Delta Rehabilitation and Healthcare Center
200 Dr Martin Luther King Jr Drive, Cleveland, MS 38732 · Bolivar County · 75 certified beds · avg 67 residents/day · certified since Mar 1, 1996
Part of chain: NEXION HEALTH (51 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 31, 2025 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Feb 12, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 13, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Sep 13, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Sep 13, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2023 | 4 | 0 | D |
| 2025 | 8 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Mississippi avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.62 | 4.88 | 3.95 | bottom 3% in Mississippi; bottom 43% in the U.S. |
| Registered Nurse hours | 0.61 | 0.74 | 0.69 | bottom 44% in Mississippi; top 46% in the U.S. |
| Weekend total nurse staffing | 3.34 | 4.09 | 3.50 | bottom 10% in Mississippi; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.38 | 0.48 | top 39% in Mississippi; bottom 44% in the U.S. |
| Total nursing staff turnover (%) | 43.1 | 45.7 | 45.8 | top 45% in Mississippi; top 45% in the U.S. |
| RN turnover (%) | 33.3 | 38.4 | 42.9 | top 39% in Mississippi; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.29, RN 0.56, weekend 3.03. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bolt, Bretton | Individual | 5% or Greater Indirect Ownership Interest | — | 03/29/2018 |
| Kirley, Francis | Individual | 5% or Greater Indirect Ownership Interest | — | 03/29/2018 |
| Nexion Health Leasing, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 03/29/2018 |
| Nexion Health of Ohi INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/29/2018 |
| Herdrich, William | Individual | Corporate Director | NOT APPLICABLE | 03/29/2018 |
| Kirley, Francis | Individual | Corporate Director | NOT APPLICABLE | 03/29/2018 |
| Kirley, Francis | Individual | Corporate Officer | NOT APPLICABLE | 03/29/2018 |
| Lee, Brian | Individual | Corporate Director | NOT APPLICABLE | 03/29/2018 |
| Lee, Brian | Individual | Corporate Officer | NOT APPLICABLE | 03/29/2018 |
| Matthews, Wanda | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2018 |
| Nexion Health, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/29/2018 |
| Riner, Meera | Individual | Corporate Director | NOT APPLICABLE | 03/29/2018 |
| Riner, Meera | Individual | Corporate Officer | NOT APPLICABLE | 03/29/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What adaptive eating equipment do you provide, and how do you decide who needs help at meals?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bolivar Medical Center LTC | 0.3 mi | Cleveland, MS | ★★★☆☆ | 4/5 | |
| Cleveland Community Care Center | 0.8 mi | Cleveland, MS | ★☆☆☆☆ | 1/5 | |
| Walter B Crook Nursing Facility | 9.4 mi | Ruleville, MS | ★★★☆☆ | 3/5 | |
| Ruleville Community Care Center | 9.6 mi | Ruleville, MS | ★☆☆☆☆ | 1/5 | |
| Diversicare of Shelby | 14.5 mi | Shelby, MS | ★★★☆☆ | 3/5 | |
| Indianola Rehabilitation and Healthcare Center | 19.9 mi | Indianola, MS | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 255228.