Home / Mississippi / Union
101 Kirkland Street, Union, MS 39365 · Neshoba County · (601) 774-8233
60 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 255260 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 5, 2024, inspectors cited 7 health deficiencies (the Mississippi average is 6.8, the national average 9.2).
None of its 25 health citations since January 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 3.49 hours per resident per day, against 4.18 across Mississippi and 3.86 nationally. Registered nurses accounted for 1.42 of those hours.
44.8% 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 25 health citations on file.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to provide adequate supervision to prevent a cognitively impaired resident with a history of wandering from exiting the facility unattended for one (1) of three (3) residents reviewed for elopement risk, Resident #1. Findings Included:Record review of facility policy titled, Missing Patient/Resident, revealed An elopement occurs when a patient/resident leaves the premises or a safe area without authorization and/or any necessary supervision to do so, placing the patient/resident at risk of harm or injury. Record review of the facility investigation revealed on 3/22/26 at approximately 1:09 PM, a visitor observed Resident #1 standing near the front door. The visitor exited the facility and did not realize the resident followed him outside. [...]
Inspectors wroteBased on observations, staff and resident interviews, record review and facility policy review, the facility failed to provide an activities program seven (7) days a week as evidenced by a lack of structured activities on weekends for five (5) of six (6) residents at the Resident Council meeting, with the potential to affect all residents. Resident #8, #13, #36, #37 and #40. Findings Included: A record review of a facility policy, titled Group Activities with no revision date revealed Group activities are scheduled to enhance the resident's well-being and self-esteem . During a Resident Council meeting on 12/4/24 at 9:45 AM, Residents #8, #13, #36, #37, and #40 stated that church services are provided on Sundays, but no other activities occur on the weekends. [...]
Inspectors wroteBased on observation, resident and staff interview, and facility policy review, the facility failed to provide a resident with a clean, comfortable, and homelike environment when the facility failed to change the dirty, stained linen for (1) one of 53 residents' bed linens observed.
Inspectors wroteBased on staff interview, record review, and Resident Assessment Instrument (RAI) review, the facility failed to ensure that Minimum Data Set (MDS) was coded accurately for one (1) of 18 sampled residents. Resident #5.
Inspectors wroteBased on staff interview, record review, and facility policy review, the facility failed to accurately submit a resident's information for Preadmission Screening and Resident Review (PASRR) for a Level II evaluation for (1) one of (4) four residents reviewed for PASRR.
Inspectors wroteBased on observations, resident and staff interviews, record reviews, professional standards of practice, and facility policy review the facility failed to provide Peripherally Inserted Central Catheter (PICC) care for one (1) of four (4) residents with intravenous access. Resident #10.
Inspectors wroteBased on observation, resident and staff interview, record review and facility policy review, the facility failed to ensure that medications were securely stored as evidenced by medications observed on the bedside table for two (2) of 53 residents reviewed. Resident #13 and #22. Findings Include: Review of the facility policy titled, Medication and Medication Supply Storage and Disposal, with no revision date revealed, Central storage of medications is required for prescription, prescribed over-the-counter medications .Will be kept in a locked area .Procedure :1.) Storage is required for the following situations and will be locked with limited access: If the facility administers or assists with self-administration of medication . Resident # 13 An observation on 12/2/24 at 2:30 PM revealed a bottle of Travoprost 0.004% eye drops sitting on Resident #13's overbed table. [...]
Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to prevent the possible transmission of infections when staff failed to use enhanced barrier precautions (EBP) during catheter care for one (1) one of (4) four direct care areas observed. (Resident #12)
Inspectors wroteBased on observations, resident and staff interviews, and facility policy review the facility failed to maintain an effective pest control program to prevent flying insects for four (4) of four (4) survey days. Findings Included: Record review of the facility policy titled Pest Control with an effective date of 11/30/2014 revealed under, Policy: The facility will maintain a pest control program, which includes inspection, reporting, and prevention. Also revealed under, Procedure: . 3. Treatment will be rendered as required to control insects and vermin. 4. Any unusual occurrence or sighting of insects should be reported immediately to the Supervisor (See policy- Maintenance Repair Request Form). Proper action will be taken . [...]
Inspectors wroteBased on observations, resident and staff interviews, record review and facility policy review the facility failed to maintain a clean environment that was free of odors as evidenced by dirty walls and siderails and provide a sufficient supply of clean linen for two (2) of four (4) survey days.
Inspectors wroteBased on observations, resident and staff interviews and record review the facility failed to provide sufficient staff to provide the care needed to the individual residents for two (2) of four (4) days of survey. Findings Include: Review of the typed statement on facility letterhead dated August 2, 2023, and signed by the Administrator revealed, . (Proper Name of Facility) does not have a policy on staffing. Facility Staffing is based off of the acuity of the residents as described in the Facility Assessment. Review of the typed statement on facility letterhead revealed the facility does not have a policy on answering of call lights and was signed by the Administrator. Resident #46 An observation and interview on 07/31/23 at 11:05 AM with Resident #46 revealed a strong urine odor in the room. [...]
Inspectors wroteBased on observation, resident and staff interview, record review and facility policy review the facility failed to honor the choice of a resident to get up early for one (1) of 23 residents in the sample. Resident #36 Findings Include: Record review of the facility policy titled, Policies and Procedures: Resident and Patient Rights with a revision date of 09/01/2017 revealed, Policy .It is the policy of the company that all employees will conduct themselves in a professional manner at all times, respecting the rights of each resident or patient to privacy, personal care, self-respect and confidentiality . An observation and interview on 07/31/23 at 12:43 PM, with Resident #36 revealed he was sitting up in his wheelchair in his room and the resident revealed that this facility needs staff bad. Resident #36 stated they do not have enough people to take care of us. [...]
Inspectors wroteBased on observations, resident and staff interviews, record review and facility policy review, the facility failed to resolve a grievance in a timely manner for one (1) of six (6) residents reviewed for bathing, Resident #49, and foul odors inside the facility for five (5) of 12 residents reviewed during resident council. Resident #9, Resident #14, Resident #28, Resident #41, Resident #53. Findings Include: Record review of the facility policy titled Complaint/Grievance with a revision date of 10/24/22 revealed, under, Policy: The center will support each resident's right to voice a complaint/grievance without fear of discrimination or reprisal. The center will make prompt efforts to resolve the complaint/grievance and informed the resident of progress towards resolution. [...]
Inspectors wroteBased on staff interview, record review, and facility policy review the facility failed to correctly code a Minimum Data Set (MDS) related to weight loss for one (1) of 23 MDS records reviewed. Resident #11.
Inspectors wroteBased on staff interview, record review and facility policy review the facility failed to develop a person-centered care plan for a resident receiving oxygen for Resident #23 & Resident #106, and a resident's choice for Resident #36. The facility failed to implement a person-centered care plan for resident's dependent on staff for their Activities of Daily Living (ADL) for Resident #22, Resident #35, and Resident #44 and for a resident requiring a splint Resident #29 for seven (7) of 23 residents reviewed for care plans.
Inspectors wroteBased on observations, resident and staff interviews, record review and facility policy review the facility failed to shave, clean and trim nails and bath residents that were dependent on staff for their Activities of Daily Living (ADL) for five (5) of 59 residents reviewed on the initial tour. Resident #22, Resident #35, Resident #38, Resident #44, and Resident 49.
Inspectors wroteBased on observations, staff interview, record review and facility policy review the facility failed to apply a splint to a resident as ordered for one (1) of 16 residents reviewed with contractures.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to post oxygen in use signage on the door for two (2) of 11 residents receiving respiratory care.
Inspectors wroteBased on observation, staff and resident interview and record review, the facility failed to store oxygen tubing in a bag to prevent the possibility of contamination and infection for two (2) of 12 resident receiving respiratory treatments. Resident #23 and Resident #106.
Inspectors wroteBased on observations, staff interviews, record review and facility policy review, the facility failed to provide a safe and clean environment for preparation and storage of food and ice for two (2) of three (3) kitchen tours.
Inspectors wroteBased on observation, staff interviews, record review and facility policy review the facility failed to prevent the possible spread of infection as evidenced by failure to conduct hand hygiene during meal tray distribution and properly clean and disinfect a multiple use blood pressure cuff and an oxygen saturation monitor in between uses. This occurred on two (2) of (2) hallways. Findings Include: Review of the facility's policy titled, Infection Control, with a revision date of October 2018 revealed under the policy statement, This facility's infection control policies and practices are intended to facilitate maintaining a safe, sanitary and comfortable environment and to help prevent and manage transmission of diseases and infections. [...]
Inspectors wroteBased on observations, staff interviews and facility policy review, the facility failed to maintain an environment that was clean and free of odors for two (2) of three (3) days of survey.
Inspectors wroteBased on observation, staff and resident interview, record review and facility policy review, the facility failed to provide Activities of Daily Living (ADL) care for dependent residents as evidenced by long facial and neck hair and long fingernails for two (2) of 24 residents reviewed. Resident #1 and Resident #1. Findings Include: Review of the facility policy titled, Care of Nails with a revision date of 9/1/2017, revealed under, Procedure: trim fingernails and clean nails. Resident #11 An observation on 01/04/22 at 01:12 PM, revealed Resident # 11's hair was disheveled with long hair on the face and neck. Fingernails were long with a brown substance under one nail. An interview on 01/04/22 at 1:15 PM with Resident #11 confirmed that he wants a shave and his nails trimmed. [...]
Inspectors wroteBased on observations, staff interview, record review and facility policy review the facility failed to properly label, date and store oxygen nebulizer mask and oxygen (O2) tubing to prevent contamination for two (2) of 12 residents receiving oxygen therapy. Resident #35 and Resident #99.
Inspectors wroteBased on observation, record review, staff and resident interview and facility policy review, the facility failed to ensure that the call system was working for Resident # 8 for one (1) of 60 resident call lights in the facility.
1 fire safety citation on file: 1 on August 3, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.49 | 4.18 | 3.86 |
| Registered nurses | 1.42 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.04 | 3.50 | 3.42 |
| Nurse aides | 1.86 | ||
| Licensed practical nurses | 0.20 | ||
| Nursing staff turnover (share who left in a year) | 44.8% | 45.7% | 45.8% |
| Registered nurse turnover | 12.5% | 38.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.14 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 3.67 on weekdays and 3.04 on weekends, 17% 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 3.61 in April to June 2025 to 3.49 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 | 3.49 | 1.42 | 3.67 | 3.04 | 0.0% | 0 of 90 | 55 |
| Oct to Dec 2025 | 3.54 | 1.35 | 3.70 | 3.12 | 0.0% | 0 of 92 | 53 |
| Jul to Sep 2025 | 3.60 | 1.35 | 3.81 | 3.07 | 0.0% | 0 of 92 | 53 |
| Apr to Jun 2025 | 3.61 | 1.15 | 3.86 | 2.99 | 0.0% | 0 of 91 | 55 |
| 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.
| 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 | 17.6 | 20.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.3 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.9 | 2.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.9 | 19.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.0 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.9 | 27.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.2 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 2.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.9 | 2.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Hilltop Manor Health and Rehabilitation Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 18 eligible stays.
10.7% 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. 39 eligible stays.
7.5% 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. 32 eligible stays.
29.6% 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. 44 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. 72 residents counted.
1.0% 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. 72 residents counted.
91.3% this home
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. 23 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: 101 KIRKLAND STREET OPCO LLC. CMS links this home to Avardis Health, a group of 38 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| North of Decatur Parentco LLC | Direct ownership interest | Organization | 06/01/2025 | |
| Msop Holdco LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| Neshoba 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 Union LLC | 5% or greater security interest | Organization | 05/01/2025 | |
| Hoback, Tiffany | Managing control - governing body | Individual | 05/01/2025 | |
| SNF Mgr LLC | Operational/managerial control | Organization | 05/01/2025 | |
| Hoback, Tiffany | Operational/managerial control | Individual | 05/01/2025 | |
| Jones, Tequilla | Operational/managerial control | Individual | 05/01/2025 | |
| Pace-Kilpatrick, Melisa | Operational/managerial control | Individual | 04/27/2026 | |
| Perry, William | Operational/managerial control | Individual | 05/01/2025 | |
| Tate, Crystal | Operational/managerial control | Individual | 05/01/2025 | |
| Thomas, John | Operational/managerial control | Individual | 05/01/2025 | |
| Fc Encore Union LLC | Adp of the SNF | Organization | 05/01/2025 | |
| SNF Mgr LLC | Adp of the SNF | Organization | 04/17/2025 | |
| Hoback, Tiffany | Adp of the SNF | Individual | 05/01/2025 | |
| Jones, Tequilla | Adp of the SNF | Individual | 05/01/2025 | |
| Pace-Kilpatrick, Melisa | Adp of the SNF | Individual | 04/27/2026 | |
| Perry, William | Adp of the SNF | Individual | 05/01/2025 | |
| Tate, Crystal | Adp of the SNF | Individual | 05/01/2025 | |
| 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.