Pass Christian Health and Rehabiliation Center

Name: Pass Christian Health and Rehabiliation Center
Address: 538 MENGE AVENUE, Pass Christian, MS, 39571, US
Telephone: 2284524344

538 Menge Avenue, Pass Christian, MS 39571 · Harrison County · 60 certified beds · avg 51 residents/day · certified since Aug 1, 2002

Part of chain: CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE (11 facilities, chain avg rating 2.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

$8,224

Fines, last 3 years

3.78

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Apr 24, 2024 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 21, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (19)

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
Jun 30, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Apr 15, 2026	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Apr 15, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Sep 4, 2025	E · Potential for harm, repeated	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.
Sep 4, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
May 1, 2025	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Mar 6, 2025	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
Mar 6, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Feb 7, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Feb 7, 2025	D · Potential for harm, one-off	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint
Feb 7, 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
Apr 24, 2024	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 24, 2024	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.
Apr 24, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 24, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 1, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Aug 10, 2022	E · Potential for harm, repeated	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.
Aug 10, 2022	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Aug 10, 2022	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2022	3	0	E
2023	1	0	D
2024	4	1	G ▲
2025	8	0	E
2026	3	0	D

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)

1 fine totaling $8,224.

Date	Type	Amount / length
Apr 24, 2024	Fine	$8,224

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)	3.78	4.88	3.95	bottom 6% in Mississippi; top 49% in the U.S.
Registered Nurse hours	0.56	0.74	0.69	bottom 34% in Mississippi; bottom 46% in the U.S.
Weekend total nurse staffing	3.33	4.09	3.50	bottom 9% in Mississippi; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.38	0.48	bottom 28% in Mississippi; bottom 17% in the U.S.
Total nursing staff turnover (%)	71.2	45.7	45.8	bottom 3% in Mississippi; bottom 5% in the U.S.
RN turnover (%)	81.8	38.4	42.9	bottom 3% in Mississippi; bottom 5% 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 3.45, RN 0.51, weekend 3.04. Staffing rating: 2/5.

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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
FC Investors Xxi LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
FGLFC Holdco, LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	04/01/2022
Lavie Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
LV Investment LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
NSPR Care Centers, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
NSPR Operations I, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
NSPR Operations II, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
Grady, John	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Grady, John	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2022
Hoback, Tiffany	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2025
Hoback, Tiffany	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2025
SNF Mgr LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/01/2025
SNF Mgr LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/03/2026
Williams, Bennett	Individual	Operational/Managerial Control	NOT APPLICABLE	03/24/2025
Williams, Bennett	Individual	ADP of the SNF	NOT APPLICABLE	03/24/2025
Winkle, Ashley	Individual	Operational/Managerial Control	NOT APPLICABLE	12/10/2024
Winkle, Ashley	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023

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 you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"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
Coastal Health and Rehabilitation Center	6.2 mi	Gulfport, MS	★☆☆☆☆	1/5
Driftwood Nursing Center	6.2 mi	Gulfport, MS	★★★☆☆	4/5
Dunbar Village Terrace	7.3 mi	Bay Saint Louis, MS	★★★★☆	4/5
Gulfport Care Center	8.9 mi	Gulfport, MS	★☆☆☆☆	1/5
Memorial Woodland Village Nursing Center	10.0 mi	Diamondhead, MS	★★☆☆☆	3/5
Lakeview Nursing Center	10.4 mi	Gulfport, MS	★★★☆☆	3/5
The Pillars of Biloxi	15.5 mi	Biloxi, MS	★☆☆☆☆	1/5
Greenbriar Nursing Center	19.8 mi	Diberville, MS	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Pass Christian →

Facility data as of CMS processing date 2026-08-01. CCN 255287.

The Care File

Visit checklist — Pass Christian Health and Rehabiliation Center

538 Menge Avenue, Pass Christian, MS 39571 · 2284524344

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $8,224

Most serious findings on record:

▲ Apr 24, 2024 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 255287 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)