C74

DELTA REHABILITATION AND HEALTHCARE CENTER

Grade C 74/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
3/5
Quality
1/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

75

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

200 DR MARTIN LUTHER KING JR DRIVE, CLEVELAND, MS 38732
6628435347

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.76h
LPN
0.60h
CNA
2.04h
Total
3.40h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

NEXION HEALTH OF OHI INC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Mar 2018

100%

NEXION HEALTH LEASING, INC.

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

BOLT, BRETTON

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

KIRLEY, FRANCIS

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2018

NEXION HEALTH, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2018

HERDRICH, WILLIAM

IndividualCORPORATE DIRECTORSince Mar 2018

KIRLEY, FRANCIS

IndividualCORPORATE DIRECTORSince Mar 2018

LEE, BRIAN

IndividualCORPORATE DIRECTORSince Mar 2018

RINER, MEERA

IndividualCORPORATE DIRECTORSince Mar 2018

KIRLEY, FRANCIS

IndividualCORPORATE OFFICERSince Mar 2018

LEE, BRIAN

IndividualCORPORATE OFFICERSince Mar 2018

RINER, MEERA

IndividualCORPORATE OFFICERSince Mar 2018

MATTHEWS, WANDA

IndividualW-2 MANAGING EMPLOYEESince Jul 2018

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (14)

July 31, 2025Health7 deficiencies
0640DMinimal harm, Isolated

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 9, 2025
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 9, 2025
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 9, 2025
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 9, 2025
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Sep 9, 2025
0810DMinimal harm, Isolated

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Nutrition and Dietary Deficiencies

Corrected Sep 9, 2025
0851FMinimal harm, Widespread

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Administration Deficiencies

Corrected Sep 9, 2025
February 12, 2025Health1 deficiency
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Nov 15, 2024
November 16, 2023Health1 deficiency
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Dec 8, 2023
September 13, 2023Health3 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Oct 13, 2023
0584DMinimal harm, Isolated

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Oct 13, 2023
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 13, 2023
October 28, 2022Health2 deficiencies
0584DMinimal harm, Isolated

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Nov 22, 2022
0919DMinimal harm, Isolated

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Nov 22, 2022

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Frequently Asked Questions

What is the CareGrader rating for DELTA REHABILITATION AND HEALTHCARE CENTER?

DELTA REHABILITATION AND HEALTHCARE CENTER in CLEVELAND, Mississippi has a CareGrader grade of C (Average), with a composite score of 73.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for DELTA REHABILITATION AND HEALTHCARE CENTER?

DELTA REHABILITATION AND HEALTHCARE CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does DELTA REHABILITATION AND HEALTHCARE CENTER have?

DELTA REHABILITATION AND HEALTHCARE CENTER has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does DELTA REHABILITATION AND HEALTHCARE CENTER have?

DELTA REHABILITATION AND HEALTHCARE CENTER has 75 certified beds with approximately 67 current residents (89% occupancy). The facility is located at 200 DR MARTIN LUTHER KING JR DRIVE, CLEVELAND, Mississippi 38732. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.