PASS CHRISTIAN HEALTH AND REHABILIATION CENTER
538 MENGE AVENUE, PASS CHRISTIAN, MS 39571 · CCN 255287
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 52.4
- Phone
- 2284524344
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 | 2025-09-04 | 5 | 6.7 | 9.5 | -1.7 better |
| 2 | 2024-04-24 | 7 | 6.0 | 9.8 | +1.0 worse |
| 3 | 2022-08-10 | 4 | 4.7 | 9.3 | -0.7 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.45 | 83.3% |
| RN staffing (reported) | 0.38 | 100.0% |
| Total nurse staffing (adjusted) | 3.78 | — |
Fines & penalties
- Total fines
- $8,224
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE
- Facilities in chain
- 36
- Chain avg overall
- 2.30 / 5
Inspection citations (16)1 actual harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-09-04 · Health · corrected 2025-10-01
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-09-04 · Health · corrected 2025-10-01
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-01 · Health · corrected 2025-05-22
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.2025-03-06 · Health · corrected 2025-03-21
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-06 · Health · corrected 2025-03-21
Potential for more than minimal 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.2025-02-07 · Health · corrected 2025-03-21
Potential for more than minimal harm
- DF0727Have 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.2025-02-07 · Health · corrected 2025-03-21
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-02-07 · Health · corrected 2025-03-21
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.2024-04-24 · Health · corrected 2024-05-21
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-24 · Health · corrected 2024-05-21
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-24 · Health · corrected 2024-05-21
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-24 · Health · corrected 2024-05-21
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-08-01 · Health · corrected 2023-08-31
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.2022-08-10 · Health · corrected 2022-09-20
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-08-10 · Health · corrected 2022-09-20
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-08-10 · Health · corrected 2022-09-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FGLFC HOLDCO, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-04-01 |
| FC INVESTORS XXI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 |
| LAVIE HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 |
| LV INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 |
| NSPR CARE CENTERS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 |
| NSPR OPERATIONS I, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 |
| NSPR OPERATIONS II, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 |
| CONSULATE MANAGEMENT COMPANY III LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| LEHNER, TIMOTHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-09 |
| LEHNER, TIMOTHY | Individual | CORPORATE OFFICER | — | 2024-05-09 |
| GRADY, JOHN | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2022-07-01 |
| WILLIAMS, JAMES | Individual | W-2 MANAGING EMPLOYEE | — | 2024-08-12 |
Other facilities in PASS CHRISTIAN
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.