Cleveland Community Care Center has received an F grade based on CMS data, with a score of 20/100 — placing it among the lowest-rated nursing facilities in Mississippi. Families considering this Cleveland facility should carefully review its inspection history and quality metrics.
Staffing at Cleveland Community Care Center is near the national average, with 3.60 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 19 deficiencies at Cleveland Community Care Center, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.60 | 3.8 | Average |
| Registered Nurses (RN) | 0.63 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.79 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.18 | 2.4 | Average |
| Weekend Total Nursing | 3.10 | 3.8 | Below Average |
| Weekend RN Hours | 0.55 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jan 7, 2026 · Resident Assessment and Care Planning Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Jan 7, 2026 · Quality of Life and Care Deficiencies
- Tag 0725 Severity EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Feb 14, 2024 · Nursing and Physician Services Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dFeb 14, 2024 · Resident Rights Deficiencies
- Tag 0638 Severity DAssure that each resident’s assessment is updated at least once every 3 months.Feb 14, 2024 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.9% | 4.5% | Better |
| Falls with major injury | 0.5% | 3.0% | Better |
| On antipsychotic medication | 43.9% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 18.2% | 14.0% | Worse |
| Excessive weight loss | 5.2% | 7.5% | Better |
| New/worsened incontinence | 14.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $229,213
How This Grade Was Calculated
This facility's grade of F is based on a score of 20 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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