Home / Mississippi / Ripley
103 Cunningham Drive, Ripley, MS 38663 · Tippah County · (662) 837-3062
60 certified beds, about 49 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 255247 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 4, 2025, inspectors cited 7 health deficiencies (the Mississippi average is 6.8, the national average 9.2).
None of its 22 health citations since February 2023 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 3.71 hours per resident per day, against 4.18 across Mississippi and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
46.8% of nursing staff left within the year CMS measured (Mississippi average 45.7%).
CMS links it to Vanguard Healthcare, an affiliated group of 6 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 22 health citations on file.
Inspectors wroteBased on resident and staff interview, record review, and facility policy review, the facility failed to ensure a resident's right to be treated with dignity and respect was honored for one (1) of three (3) residents sampled. Resident #1. [...]
Inspectors wroteBased on observation, staff interviews, record review and facility policy review, the facility failed to ensure the residents' environment was maintained in a homelike and sanitary manner as evidenced by the presence of a black substance in the grout lines of the shower stall wall tile, missing wall paint behind beds (Resident #17 and Resident #27) and torn bathroom flooring (Resident #4) for four (4) of 35 resident and facility rooms observed. The facility received F584 on the last annual survey therefore the scope and severity was raised to E. Findings Include: Review of the facility policy titled “Shower and Tub Room Cleaning” revised 1/16 revealed under, “Procedure Description: This procedure will remove soap scum, dirt and debris from these areas providing a safe and sanitary place for the residents to bathe.” Also revealed under, “Procedure: … 2. [...]
Inspectors wroteBased on observation, resident and staff interviews, record review, and facility policy review, the facility failed to develop the comprehensive care plan for one (1) of 18 sampled residents. (Resident #17) F656 was cited during the last annual survey, therefore the scope and severity was raised to E.
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 18 sampled residents. (Resident #17) F677 was cited during the last annual survey, therefore the scope/severity was raised to E.
Inspectors wroteBased on observation, record review, facility policy review and staff interview, the facility failed to implement Enhanced Barrier Precautions (EBPs) as per Centers for Disease Control (CDC) and Centers for Medicare and Medicaid Services (CMS) guidelines for one (1) of one (1) resident (Resident #16) observed during Percutaneous Endoscopic Gastrostomy (PEG) medication administration. The nurse did not don appropriate personal protective equipment (PPE) before handling the PEG tube, creating the potential for cross-contamination and infection spread. F880 was cited during the last annual survey, therefore the scope and severity was raised to E. [...]
Inspectors wroteBased on observation, record review, staff and family interviews, record review, and facility policy review the facility failed to identify a bed rail as a physical restraint, failed to accurately assess the resident for the use of a bed rail, and failed to ensure that the bed rail did not pose a risk of injury from falls for one (1) of 18 sampled residents. Resident #35Findings Include: Review of the facility policy titled Physical Restraints revealed under, Physical Restraint Standards: The goal of this facility is to ensure that each resident attains and maintains his/her highest practical level of function and well-being in an environment that limits restraint use to circumstances in which the medical symptoms of the resident warrant the use of the least restrictive restraint . [...]
Inspectors wroteBased on record review, staff interviews, and facility policy review, the facility failed to timely complete quarterly minimum data sets (MDS) within the time frame specified by Centers for Medicare and Medicaid Services (CMS) for three (3) of 21 minimum data sets reviewed. Resident #20, #41, #53Findings Include: Review of the facility policy titled “MDS/RAI (Resident Assessment Instrument) Standard” unrevised, revealed under, “Standard: This facility makes a comprehensive assessment of each resident’s needs, strengths, goals, life history and preferences using the RAI specified by CMS.” Resident #20 Record review of Resident #20’s Quarterly MDS with an Assessment Reference Date (ARD) of 7/26/25 revealed under section Z0500, the assessment had not been completed. [...]
Inspectors wroteBased on record review, staff interviews, and facility policy review, the facility failed to timely encode and transmit a discharge Minimum Data Set (MDS) as required by the Centers for Medicare and Medicaid Services (CMS) guidelines for one (1) of twenty-one (21) MDS reviewed. Resident #58. Findings Include:Review of the facility policy titled MDS/RAI (Resident Assessment Instrument) Standard unrevised, revealed under, Standard: This facility makes a comprehensive assessment of each resident's needs, strengths, goals, life history and preferences using the resident assessment instrument (RAI) specified by CMS.Record review of Resident #58's Discharge MDS with an Assessment Reference Data (ARD) of 6/6/25 revealed under section Z0500, an assessment completion date of 8/6/25, which indicated the assessment was completed late. [...]
Inspectors wroteBased on staff and resident interview, record review, and facility policy review, the facility failed to ensure each resident was treated with dignity and respect for seven (7) of 16 residents sampled. Residents #3, #4, #5, #6, #7, #9, and #10.
Inspectors wroteBased on observation, staff interview, record review and facility policy review the facility failed to prevent the possibility of accidents and hazards for a resident who was an elopement risk by failing to monitor placement and function of a wander guard (Resident #1) and failure to secure smoking supplies for one (1) of three (3) days of survey. Findings Include Record review of the facility policy titled, Wandering/Elopement Risk with a revision date of 11/2017 revealed STANDARD It is the standard of this facility to identify those residents at risk for wandering/elopement and to take the appropriate steps to minimize the risk of elopement . The facility shall establish and utilize a systematic approach to monitoring and managing residents at risk for elopement or unsafe wandering . [...]
Inspectors wroteBased on record review and staff interview, the facility's Quality Assessment and Assurance Committee (QAA) failed to maintain implemented procedures and monitor the interventions the committee put in place following the recertification survey of 2/2/2023. This was for a deficiency recited during a recertification and complaint survey on 4/23/2024 in the area of F695 Respiratory/Tracheostomy Care and Suctioning. The continued failure of the facility during two State Surveys of record shows a pattern of the facility to sustain an effective QAA program. This was for one (1) of eight (8) deficient practice citations. Findings Included: This citation is cross-referenced to: F695 Review of the facility policy titled Quality Assurance and Performance Improvement with a revision date of 8/2023 revealed Standard: [...]
Inspectors wroteBased on observation and staff and resident interviews the facility failed to provide a safe clean environment as evidenced by a wheelchair with a torn armrest, a dirty oxygen concentrator, an overbed table with tattered and torn edging and overbed tables with a thick black substance on the metal base for three (3) of 44 residents rooms observed. Resident #13, Resident #31, and Resident #39
Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to implement a comprehensive care plan for a resident with an elopement bracelet (Resident #1) and a resident requiring nail care (Resident #24) for two (2) of 15 sampled residents reviewed during survey. Findings Include: Review of the facility policy titled Comprehensive Care Plan with a revision date of 3/2019 revealed under, Standard: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment. Record review of Resident #1's Care Plans, undated revealed Focus: [...]
Inspectors wroteBased on observation, resident and staff interview, and facility policy review, the facility failed to perform nail care for a resident that needed assistance, as evidence by long thick fingernails for one (1) of two (2) residents reviewed for activities of daily living (ADLs). Resident #24 Findings Include: Review of the facility policy titled Care of Fingernails/Toenails with a revision date of 06/2022 revealed under, Purpose: The purpose of this procedure is to clean the nail bed, to keep nails trimmed and to prevent infections. Nail care includes cleaning and trimming as needed. Proper nail care can aid in the prevention of skin problems around the nail bed. Trimmed and smooth nails prevent the resident from accidentally scratching and injuring his/her skin (unless medically contraindicated). [...]
Inspectors wroteBased on observation, resident and staff interview, record review, and facility policy review, the facility failed to provide appropriate care and services for respiratory care, as evidenced by, failing to label and store an aerosol nebulizer mask device for one (1) of three (3) nebulizers in the facility. Resident #28 Findings Include: This citation is cross reference to: F867 Record review of the facility policy titled Respiratory System Management with a revision date of 1/2003 revealed Procedure, In Order: . 17. Rinse the nebulizer and mouthpiece. Shake to air dry and store in a plastic bag that is labeled with the resident's name and room number. Nebulizer and mouth piece may also be stored in the machine if storage shelf is available. 18. Change nebulizer set up-weekly. [...]
Inspectors wroteBased on observation, resident and staff interview, record review, and facility policy review, the facility failed to ensure medications were stored appropriately and not left in the resident's room for one (1) of 15 sampled residents.
Inspectors wroteBased on observation, staff interviews, and facility policy review, the facility failed to prevent the possibility of the spread of infection as evidenced by failing to utilize proper hand hygiene and maintaining a clean barrier for one (1) of five (5) care observations.
Inspectors wroteBased on observation, staff and resident interview, record review and facility policy review, the facility failed to resolve resident's grievances regarding allegations of verbal abuse from the staff for five (5) of 10 residents reviewed for unresolved grievances. Residents #1, Resident #2, Resident #5, Resident #6 and Resident #7. Findings Include: Review of the facility policy titled Grievance/Concern/Comments with a revision date of 12/2021 revealed under Standard .Residents and their family members may voice grievances to the facility or other agency/entity that hears grievances without discrimination or reprisal and without fear of discrimination or reprisal The facility will make prompt efforts to resolve grievances. [...]
Inspectors wroteBased on observation, staff and resident interview, record review and facility policy review, the facility failed to ensure residents were free from verbal abuse for five (5) of 10 residents reviewed for abuse. Residents #1, Resident #2, Resident #5, Resident #6 and Resident #7. Findings Include Review of the facility policy titled, Freedom of Abuse, Neglect and Exploitation with a revision date of 11/2019 revealed .Standard Statement : This facility shall not condone any acts of resident mistreatment, neglect, verbal, .or mental abuse . Resident #1 An observation and interview on 2/7/24 at 7:40 PM, with Resident #1 revealed there was one Certified Nurse Assistant (CNA) that had talked ugly to her and other residents. She stated one night recently she was sleeping, and her arm hit the top of her overbed table and knocked a drink off and spilled it on the floor. [...]
Inspectors wroteBased on observations, staff interviews, record review and facility policy review, the facility failed to ensure items in the kitchen refrigerator and freezer were dated and labeled for one (1) of three (3) dietary observations.
Inspectors wroteBased on observations, resident and staff interviews, record review, and facility policy review, the facility failed to ensure the accommodation of a resident's needs were met as evidenced by the absence of a full lift sling pad to utilize in a transfer of a resident from bed to chair for one (1) of five (5) residents that required full lift sling pads.
Inspectors wroteBased on observations, staff interviews, and facility policy review, the facility failed to prevent possible contamination as evidenced by failure to properly store nebulizer and oxygen cannula in a manner to prevent bacteria growth for four (4) of ten (10) residents receiving respiratory services. Resident #3, Resident #4, Resident #12, Resident#30.
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) | 3.71 | 4.18 | 3.86 |
| Registered nurses | 0.44 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.24 | 3.50 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 1.37 | ||
| Nursing staff turnover (share who left in a year) | 46.8% | 45.7% | 45.8% |
| Registered nurse turnover | 60.0% | 38.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.17 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 3.90 on weekdays and 3.24 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.33 in April to June 2025 to 3.71 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 | 3.71 | 0.44 | 3.90 | 3.24 | 4.2% | 0 of 90 | 49 |
| Oct to Dec 2025 | 4.00 | 0.43 | 4.27 | 3.32 | 1.4% | 0 of 92 | 48 |
| Jul to Sep 2025 | 4.10 | 0.54 | 4.37 | 3.42 | 1.5% | 0 of 92 | 50 |
| Apr to Jun 2025 | 4.33 | 0.54 | 4.68 | 3.44 | 2.8% | 0 of 91 | 48 |
| 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 | 27.3 | 20.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.1 | 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 | 21.6 | 19.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.6 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.3 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.3 | 27.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.9 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 2.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Rest Haven 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 (51.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.0% 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. 32 eligible stays.
11.0% 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. 47 eligible stays.
8.0% 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.
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: 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. 17 residents counted.
2.4% 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. 41 residents counted.
14.0% 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. 41 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: VANGUARD OF RIPLEY, LLC. CMS links this home to Vanguard Healthcare, a group of 6 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Vanguard Healthcare, LLC | 5% or greater direct ownership interest | Organization | 100% | 12/19/2007 |
| Ervin General Partnership | 5% or greater indirect ownership interest | Organization | 12/19/2007 | |
| Jere Suzanne Ervin Irrv Tr | 5% or greater indirect ownership interest | Organization | 12/19/2007 | |
| Orand LP | 5% or greater indirect ownership interest | Organization | 12/19/2007 | |
| William Jeffrey Ervin Irrv Tr | 5% or greater indirect ownership interest | Organization | 12/19/2007 | |
| Orand, William | 5% or greater indirect ownership interest | Individual | 12/19/2007 | |
| Capital One Na | 5% or greater mortgage interest | Organization | 01/31/2018 | |
| Wright, Alexander | W-2 managing employee | Individual | 02/23/2015 | |
| Orand, William | Corporate director | Individual | 12/19/2007 | |
| Fick, John | Corporate officer | Individual | 09/20/2014 | |
| Orand, William | Corporate officer | Individual | 12/19/2007 | |
| North Mississippi Management Associates, LLC | Operational/managerial control | Organization | 12/19/2007 |
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.
Chosen from this home's own inspection record.
These are the official offices in Mississippi. NursingHomeClear cannot take or act on complaints.