Home / Mississippi / Houston
1000 East Madison Street, Houston, MS 38851 · Chickasaw County · (662) 456-1101
60 certified beds, about 51 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 255306 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 28, 2026, inspectors cited 5 health deficiencies (the Mississippi average is 6.8, the national average 9.2).
None of its 28 health citations since March 2024 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 4.17 hours per resident per day, against 4.18 across Mississippi and 3.86 nationally. Registered nurses accounted for 0.91 of those hours.
53.5% of nursing staff left within the year CMS measured (Mississippi average 45.7%).
CMS links it to Trend Consultants, an affiliated group of 15 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 28 health citations on file.
Inspectors wroteBased on record review, staff interview, and facility policy review, the facility failed to complete a Significant Change in Status Minimum Data Set (MDS) assessment for one (1) of seven (7) residents reviewed for hospice services. Resident #36Findings include: Review of the facility policy titled MDS Assessment, with a revision date of 5/2006, revealed Policy It is the policy of this facility to follow the RAI (Resident Assessment Instrument) process as set forth by CMS (Centers for Medicare and Medicaid) protocol. Record review revealed Resident #36 was admitted to hospice services on 3/11/25. Review of the resident's MDS assessment record revealed no Significant Change in Status Assessment was completed following hospice admission. [...]
Inspectors wroteBased on record review, staff interview, and facility policy review, the facility failed to accurately complete Section N Medications section of the Minimum Data Set (MDS) assessment for one (1) of 17 residents reviewed for MDS accuracy. Resident #4. Findings Include:Review of the facility policy titled MDS (Minimum Data Set) Assessment dated 5/2006 revealed, Policy It is the policy of this facility to follow the RAI (Resident Assessment Instrument) process as set forth by CMS (Centers for Medicare and Medicaid) protocol .Record review of Resident #4's MDS with an Assessment Reference Date (ARD) of 3/31/26 revealed, under Section N, that during the 7-day look-back period the resident was coded as receiving an antianxiety, antidepressant, hypnotic, and anticoagulant medication. [...]
Inspectors wroteBased on observation, staff interviews, record review, and facility policy review, the facility failed to ensure a physician-ordered fluid restriction was followed for one (1) of 16 residents reviewed for hydration. Resident #1 Findings Include: Review of facility policy titled Fluid Restriction revealed, Fluids will be restricted for residents as directed by physician orders. Procedure: 1. Nursing notifies the dietary department when a patient is placed on fluid restriction. 2. Nursing, the Director of Food and Nutrition Services, and the Consultant Dietitian determine the allotment of fluids among meals, medications, etc.4. The type and amount of fluids served from the food and nutrition service department will be noted on the tray card/tray ticket. 5. Water pitchers will not be placed at bedside. 6. Nursing service will document intake and output. [...]
Inspectors wroteBased on observation, record review, staff interviews, and facility policy review, the facility failed to ensure oxygen was administered in accordance with physician orders for one (1) of 25 residents receiving oxygen. Resident #14Findings Include:Review of the facility policy titled Oxygen Administration Policy revealed, Oxygen is administered to residents who need it, consistent with professional standards of practice, the comprehensive person-centered care plans, and the resident's goals and preferences .1. Oxygen is administered under orders of a physician .Record review of Resident #14's Treatment Administration Record with order date of 4/25/2025, revealed, O2 (oxygen) at 2 (two) liters per nasal cannula continuous every shift related to Chronic Obstructive Pulmonary Disease (COPD), Unspecified. [...]
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to implement and maintain an effective infection prevention and control program to prevent the transmission of infectious diseases for staff observed performing glucometer disinfection and for oxygen tubing storage (Resident #5) during two (2) of four (4) care areas observed.
Inspectors wroteBased on staff interview and record review, the facility failed to accurately complete Section N of an Annual Minimum Data Set (MDS) Assessment for one (1) of 31 resident MDS assessments reviewed. Resident #24. Findings Include: Record review of the facility policy MDS (Minimum Data Set) Assessment revealed, It is the policy of this facility to follow the RAI (Resident Assessment Instrument) process as set forth by CMS (Centers for Medicare and Medicaid Services) protocol. Record review of Resident #24's Annual MDS with an Assessment Reference Date (ARD) of 01/13/25 revealed under Section N - Medications, revealed that a hypnotic medication was coded as Yes, the resident is receiving. Record review of Resident #24's Order Summary Report of active orders as of 01/13/25 revealed the resident did not have an order for a medication with a drug classification of hypnotic. [...]
Inspectors wroteBased on observations, staff interviews, record reviews, and facility policy reviews, the facility failed to implement a care plan for a resident's Activities of Daily Living (ADL) care for one (1) of 31 resident care plans reviewed. Resident #9.
Inspectors wroteBased on observations, staff and resident representative interviews, record review, and facility policy review, the facility failed to ensure a dependent resident received appropriate oral care for one (1) of 45 residents residing in the facility. Resident #9. The scope and severity for this citation was increased to E for a repeated citation from the previous annual recertification survey.
Inspectors wroteBased on resident and staff interviews, record reviews, and facility policy reviews, the facility failed to provide an ongoing activity program designed to meet the needs of each resident for four (4) of 14 residents interviewed during the Resident Council meeting as evidenced by a lack of group activities on weekends. Residents #20, #22, #38 and #39.
Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to ensure implementation of infection prevention and control practices to prevent the potential transmission of communicable diseases and infections for two (2) of three (3) resident care areas observed (Resident #1 and Resident #9). Specifically, the facility failed to: 1. Post appropriate transmission-based precautions signage for a resident on contact isolation for Methicillin Resistant Staphylococcus Aureus (MRSA) (Resident #1); and 2. Ensure staff followed Enhanced Barrier Precautions (EBP), including wearing a gown, during the administration of medication via a Percutaneous Endoscopic Gastrostomy (PEG) tube (Resident #9). These failures had the potential to contribute to the transmission of infectious organisms to other residents, staff, and visitors within the facility. [...]
Inspectors wroteBased on resident and staff interviews, record review and facility policy review, the facility failed to honor a resident bedtime choice for one (1) of 31 sampled residents. Resident #24. Findings Include: Record review of the facility policy Resident Rights revealed 3. Our facility will make every effort to assist each resident in exercising his/her rights to ensure that the resident is always treated with respect, kindness, and dignity An interview on 3/31/25 at 1:00PM with the Administrator (ADM) revealed that on 03/16/25, Registered Nurse (RN) #1 called her and reported that Certified Nursing Assistant (CNA) #1 made Resident #24 go to bed when she didn't want to. The ADM stated that RN #1 reported to her that CNA #1 took Resident #24 to her room from the dining room after the supper meal around 6:00 PM, put Resident #24's gown on and made her go to bed. [...]
Inspectors wroteBased on staff interviews and record reviews the facility failed to transmit Minimum Data Set (MDS) Assessments timely for six (6) of 31 residents' MDS assessments reviewed. Residents #15, #16, #19, #30, #34, and #35.
Inspectors wroteBased on resident and staff interviews, record review and facility policy review, the facility failed to deliver resident mail on Saturdays for five (5) of 31 sampled residents. This has the potential to affect all residents in the facility. Resident #4, Resident #20, Resident #22, Resident #35, and Resident #38. Findings Include: Record review of the facility policy Mail Delivery Policy dated 2/2009 revealed, The mail will be delivered to the resident Monday thru Friday by the Activity Director. If the resident receives mail on Saturday, it will be delivered to the resident by the week-end RN (Registered Nurse) Unit Manager. During a Resident Council Meeting on 03/31/25 at 2:00 PM five of the thirteen residents in attendance revealed that they did not have mail delivered on Saturdays. [...]
Inspectors wroteBased on observation, resident and staff interview, and facility policy review, the facility failed to ensure a resident's call light was in reach for one (1) of 57 residents residing in the facility.
Inspectors wroteBased on observation, resident and staff interview, record review, and facility policy review the facility failed to honor a resident's preference for end of life Advance Directives for one (1) of 24 residents sampled. Resident #57.
Inspectors wroteBased on observation, resident and staff interview, record review, and facility policy review, the facility failed to notify a resident's physician of a skin concern for one (1) of 19 sampled residents. Resident #216. Cross Reference F684 Findings Include: Record review of the facility policy titled Notification of Changes with a revision date of 12/20/2022 revealed, Policy: The purpose of this policy is to ensure the facility promptly informs the resident, consults the resident's physician; and notifies, consistent with his or her authority, the resident's representative when there is a change requiring notification .Compliance Guidelines: The facility must inform the resident, consult with the resident's physician and /or notify the resident's family member or legal representative when there is a change requiring such notification 3. [...]
Inspectors wroteBased on observation, resident and staff interview, facility policy review, the facility failed to ensure privacy for a resident as evidenced by a staff member changing a residents brief next to a window with no curtain or blind for one (1) of 57 residents observed for privacy.
Inspectors wroteBased on staff interview and record review, the facility failed to complete a Comprehensive admission Minimum Data Set (MDS) assessment within fourteen days for one (1) of 19 sampled residents Resident #216 Findings Include: Record review of Resident #216's Face Sheet revealed the facility admitted the resident on 2/21/2024. Record review of Resident #216's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 2/28/2024, revealed under section Z, the date a Registered Nurse (RN) signed the assessment as complete was left blank. It also revealed a status of Open, which indicated the admission assessment had not been completed and closed for transmittal. An interview with the Minimum Data Set (MDS) Nurse #2 on 3/20/2024 at 9:49 AM, confirmed Resident #216's admission MDS assessment was not completed and should have been completed within 14 days of admission. [...]
Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for resident(s) with upper body contractures for two (2) of 19 resident assessments reviewed.
Inspectors wroteBased on observation, staff interview, record review, and facility policy review the facility failed to develop comprehensive care plans timely, failed to implement care plans for residents' Activities of Daily Living (ADL) care and position and mobility needs for five (5) of 19 resident careplans reviewed. Residents #1, #13, #26, #46, and #216.
Inspectors wroteBased on observation, staff interviews, record review, facility statement, and facility policy review, the facility failed to follow professional standards of practice for a feeding tube as evidenced by crushing and administering multiple medications at once without the use of flushes and gravity for one (1) of four (4) residents observed during medication administration. Resident #13.
Inspectors wroteBased on observations, staff, resident and resident representative interviews, record review, and facility policy review the facility failed to ensure dependent residents received appropriate oral care, nail care and shaving for four (4) of 57 residents observed. Resident #1, #13, #26 and #216.
Inspectors wroteBased on observation, resident and staff interview, record review, and facility policy review, the facility failed to identify and treat a resident with a skin concern for one (1) of 19 residents sampled. Resident #216. Cross Reference F580 Findings Include: Review of facility policy titled, Resident Rights, with a revision date of 9/22/22 revealed, The resident has the right to a dignified existence . Record review of facility policy titled, Activities of Daily Living (ADLs), dated 12/15/22 revealed, A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. On 3/19/2024 at 2:40 PM, an observation and interview with Resident #216, revealed the resident sitting in a wheelchair with his head laid over a bedside table. [...]
Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to apply a hand roll to a resident with a contracture for one (1) of 17 residents with contractures. Resident #46 Findings Include: Review of the facility policy titled Splint and Brace Application and Use undated, revealed under, Purpose: 1. To assure that residents who have splints or braces prescribed will use them when ordered. 2. To use splints to prevent and/or correct contractures. Record review of Resident #46's Physician Orders revealed an order dated 7/04/2023, Hand roll to Lt (left) hand during waking hours to prevent further contractures . [...]
Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to ensure the medication error rate was less than five percent for seven (7) of thirty-two medication opportunities. Medication error rate of 21.88% Cross Reference F658
Inspectors wroteBased on observation and staff interview, the facility failed to ensure proper medication storage as evidenced by leaving keys for the medication cart, medication room, and controlled medication locked box unattended on the medication cart in the resident hallway for one (1) of four (4) survey days.
Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to decrease the likelihood of the spread of infection as evidenced by a nurse dropping a glove on the floor in a resident's room, retrieving it off the floor, putting it on, and continuing with medication pass and insulin administration for one (1) of four (4) resident medication administrations observed.
Inspectors wroteBased on staff interview and facility record review, the facility failed to provide the Notice of Medicare Non-Coverage to two (2) of three (3) residents discharged from Medicare Part A services with service times remaining.
2 fire safety citations on file: 2 on March 21, 2024.
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) | 4.17 | 4.18 | 3.86 |
| Registered nurses | 0.91 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.41 | 3.50 | 3.42 |
| Nurse aides | 2.48 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 53.5% | 45.7% | 45.8% |
| Registered nurse turnover | 53.3% | 38.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.24 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 4.48 on weekdays and 3.41 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.56 in April to June 2025 to 4.17 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.17 | 0.91 | 4.48 | 3.41 | 0.0% | 0 of 90 | 51 |
| Oct to Dec 2025 | 4.07 | 0.88 | 4.42 | 3.19 | 0.0% | 0 of 92 | 49 |
| Jul to Sep 2025 | 4.11 | 0.91 | 4.46 | 3.21 | 0.0% | 0 of 92 | 48 |
| Apr to Jun 2025 | 4.56 | 1.13 | 4.99 | 3.50 | 0.0% | 0 of 91 | 44 |
| 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 | 28.9 | 20.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.4 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 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 | 27.8 | 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 | 33.3 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.5 | 27.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.8 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.0 | 2.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Trend Health and Rehab of Houston's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
52.2% 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. 39 eligible stays.
11.4% 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. 65 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.
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. 15 eligible stays.
61.3% 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. 31 residents counted.
2.3% 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. 43 residents counted.
2.8% 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. 43 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. 18 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: TREND HEALTH AND REHAB OF HOUSTON LLC. CMS links this home to Trend Consultants, a group of 15 nursing homes averaging 3.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Kelly, Rita | 5% or greater direct ownership interest | Individual | 06/01/2024 | |
| Kelly, Charles | 5% or greater mortgage interest | Individual | 06/01/2024 | |
| Kelly, Rita | 5% or greater mortgage interest | Individual | 06/01/2024 | |
| Kelly, Charles | Managing control - governing body | Individual | 06/01/2024 | |
| Kelly, Rita | Managing control - governing body | Individual | 06/01/2024 | |
| Warnock, Lori | Corporate director | Individual | 06/01/2024 | |
| Trend Consultants LLC | Operational/managerial control | Organization | 12/09/2024 | |
| Kelly, Charles | Operational/managerial control | Individual | 06/01/2024 | |
| Lott, Sandra | Operational/managerial control | Individual | 06/01/2024 | |
| Warnock, Lori | Operational/managerial control | Individual | 01/14/2025 | |
| Kelly, Charles | General partnership interest | Individual | 06/01/2024 | |
| Kelly, Rita | Limited partnership interest | Individual | 06/01/2024 | |
| Fulcher, Todd | Adp of the SNF | Individual | 06/01/2024 | |
| Kelly, Charles | Adp of the SNF | Individual | 06/01/2024 | |
| Lott, Sandra | Adp of the SNF | Individual | 06/01/2024 | |
| Warnock, Lori | Adp of the SNF | Individual | 01/14/2025 |
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.