D

BILLDORA SENIOR CARE

314 ENOCHS ST, TYLERTOWN, MS 39667
Score: 40 / 100

Billdora Senior Care faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 35th percentile among Mississippi nursing homes, suggesting significant room for improvement.

Billdora Senior Care provides above-average staffing with 5.01 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent CMS inspections identified 10 deficiencies at Billdora Senior Care, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

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 5.01 3.8 Above Average
Registered Nurses (RN) 0.39 0.7 Below Average
Licensed Practical Nurses (LPN) 1.51 0.7 Above Average
Certified Nursing Assistants (CNA) 3.12 2.4 Above Average
Weekend Total Nursing 3.91 3.8 Average
Weekend RN Hours 0.19 0.7 Below Average

🔍 Inspection & Deficiency History

10
Total Deficiencies
Jan 28, 2026
Most Recent Inspection
🟠 8 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 28, 2026 · Quality of Life and Care Deficiencies
  • Tag 0576 Severity D
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    Mar 5, 2025 · Resident Rights Deficiencies
  • Tag 0585 Severity D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e
    Mar 5, 2025 · Resident Rights Deficiencies
  • Tag 0623 Severity D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including a
    Mar 5, 2025 · Resident Rights Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Mar 5, 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 7.9% 4.5% Worse
Falls with major injury 10.1% 3.0% Worse
On antipsychotic medication 10.2% 14.5% Better
Urinary tract infections 1.1% 2.5% Better
ADL decline (daily activities) 34.7% 14.0% Worse
Excessive weight loss 6.3% 7.5% Better
New/worsened incontinence 20.9% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $11,625

How This Grade Was Calculated

This facility's grade of D is based on a score of 40 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)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
60
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 5, 2025
Deficiencies (Cycle 1)
5