Cleveland Community Care Center
Cleveland, Mississippi · CCN 255114
19 surveys since 2010, 23 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 79
- Surveys
- 19
- Harm or worse
- 23
- Immediate jeopardy
- 21
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- Non profit - Corporation
- Chain
- COMMCARE CORPORATION
- County
- Lee · rural
- Medicare-certified since
- 1989
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 55 facilities of 100–127 beds in Mississippi.
Last survey on record
Jun 8, 2026
154 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.73 | 4.21 |
| Registered-nurse hours per resident day | 0.43 | — |
| Annual nurse turnover | 49.6% | 40.8% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J731.8% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1359.1% | E29.1% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5651×
Honor the resident's right to organize and participate in resident/family groups in the facility.
- F5841×
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.
In the surveyor’s words
From the most serious findings on record at Cleveland Community Care Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600Sep 11, 2023
Based on record review, policy/procedure review, and interviews, the facility neglected to identify a crisis of suicidal ideation of Resident #1 and neglected to provide the psychiatric services that were necessary to prevent death for one (1) of seven (7) residents sampled as evidenced by Resident #1 committed suicide by hanging on [DATE] using the remote-control cord from his bed and using an exposed pipe on the ceiling in his room. On [DATE], during the admission process Resident #1 told the admitting nurse that he wanted to call a friend to pick him up and take him to jump off a bridge. During the 11:00 PM to 7:00 AM shift, on [DATE], a Medical Doctor's (MD) order was written for a psychiatric (psych) evaluation. On [DATE], Resident #1 elected to be admitted to hospice services. […]
- Immediate jeopardy, isolatedF609Sep 11, 2023
Based on record review, policy/procedure review and interviews, the facility failed to report an injury of unknown origin resulting in a serious bodily injury to law enforcement agencies after the death of one (1) of seven (7) residents sampled, Resident #1 as evidenced by Resident #1's suicide on [DATE]. Resident #1 told the admitting nurse during the admission process on [DATE] that he wanted to call a friend to pick him up and take him to jump off a bridge. During the 11:00 PM to 7:00 AM shift, on [DATE], a Medical Doctor's (MD) order was written for a psychiatric (psych) evaluation. On [DATE], Resident #1 wanted to be admitted to hospice services. Another MD order was written on [DATE] to discontinue (D/C) the psych evaluation and resident was admitted to contract hospice services. […]
- Immediate jeopardy, isolatedF644Sep 11, 2023
Based on record review and staff interviews, the facility failed to coordinate a resident review with the Preadmission Screening and Resident Review (PASARR) program under Medicaid by not referring a resident that expressed suicidal ideations on admission for a significant change in status assessment for review by the State Designated Authority for one (1) of seven (7) residents sampled. Resident #1. During the admission process on 8/8/23, Resident #1 told the admitting nurse that he wanted to call a friend to pick him up and take him to jump off a bridge. During the 11:00 PM to 7:00 AM shift, on 8/9/23, a Medical Doctor's (MD) order was written for a psychiatric (psych) evaluation. On 8/9/23, Resident #1 wanted to be admitted to hospice services. […]
- Immediate jeopardy, isolatedF740Sep 11, 2023
Based on policy and procedure review, record review, and staff interviews, the facility failed to provide behavioral health services to address a resident's needs as evidenced by failure to act upon Resident #1's verbalized suicidal ideations which resulted in Resident #1's suicide in the facility for one (1) of seven (7) residents sampled. During the admission process on [DATE], Resident #1 expressed suicidal thoughts when he told the admitting nurse that he wanted to call a friend to pick him up and take him to jump off a bridge. On [DATE], the facility obtained an physician order for a psychiatric evaluation. On the same day [DATE], the facility obtained a physician order for hospice services and obtained a second physician order to discontinue the psychiatric evaluation. […]
- Immediate jeopardy, isolatedF835Sep 11, 2023
Based on record review, policy/procedure review and interviews, the facility failed to be administered effectively and efficiently to provide the mental health care for one (1) of seven (7) residents, Resident #1, as evidenced by Resident #1 committed suicide by hanging on [DATE] using the remote control cord from his bed and using an exposed pipe on the ceiling in his room. During the admission process on [DATE], Resident #1 told the admitting nurse that he wanted to jump off a bridge. During the 11:00 PM to 7:00 AM shift, on 8/ On [DATE], a Medical Doctor's (MD) order was written for a psychiatric (psych) evaluation. On [DATE], Resident #1 wanted to be admitted to hospice services. […]
Read 37 findings in full →The most serious and the most recent: 37 of 79 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 8, 2026Complaint1 finding
- Jan 8, 2026Standard and complaint8 findings
- Feb 15, 2024Standard5 findings
- Sep 11, 2023Complaint7 findings · 7 harm
- Jun 15, 2023Complaint1 finding
- Jun 29, 2022Standard and complaint1 finding
- Sep 14, 2020Complaint4 findings · 4 harm
- Jul 9, 2020Complaint2 findings · 2 harm
Show the 11 earlier surveys
- Jun 6, 2019Standard and complaint3 findings
- Jan 3, 2018Complaint1 finding
- Aug 25, 2017Complaint2 findings
- Dec 14, 2016Standard1 finding
- Aug 19, 2015Standard3 findings
- Sep 11, 2014Standard3 findings
- Jun 20, 2013—10 findings
- Oct 12, 2012—6 findings · 6 harm
- Jul 12, 2012—6 findings
- Apr 19, 2011—13 findings · 2 harm
- Dec 16, 2010—2 findings · 2 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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