/2018 | |
| Kirley, Francis | Corporate director | Individual | 03/29/2018 | |
| Lee, Brian | Corporate director | Individual | 03/29/2018 | |
| Riner, Meera | Corporate director | Individual | 03/29/2018 | |
| Kirley, Francis | Corporate officer | Individual | 03/29/2018 | |
| Lee, Brian | Corporate officer | Individual | 03/29/2018 | |
| Riner, Meera | Corporate officer | Individual | 03/29/2018 | |
| Nexion Health, Inc. | Operational/managerial control | Organization | 03/29/2018 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 31, 2025: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on July 31, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- 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 September 13, 2023: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- 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 July 31, 2025: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.03 hours per resident per day, below the Mississippi average of 3.50.
Other nursing homes nearby
- Bolivar Medical Center LTC Cleveland, 0.3 mi · 3 of 5 stars · 5 citations
- Cleveland Community Care Center Cleveland, 0.8 mi · 1 of 5 stars · 22 citations
- Walter B Crook Nursing Facility Ruleville, 9.4 mi · 3 of 5 stars · 14 citations
- Ruleville Community Care Center Ruleville, 9.6 mi · 1 of 5 stars · 29 citations
- Diversicare of Shelby Shelby, 14.5 mi · 3 of 5 stars · 11 citations
- Indianola Rehabilitation and Healthcare Center Indianola, 19.9 mi · 1 of 5 stars · 9 citations
- Oak Grove Retirement Home Duncan, 20.7 mi · not rated · 5 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 Delta Rehabilitation and Healthcare Center's Medicare star rating?
- CMS rates Delta Rehabilitation and Healthcare Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Delta Rehabilitation and Healthcare Center get at its last inspection?
- 7 health deficiencies at the standard inspection on July 31, 2025. The Mississippi average is 6.8.
- Has Delta Rehabilitation and Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Delta Rehabilitation and Healthcare Center 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 Delta Rehabilitation and Healthcare Center?
- CMS lists 13 owners and managers, and links the home to Nexion Health. Legal business name: NEXION HEALTH AT CLEVELAND, INC..
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.