2809 Denny Avenue, Pascagoula, MS 39581
CMS Stars
RN hrs / day
Trust Index
Bounce-back
No admissions contacts on file yet.
⭐ Overall
2/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
4/5
📊 Quality Measures
4/5
RN / Resident / Day
3h 16m
State avg: 38 min · US avg: 41 min
LPN hrs/day
2h 48m
CNA hrs/day
3h
Total Nurse / Resident / Day
9h 4m
State avg: 4h 13m · US avg: 3h 53m
PT / Resident / Day
17 min
State avg: 2 min · US avg: 4 min
RN Turnover Rate
59 per 100
State avg: 48 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
2h 36m
RN Hours Weekend
1h 19m
Weekend vs. Weekday RN
51%below avg
US avg: 64%
Total Nurse Weekend
6h 26m
Federal Penalties
36 penalties · $282,933 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 1/13/2025 | Fine | $11,462 | - |
| 1/13/2025 | Fine | $11,463 | - |
| 1/13/2025 | Fine | $11,462 | - |
| 1/13/2025 | Fine | $11,463 | - |
| 1/13/2025 | Fine | $11,462 | - |
| 1/13/2025 | Fine | $11,463 | - |
| 1/13/2025 | Fine | $11,462 | - |
| 1/13/2025 | Fine | $11,463 | - |
| 1/13/2025 | Fine | $11,462 | - |
| 1/13/2025 | Fine | $11,463 | - |
| 1/13/2025 | Fine | $11,462 | - |
| 1/13/2025 | Fine | $11,463 | - |
| 1/13/2025 | Fine | $11,462 | - |
| 1/13/2025 | Fine | $11,463 | - |
| 1/13/2025 | Fine | $11,462 | - |
| 1/13/2025 | Fine | $11,463 | - |
| 1/13/2025 | Fine | $11,462 | - |
| 1/13/2025 | Fine | $11,463 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
| 9/19/2024 | Fine | $4,256 | - |
Inspection Citations
Survey: February 20, 2025(3 citations)
Survey: January 13, 2025(6 citations)
30-Day Readmission
15.3 per 100
State avg: 27.9 · US avg: 23.9
ED Visits (no readmit)
12.4 per 100
State avg: 15.3 · US avg: 12.0
Falls w/ Major Injury
N/A
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
N/A
State avg: 6.9 · US avg: 5.1
Antipsychotic Meds
1.1 per 100
State avg: 2.6 · US avg: 1.6
Flu Vaccination
85.8 per 100
State avg: 84.6 · US avg: 79.7
Discharge to Community
N/A
Functional Improvement
N/A
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
16/100
Incentive Payment
-1.85% penalty
Risk-Std Readmission
24.3 per 100
Healthcare-Assoc. Infections
6.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
256
Avg Length of Stay
21.5 days
Avg Payment / Stay
$9,471.41
Patient Complexity
2.25 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Survey: September 19, 2024(18 citations)
Survey: June 1, 2023(3 citations)