WISTERIA GARDENS
5420 HIGHWAY 80 EAST, PEARL, MS 39208 · CCN 255325
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 52
- Avg residents/day
- 45.4
- Phone
- 6019886800
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 | 2025-02-20 | 6 | 6.7 | 9.5 | -0.7 better |
| 2 | 2023-10-19 | 3 | 6.0 | 9.8 | -3.0 better |
| 3 | 2021-09-10 | 5 | 4.7 | 9.3 | +0.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.18 | 59.6% |
| RN staffing (reported) | 0.75 | 0.0% |
| Total nurse staffing (adjusted) | 5.67 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (14)
- DF0641Ensure each resident receives an accurate assessment.2025-02-20 · Health · corrected 2025-03-21
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-02-20 · Health · corrected 2025-03-21
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.2025-02-20 · Health · corrected 2025-03-21
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-20 · Health · corrected 2025-03-21
Potential for more than minimal harm
- DF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-02-20 · Health · corrected 2025-03-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-02-20 · Health · corrected 2025-03-21
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-10-19 · Health · corrected 2023-11-30
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2023-10-19 · Health · corrected 2023-11-30
Potential for minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-19 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2021-09-10 · Health · corrected 2021-10-27
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.2021-09-10 · Health · corrected 2021-10-27
Potential for more than minimal 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.2021-09-10 · Health · corrected 2021-10-27
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-09-10 · Health · corrected 2021-10-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2021-09-10 · Health · corrected 2021-10-27
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ASHLEY HEALTHCARE, INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2007-12-04 |
| KICKAPOO PROPERTIES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-12-04 |
| M-D TRANSPORTATION LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-12-04 |
| SIGNATURE HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-12-04 |
| TOWN CREEK COMPANY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-12-04 |
| GALLOWAY, CHARLES | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-12-04 |
| HILL, WILLIAM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-12-04 |
| MAXEY, JOHN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-12-04 |
| MCCAY, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-12-04 |
| WALKER, BEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-12-04 |
| ASHLEY MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-12-04 |
| SHELTON, REBECCA | Individual | CORPORATE OFFICER | — | 2019-11-19 |
| ALBERT, MICHAEL | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2007-12-04 |
| HILL, WILLIAM | Individual | W-2 MANAGING EMPLOYEE | — | 2007-12-04 |
Other facilities in PEARL
| 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.