D67

PASS CHRISTIAN HEALTH AND REHABILIATION CENTER

Grade D 67/100 composite score

For profit - Corporation

CMS Star Ratings

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

Certified Beds

60

Ownership

For profit - Corporation

Total Fines

$8,224

Last Survey

N/A

538 MENGE AVENUE, PASS CHRISTIAN, MS 39571
2284524344

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.41h
LPN
1.32h
CNA
2.05h
Total
3.78h
Facility
State Average

Turnover Rates

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

Ownership

FGLFC HOLDCO, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2022

100%

FC INVESTORS XXI LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2022

LAVIE HOLDCO LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2022

LV INVESTMENT LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2022

NSPR CARE CENTERS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2022

NSPR OPERATIONS I, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2022

NSPR OPERATIONS II, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2022

CONSULATE MANAGEMENT COMPANY III LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

LEHNER, TIMOTHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2024

LEHNER, TIMOTHY

IndividualCORPORATE OFFICERSince May 2024

GRADY, JOHN

IndividualCONTRACTED MANAGING EMPLOYEESince Jul 2022

WILLIAMS, JAMES

IndividualW-2 MANAGING EMPLOYEESince Aug 2024

Penalties & Fines (1)

$8,224total fines
DateTypeDescriptionAmount
Apr 24, 2024Fine$8,224

Health Inspection Deficiencies (16)

September 4, 2025Health2 deficiencies
0605DMinimal harm, Isolated

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 1, 2025
0656EMinimal harm, Pattern

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 Oct 1, 2025
May 1, 2025Health1 deficiency
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected May 22, 2025
March 6, 2025Health2 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 Mar 21, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 21, 2025
February 7, 2025Health3 deficiencies
0727DMinimal harm, Isolated

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies

Corrected Mar 21, 2025
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Mar 21, 2025
0726DMinimal harm, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Mar 21, 2025
April 24, 2024Health4 deficiencies1 severe
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 May 21, 2024
0686GActual harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected May 21, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected May 21, 2024
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected May 21, 2024
August 1, 2023Health1 deficiency
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Aug 31, 2023
August 10, 2022Health3 deficiencies
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Sep 20, 2022
0656EMinimal harm, Pattern

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 20, 2022
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 20, 2022

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Frequently Asked Questions

What is the CareGrader rating for PASS CHRISTIAN HEALTH AND REHABILIATION CENTER?

PASS CHRISTIAN HEALTH AND REHABILIATION CENTER in PASS CHRISTIAN, Mississippi has a CareGrader grade of D (Below Average), with a composite score of 67.3 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 PASS CHRISTIAN HEALTH AND REHABILIATION CENTER?

PASS CHRISTIAN HEALTH AND REHABILIATION CENTER has an overall CMS star rating of 1 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does PASS CHRISTIAN HEALTH AND REHABILIATION CENTER have?

PASS CHRISTIAN HEALTH AND REHABILIATION CENTER has 16 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.

Has PASS CHRISTIAN HEALTH AND REHABILIATION CENTER been fined?

Yes. PASS CHRISTIAN HEALTH AND REHABILIATION CENTER has $8,224 in total fines from CMS enforcement actions across 1 penalty.

How many beds does PASS CHRISTIAN HEALTH AND REHABILIATION CENTER have?

PASS CHRISTIAN HEALTH AND REHABILIATION CENTER has 60 certified beds with approximately 52 current residents (87% occupancy). The facility is located at 538 MENGE AVENUE, PASS CHRISTIAN, Mississippi 39571. It is a for profit - corporation 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.