D

DELTA REHABILITATION AND HEALTHCARE CENTER

200 DR MARTIN LUTHER KING JR DRIVE, CLEVELAND, MS 38732
Score: 46 / 100

Delta Rehabilitation And Healthcare Center faces challenges in its CMS ratings, earning a D grade with a score of 46/100. The facility ranks in the 47th percentile among Mississippi nursing homes, suggesting significant room for improvement.

With 3.17 total nurse hours per resident per day, Delta Rehabilitation And Healthcare Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 14 deficiencies at Delta Rehabilitation And Healthcare Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.17 3.8 Below Average
Registered Nurses (RN) 0.71 0.7 Average
Licensed Practical Nurses (LPN) 0.56 0.7 Below Average
Certified Nursing Assistants (CNA) 1.90 2.4 Below Average
Weekend Total Nursing 2.95 3.8 Below Average
Weekend RN Hours 0.61 0.7 Below Average

🔍 Inspection & Deficiency History

14
Total Deficiencies
Jul 30, 2025
Most Recent Inspection
🟠 14 Moderate
View recent deficiencies (5 shown)
  • Tag 0851 Severity F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    Jul 30, 2025 · Administration Deficiencies
  • Tag 0640 Severity D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    Jul 30, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Jul 30, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jul 30, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Jul 30, 2025 · Quality of Life and Care 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 12.9% 4.5% Worse
Falls with major injury 1.2% 3.0% Better
On antipsychotic medication 29.6% 14.5% Worse
Urinary tract infections 1.2% 2.5% Better
ADL decline (daily activities) 20.7% 14.0% Worse
Excessive weight loss 11.7% 7.5% Worse
New/worsened incontinence 17.1% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 46 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
75
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 30, 2025
Deficiencies (Cycle 1)
7