Holly Springs Rehabilitation And Healthcare Center has received an F grade based on CMS data, with a score of 27/100 — placing it among the lowest-rated nursing facilities in Mississippi. Families considering this Holly Springs facility should carefully review its inspection history and quality metrics.
Staffing at Holly Springs Rehabilitation And Healthcare Center is near the national average, with 3.96 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 25 deficiencies at Holly Springs Rehabilitation And Healthcare Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.96 | 3.8 | Average |
| Registered Nurses (RN) | 0.45 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.15 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.35 | 2.4 | Average |
| Weekend Total Nursing | 3.39 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0684 Severity EProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jun 18, 2025 · Nutrition and Dietary Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jun 18, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Jun 18, 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 | 4.9% | 4.5% | Average |
| Falls with major injury | 3.9% | 3.0% | Worse |
| On antipsychotic medication | 32.7% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 27.2% | 14.0% | Worse |
| Excessive weight loss | 0.4% | 7.5% | Better |
| New/worsened incontinence | 26.1% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $8,278
How This Grade Was Calculated
This facility's grade of F is based on a score of 27 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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