Deficiency Index

Marion Health and Rehab, LLC

Marion, Mississippi · CCN 255328

21 surveys since 2011, 16 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
92
Surveys
21
Harm or worse
16
Immediate jeopardy
6
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file13/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
BEDFORD CARE CENTERS
County
Lauderdale · rural
Medicare-certified since
2009

CMS ratings

Overall
1
Health inspection
1
Staffing
4
Quality measures
1

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 44 for-profit facilities of 100–127 beds in Mississippi.

Last survey on record

Jun 16, 2026

146 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.103.89
Registered-nurse hours per resident day0.81—
Annual nurse turnover88.9%45.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$264,755 across 4 penalties
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ27.1%K—L—
Actual harmG517.9%H—I—
No harm, potential for more than minimalD1450.0%E414.3%F310.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 28 of the 92 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6564×

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

  • F6413×

    Ensure each resident receives an accurate assessment.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6892×

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

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

In the surveyor’s words

From the most serious findings on record at Marion Health and Rehab, LLC, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Nov 16, 2023

    Based on staff and Resident Representative interviews, record review, and facility policy review, the facility failed to protect the resident's right to be free from neglect when staff provided inaccurate body audits and services for one (1) of four (4) sampled residents. Resident #1 The facility's failure to ensure that body audits were completed accurately resulted in Resident #1 sustaining an amputation of the fifth digit of her right foot and placed other residents in a situation that was likely to cause serious injury, serious harm, serious impairment, or death. The situation was determined to be an Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) that began on 10/18/23 when facility staff completed an inaccurate weekly body audit. […]

  • Immediate jeopardy, isolatedF656Nov 16, 2023

    Based on interviews, record reviews, and facility policy reviews, the facility failed to implement comprehensive care plan interventions related to skin assessments for one (1) of four (4) sampled residents. Resident #1 The facility's failure to implement a care plan for weekly body audits and ensure the body audits were completed accurately resulted in Resident #1 sustaining an amputation of the fifth digit of her right foot and placed other residents in a situation that was likely to cause serious injury, serious harm, serious impairment, or death. The situation was determined to be an Immediate Jeopardy (IJ) that began on 10/18/23 when facility staff completed an inaccurate weekly body audit. […]

  • Immediate jeopardy, isolatedF656Mar 31, 2023

    Based on interviews, record review, and facility policy review, the facility failed to implement comprehensive care plan interventions related to the use of a mechanical lift for one (1) of three (3) resident care plans reviewed. (Resident #1) The facility did not implement the care plan intervention for a sit-to-stand mechanical lift transfer for Resident #1. The facility's failure to implement care plan interventions placed this resident and other residents at risk in a situation that caused and was likely to cause serious harm, injury, impairment, or death. The situation was determined to be an Immediate Jeopardy (IJ) that began on 2/27/23 when facility staff transferred Resident #1 using a pivot transfer and did not use the sit-to-stand mechanical lift as required. […]

  • Immediate jeopardy, isolatedF689Mar 31, 2023

    Based on interviews, record review, and facility policy review, the facility failed to ensure a resident was free from accident hazards when a resident who was determined to require a sit to stand mechanical lift for transfers was transferred without a lift, for one (1) of three (3) sampled residents. Resident #1 The facility's failure to ensure that the resident was transferred with a sit-to-stand mechanical lift resulted in Resident #1 sustaining right and left (bilateral) tibia/fibula (two bones in the lower leg) fractures and placed other residents who required a mechanical lift transfer at risk for sustaining serious injury, serious harm, serious impairment, or death. […]

  • Immediate jeopardy, isolatedF697Mar 31, 2023

    Based on interviews, record review, and facility policy review, the facility failed to evaluate and provide pain management for a resident who sustained bilateral lower leg fractures for one (1) of three (3) sampled residents. (Resident #1) The failure to evaluate and provide pain management caused Resident #1 to experience avoidable pain and is likely to prevent other residents who require pain management the ability to attain or maintain their highest practicable level of well-being and is likely to cause serious injury, serious harm, or serious impairment. The situation was determined to be an Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) that began on 3/1/23 when facility staff reported that Resident #1 was yelling out in pain, hollering, screaming, and crying. […]

Read 33 findings in full →The most serious and the most recent: 33 of 92 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 16, 2026Complaint1 finding
  • Mar 12, 2026Standard9 findings · 1 harm
  • Nov 25, 2024Complaint2 findings · 2 harm
  • Jul 11, 2024Standard7 findings
  • Jan 30, 2024Complaint1 finding
  • Nov 16, 2023Complaint2 findings · 2 harm
  • Oct 5, 2023Complaint2 findings · 2 harm
  • Mar 31, 2023Complaint3 findings · 3 harm
Show the 13 earlier surveys
  • Aug 25, 2022Standard4 findings
  • Nov 13, 2020Infection control1 finding · 1 harm
  • Jun 20, 2019Standard7 findings · 2 harm
  • Jan 4, 2019Complaint2 findings · 2 harm
  • Aug 29, 2018Standard8 findings
  • May 5, 2017Standard2 findings
  • Mar 24, 2016Standard16 findings
  • May 7, 2015Standard1 finding
  • Jun 26, 2014Standard5 findings
  • Jul 12, 2013—6 findings
  • Feb 25, 2013—1 finding
  • Aug 10, 2012—9 findings
  • Jun 2, 2011—3 findings · 1 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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