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.
| Cycle | Inspection date | This facility | Mississippi avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-08-01 | 17 | 6.7 | 9.5 | +10.3 worse |
| 2 | 2023-07-27 | 21 | 6.0 | 9.8 | +15.0 worse |
| 3 | 2020-01-16 | 8 | 4.7 | 9.3 | +3.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.81 | 60.6% |
| RN staffing (reported) | 0.31 | 66.7% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-08-01 · Health · corrected 2024-08-28
Actual harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-03 · Health · corrected 2024-05-22
Actual harm
- 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
- DF0583Keep residents' personal and medical records private and confidential.2023-07-27 · Health · corrected 2023-09-08
Potential for more than minimal harm
- 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
- DF0641Ensure each resident receives an accurate assessment.2023-07-27 · Health · corrected 2023-09-08
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2023-07-27 · Health · corrected 2023-09-08
Potential for more than minimal harm
- 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-04-05 · Health · corrected 2023-05-19
Potential for more than minimal harm
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2020-01-16 · Health · corrected 2020-02-14
Potential for more than minimal harm
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| TREND CONSULTANTS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-07-01 |
| WARNOCK, LORI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-27 |
| KELLY, CHARLES | Individual | CORPORATE DIRECTOR | — | 2003-04-01 |
| KELLY, RITA | Individual | CORPORATE OFFICER | — | 2003-04-01 |
Other facilities in BYRAM
| Name | Overall | Beds |
|---|---|---|
| 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.