Home / Mississippi / Natchez
555 John R. Junkin Drive, Natchez, MS 39120 · Adams County · (601) 442-4396
96 certified beds, about 65 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 255173 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 27, 2025, inspectors cited 13 health deficiencies (the Mississippi average is 6.8, the national average 9.2).
Of 39 health citations since January 2022, 4 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $26,397 in the last three years; the largest was $26,397, and the latest is dated March 27, 2025.
Nurses and nurse aides worked 3.30 hours per resident per day, against 4.18 across Mississippi and 3.86 nationally. Registered nurses accounted for 0.32 of those hours.
58.8% of nursing staff left within the year CMS measured (Mississippi average 45.7%).
CMS links it to Avardis Health, an affiliated group of 38 nursing homes.
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.
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 39 health citations on file.
Inspectors wroteBased on observation, record review, facility policy review and interviews, the facility failed to provide necessary treatment and services to promote the healing of a pressure ulcer and prevent infection for one (1) of three (3) sampled residents with pressure injuries. [...]
Inspectors wroteBased on observation, interview, record review, and facility policy review the facility failed to ensure staff provided incontinent care using proper infection control techniques for one (1) of six (6) sampled residents. Resident #3. Findings Included:Record review of the facility policy titled, Incontinence with a review/revision date of 11/07/25 revealed, .4. Residents that are incontinence of bladder or bowel will receive appropriate treatment to prevent infections. Record review of the Skill Competency Assessment: Perineal Care dated 6/19/25 and signed by Certified Nursing Assistant (CNA) #1 revealed, . Male Resident.b) Wash penis with peri wash (add directly to wash cloth), soap and water or disposable peri-wipes, moving in a circular motion form the tip of the penis using downward strokes.c) Using a fresh wash cloth clean and rinse the scrotal area. 10. [...]
Inspectors wroteBased on observation, record review, facility policy review and interviews, the facility failed to prevent the potential for spread of infections as evidenced by not implementing Enhanced Barrier Precautions (EBP) during wound care for one (1) of three (3) sampled residents with pressure injuries. [...]
Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to ensure the resident's right to receive visitors of her choosing for one (1) of five (5) residents sampled for resident rights. Resident #1.
Inspectors wroteBased on record review and interviews the facility failed to maintain medical records on each resident in accordance with accepted professional standards and practices that were accurately documented for one (1) of eight (8) sampled residents. Resident #1.
Inspectors wroteBased on observation, interviews, record reviews, and policy review, the facility failed to develop and implement comprehensive, resident-centered care plan interventions for one (1) of (20) residents reviewed for care plans, Resident #33.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to follow physician orders and professional standards of practice related to wound care, as evidenced by wounds not being cleansed and dried according to physician orders, pain not being managed during treatment, and all treatment orders not being completed, resulting in inadequate wound care for a resident with multiple pressure ulcers for one (1) of two (2) residents observed for wound care (Resident #33)
Inspectors wroteBased on observation, interview, and record review, the facility failed to manage pain for residnets when the facility failed to ensure pain medication was administered prior to wound care for Resident #33, resulting in the resident exhibiting signs of pain during the procedure and failed to ensure ordered pain medication was available for Resident #169, resulting in unaddressed pain and a lack of adequate symptom control for two (2) of 20 sampled residents.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure residents' rights to a clean, safe, homelike environment for three (3) of (20) sampled residents, as evidenced by unclean floors and bathrooms in resident rooms (Resident #11 and Resident #44) and improper handling of personal belongings (Resident #60).
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure the facility had adequate supplies for residents for four (4) of (20) sampled residents, with the potential to affect all residents in the facility. (Residents #13, #34, #41, #60)
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to complete a Significant Change in Status Assessment (SCSA) after a return from the hospital with a newly inserted PEG (Percutaneous Endoscopic Gastrostomy) tube and a Stage IV sacral pressure ulcer for one (1) of (20) sampled residents, Resident #33.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to accurately complete the Minimum Data Set (MDS) resident assessment, as evidenced by Resident #47 was coded for enteral feeding incorrectly and Resident #7 was not accurately coded as having a diagnosis of schizophrenia for two (2) of (20) sampled residents. Findings Include: A review of the facility's MDS policy, revision date 9/25/2017, revealed, .The center conducts initial and periodic standardized, comprehensive and reproducible assessments no later than every three months for each resident including, but not limited to, the collection of data regarding functional status, strengths, weaknesses and preferences using the federal and or/state required RAI (Resident Assessment Instrument) . [...]
Inspectors wroteBased on interviews, record reviews, and a review of the facility's policy, the facility failed to complete a Pre-admission Screening (PAS) accurately for a resident with a diagnosis of Schizophrenia on admission for one (1) of two (2) sampled residents for Preadmission Screening and Resident Review (PASRR) Level II. Resident #7.
Inspectors wroteBased on interviews, record reviews, and facility policy review, the facility failed to send a Status Change for Preadmission Screening and Resident Review (PASRR) after a resident was admitted to an inpatient behavioral health unit for one (1) of two (2) sampled residents reviewed for PASRR, Resident #7.
Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to implement the baseline care plan related to pain medications for one (1) of (1) residents reviewed for baseline care plan implementation. (Resident #169).
Inspectors wroteBased on interview, observation, and record review, the facility failed to adhere to accepted standards of practice for the timely replacement of oxygen tubing for one (1) of four (4) residents observed with oxygen in use, Resident #18.
Inspectors wroteBased on staff interviews, record reviews, facility policy review and Plan of Correction (POC) review, the facility failed to sustain an effective Quality Assurance and Performance Improvement (QAPI) program, as evidenced by repeat deficiencies originally cited during the recertification survey conducted on 03/07/2024, for three (3) of (17) deficiencies cited on the current recertification survey.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to implement appropriate infection prevention and control practices during medication administration for one (1) of one (1) medication pass observations (Resident #169).
Inspectors wroteBased on interviews and record review, the facility failed to ensure the presence of a Registered Nurse (RN) for at least eight (8) hours a day, seven (7) days a week as required, for eight (8) of (19) days reviewed.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to ensure a resident's right to dignity and communication by not providing an accessible call light for one (1) of twenty (20) sampled residents (Resident #169).
Inspectors wroteBased on observation, interviews, record reviews, and facility policy review, the facility failed to provide a resident who was unable to carry out activities of daily living (ADLs) with the necessary services to maintain good grooming and personal and oral care for one (1) of (20) sampled resident reviewed for personal hygiene and grooming, Resident #67.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide sufficient nursing staff to meet the needs of the residents for one (1) of (20) sampled residents, with the potential to affect all residents, Resident #67.
Inspectors wroteBased on observation, interviews, record review, and review of the Facility Assessment Tool, the facility failed to provide sufficient nursing staffing resulting in incontinent care, grooming, and baths not being provided for six (6) of 18 sampled residents. Resident #15, Resident #20, Resident #40, Resident #44, Resident #57, and Resident #59.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to provide accommodation for a resident who required a larger bed for one (1) of 18 sampled residents. Resident #57 Findings Include: On 03/05/24 at 09:50 AM, in an interview and observation of Resident #57, she stated she needed a bigger bed because it was difficult for her to turn or reposition in bed. She explained that she had reported her needs to the facility staff, but nothing had been done about it. Record review of the admission Record' revealed the facility admitted Resident #57 on 7/20/23 and she had current diagnoses including Morbid (Severe) Obesity. Record review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/23/24 revealed Resident #57 had a Brief Interview for Mental Status (BIMS) score of 15 which indicated she was cognitively intact. [...]
Inspectors wroteBased on resident and staff interviews, record review, and facility policy review, the facility failed to ensure the residents' right to receive mail when delivered on Saturday for two (2) of 11 residents reviewed in resident council. This had the potential to affect all 60 residents who reside in the facility.
Inspectors wroteBased on staff interview, record review, and facility policy review, the facility failed to provide advanced beneficiary notices for a resident who had completed therapy services for one (1) of three (3) residents reviewed for advanced beneficiary notices. Resident #55 Findings Include: [...]
Inspectors wroteBased on staff interview, record review, and facility policy review, the facility failed to provide written notification to the resident and/or Responsible Representative (RR) the reason for a transfer to an acute hospital in a language they understand for one (1) of one (1) resident reviewed for hospitalization.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to accurately code a Minimum Data Set (MDS) related to a resident who smokes for one (1) for 18 sampled residents.
Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to develop a comprehensive care plan for a resident with Post Traumatic Stress Disorder (PTSD) for one (1) of 18 sampled residents.
Inspectors wroteBased on observation, interviews, record review, and the facility policy review, the facility failed to ensure residents who were dependent on staff for Activities of Daily Living (ADL), including shaving, received those services for one (1) of 18 sampled residents.
Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to ensure triggers and resident specific interventions were identified and initiated for a resident with Post Traumatic Stress Disorder (PTSD) for one (1) of 18 sampled residents.
Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to ensure a resident was treated with dignity and respect for one (1) of 18 sampled residents.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure a resident was transported in the facility van in a safe manner. Resident #1's wheelchair tilted causing a fall during transport, resulting in injury for one (1) of five (5) residents reviewed for accidents. Resident #1.
Inspectors wroteRevised 4/6/22 Upon secondary review with Centers for Medicare and Medicaid Services (CMS) Regional Office staff and State Quality Assurance, the State Survey Agency (SSA) determined the scope and severity of F565 was increased from a D to an E. Based on resident and staff interviews, a test meal tray, record review, and facility policy review, the facility failed to ensure Resident Council grievances related to food were resolved in a timely manner. This affected eight (8) of (52) residents who resided in the facility. Resident #18, Resident #19, Resident #22, Resident #23, Resident #27, Resident #32, Resident # 34, and Resident #37. Findings Include: The facility's grievance policy titled, Complaint/Grievances, dated 11/30/2014, revealed prior to or upon admission the resident's designated person will be informed of the right to file and the procedure for filing a complaint. [...]
Inspectors wroteRevised 4/6/22 Upon secondary review with Centers for Medicare and Medicaid Services (CMS) Regional Office staff and State Quality Assurance, the State Survey Agency (SSA) determined the scope and severity of F804 was increased from a D to an E. Based on observation, resident interview, staff interview, a test meal tray, written grievances review, record review and facility policy review, the facility failed to serve food that was palatable and at an appetizing temperature to eight (8) of (52) residents reviewed for food palatability. Resident #18, Resident #19, Resident #22, Resident #23, Resident #27, Resident #32, Resident #34, and Resident #37.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to provide a written notice of transfer to the Resident Representative (RR) for two (2) of two (2) residents reviewed. Resident #5 and Resident #24.
Inspectors wroteBased on staff interview, record review and facility policy review, the facility failed to maintain accurate Minimum Data Set (MDS) assessments for four (4) of 21 MDS reviewed. Resident #2, #3, #23, and #48.
Inspectors wroteBased on observation, staff interview, record review and facility procedure review, the facility failed to properly clean a wound for one (1) of one (1) wound care observations. Resident # 205. Findings Include: Review of the facility's procedure, Dressings, Dry/Clean, undated, revealed Steps in the Procedure .15. clean from the least contaminated area to the most contaminated area (usually from the center outward) . On 1/19/22 at 3:45 PM, during an observation of wound care for Resident #205, Registered Nurse (RN) #1 did not wash or sanitize her hands between changing her gloves after she had removed the soiled dressing and before she cleaned the wound. RN #1 cleaned the wound bed by using moistened gauze in a circular motion beginning from the outer portion of the wound bed moving toward the center of the wound. [...]
Inspectors wroteBased on observation, staff interview, record review and facility policy review, the facility failed to ensure staff followed infection control measures during wound care for one (1) of one (1) resident observed for wound care. Resident # 205. Findings Include: Review of the facility's policy tilted, Policies and Practices - Infection Control, with a revision date of 10/2018, revealed Policy Statement: This facility's infection control policies and practices are intended to facilitate maintaining a safe sanitary, comfortable environment to help prevent and manage transmission of disease and infection . Review of the facility's Policies and Procedures, dated 11/30/2014 revealed Subject: Handwashing .Policy: An essential component of infection control is handwashing . [...]
1 fire safety citation on file: 1 on January 20, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| March 27, 2025 | Fine | $26,397 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.30 | 4.18 | 3.86 |
| Registered nurses | 0.32 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.14 | 3.50 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 0.96 | ||
| Nursing staff turnover (share who left in a year) | 58.8% | 45.7% | 45.8% |
| Registered nurse turnover | 71.4% | 38.5% | 42.9% |
| Administrators who left | 3 |
CMS expects 2.93 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.36 on weekdays and 3.14 on weekends, 7% 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 3.63 in April to June 2025 to 3.30 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 | 3.30 | 0.32 | 3.36 | 3.14 | 0.0% | 0 of 90 | 65 |
| Oct to Dec 2025 | 3.34 | 0.32 | 3.42 | 3.13 | 0.0% | 0 of 92 | 63 |
| Jul to Sep 2025 | 3.20 | 0.26 | 3.26 | 3.06 | 0.0% | 0 of 92 | 61 |
| Apr to Jun 2025 | 3.63 | 0.32 | 3.91 | 2.95 | 0.0% | 0 of 91 | 61 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Mississippi, all employers | |||
| CNAs (nursing assistants) | $15.15 | $14.19 to $16.92 | 14,200 |
| LPNs and LVNs | $24.14 | $22.50 to $27.90 | 9,850 |
| Registered nurses | $37.06 | $31.22 to $40.62 | 29,060 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 22.6 | 20.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 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 | 1.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.2 | 2.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.3 | 19.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.3 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 30.7 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.2 | 27.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.3 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Grand Trace Health and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (36.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
36.6% this home
No different from the national rate
US median of homes 51.5% · Mississippi: 21 better, 14 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 26 eligible stays.
10.6% this home
No different from the national rate
US median of homes 10.7% · Mississippi: 1 better, 10 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 48 eligible stays.
8.8% this home
No different from the national rate
US median of homes 7.1% · Mississippi: 1 better, 3 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 25 eligible stays.
56.8% this home
Median of homes: Mississippi52.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 37 residents counted.
0.0% this home
Median of homes: Mississippi0.7% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 61 residents counted.
7.5% this home
Median of homes: Mississippi2.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 61 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Mississippi98.3% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 9 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: 555 JOHN R JUNKIN DRIVE OPCO LLC. CMS links this home to Avardis Health, a group of 38 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Natchez Parentco LLC | Direct ownership interest | Organization | 06/01/2025 | |
| Adams Holdco LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| Msop Holdco LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| Nu C II Irrevocable Trust | Indirect ownership interest | Organization | 06/01/2025 | |
| Nu C Irrevocable Trust | Indirect ownership interest | Organization | 06/01/2025 | |
| SNF Care Centers LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| Zenith Holdco II LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| Zenith Holdco LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| Fc Encore Natchez, LLC | 5% or greater security interest | Organization | 05/01/2025 | |
| Hoback, Tiffany | Managing control - governing body | Individual | 05/01/2025 | |
| Thomas, John | Managing control - governing body | Individual | 05/01/2025 | |
| SNF Mgr LLC | Operational/managerial control | Organization | 05/01/2025 | |
| Borum, Charles | Operational/managerial control | Individual | 05/01/2025 | |
| Hoback, Tiffany | Operational/managerial control | Individual | 05/01/2025 | |
| Jones, Tequilla | Operational/managerial control | Individual | 05/01/2025 | |
| Mize, Gary | Operational/managerial control | Individual | 01/26/2026 | |
| Thomas, John | Operational/managerial control | Individual | 05/01/2025 | |
| Fc Encore Natchez, LLC | Adp of the SNF | Organization | 05/01/2025 | |
| SNF Mgr LLC | Adp of the SNF | Organization | 04/14/2025 | |
| Borum, Charles | Adp of the SNF | Individual | 05/01/2025 | |
| Hoback, Tiffany | Adp of the SNF | Individual | 05/01/2025 | |
| Jones, Tequilla | Adp of the SNF | Individual | 05/01/2025 | |
| Mize, Gary | Adp of the SNF | Individual | 01/26/2026 | |
| Thomas, John | Adp of the SNF | Individual | 05/01/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Mississippi. NursingHomeClear cannot take or act on complaints.