Starfile

Starfile / Mississippi

EDGEWOOD HEALTH & REHABILITATION

205 BYRAM PARKWAY, BYRAM, MS 39272 · CCN 255103

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★☆☆☆☆ 1
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Corporation
Certified beds
119
Avg residents/day
111.8
Phone
6013625394

Inspection history vs Mississippi & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMississippi avgNational avgvs state
12024-08-01176.79.5+10.3 worse
22023-07-27216.09.8+15.0 worse
32020-01-1684.79.3+3.3 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care5
Resident assessment and care planning4
Nursing and physician services1
Resident rights1
Nutrition and dietary2
Pharmacy service1
Administration1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.8160.6%
RN staffing (reported)0.3166.7%
Total nurse staffing (adjusted)5.47

Fines & penalties

Total fines
$130,008
Number of fines
9
Number of penalties
11
Payment denials
2

Chain

Chain
TREND CONSULTANTS
Facilities in chain
16
Chain avg overall
3.30 / 5

Inspection citations (46)3 immediate jeopardy9 actual harm

  1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-13 · Health · corrected 2026-02-10

    Potential for more than minimal harm

  2. DF0761Ensure 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.2026-01-13 · Health · corrected 2026-02-10

    Potential for more than minimal harm

  3. GF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-10-29 · Health · corrected 2025-11-26

    Actual harm

  4. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-29 · Health · corrected 2025-11-26

    Actual harm

  5. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-10-29 · Health · corrected 2025-11-26

    Potential for more than minimal harm

  6. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-19 · Health · corrected 2025-07-22

    Potential for more than minimal harm

  7. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-19 · Health · corrected 2025-07-22

    Potential for more than minimal harm

  8. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-19 · Health · corrected 2025-06-12

    Immediate jeopardy

  9. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-20 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  10. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-20 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  11. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-03-20 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  12. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-03-20 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  13. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-26 · Health · corrected 2024-12-19

    Potential for more than minimal harm

  14. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-08-01 · Health · corrected 2024-08-28

    Potential for more than minimal harm

  15. GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-01 · Health · corrected 2024-08-28

    Actual harm

  16. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-08-01 · Health · corrected 2024-08-28

    Potential for more than minimal harm

  17. GF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-01 · Health · corrected 2024-08-28

    Actual harm

  18. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-01 · Health · corrected 2024-08-28

    Actual harm

  19. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-01 · Health · corrected 2024-08-28

    Potential for more than minimal harm

  20. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-08-01 · Health · corrected 2024-08-28

    Actual harm

  21. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-01 · Health · corrected 2024-08-28

    Potential for more than minimal harm

  22. DF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-08-01 · Health · corrected 2024-08-28

    Potential for more than minimal harm

  23. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-24 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  24. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-24 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  25. JF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-24 · Health · corrected 2024-07-17

    Immediate jeopardy

  26. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-24 · Health · corrected 2024-07-17

    Immediate jeopardy

  27. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-23 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  28. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-03 · Health · corrected 2024-05-22

    Actual harm

  29. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-02-06 · Health · corrected 2024-01-24

    Potential for more than minimal harm

  30. DF0583Keep residents' personal and medical records private and confidential.2023-07-27 · Health · corrected 2023-09-08

    Potential for more than minimal harm

  31. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-07-27 · Health · corrected 2023-09-08

    Potential for more than minimal harm

  32. DF0641Ensure each resident receives an accurate assessment.2023-07-27 · Health · corrected 2023-09-08

    Potential for more than minimal harm

  33. GF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-27 · Health · corrected 2023-09-08

    Actual harm

  34. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-27 · Health · corrected 2023-09-08

    Actual harm

  35. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-07-27 · Health · corrected 2023-09-08

    Potential for more than minimal harm

  36. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-07-27 · Health · corrected 2023-09-08

    Potential for more than minimal harm

  37. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-07-27 · Health · corrected 2023-09-08

    Potential for more than minimal harm

  38. DF0880Provide and implement an infection prevention and control program.2023-07-27 · Health · corrected 2023-09-08

    Potential for more than minimal harm

  39. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-07-27 · Health · corrected 2023-09-08

    Potential for more than minimal harm

  40. DF0558Reasonably accommodate the needs and preferences of each resident.2023-04-05 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  41. DF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2023-04-05 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  42. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-05 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  43. CF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2020-01-16 · Health · corrected 2020-02-14

    Potential for minimal harm

  44. DF0641Ensure each resident receives an accurate assessment.2020-01-16 · Health · corrected 2020-02-14

    Potential for more than minimal harm

  45. DF0761Ensure 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.2020-01-16 · Health · corrected 2020-02-14

    Potential for more than minimal harm

  46. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-01-16 · Health · corrected 2020-02-14

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
TREND CONSULTANTS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2013-07-01
WARNOCK, LORIIndividualOPERATIONAL/MANAGERIAL CONTROL2021-01-27
KELLY, CHARLESIndividualCORPORATE DIRECTOR2003-04-01
KELLY, RITAIndividualCORPORATE OFFICER2003-04-01

Other facilities in BYRAM

NameOverallBeds
WILLOW CREEK RETIREMENT CENTER★★★☆☆88

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.