Woodlands Rehabilitation and Healthcare Center
102 Woodchase Park Drive, Clinton, MS 39056 · Hinds County · 145 certified beds · avg 138 residents/day · certified since May 1, 1992
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: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, one-off · Mar 28, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 26, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Feb 3, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 1, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Feb 3, 2025 · F-0609 · triggered by a complaint
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 1, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Jun 6, 2024 · F-0580 · triggered by a complaint
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.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
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: Jun 19, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 6, 2024 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Jun 19, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (32)
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 1, 2026 | D · Potential for harm, one-off | 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 |
| Jul 1, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Apr 29, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Apr 29, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Apr 29, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Aug 15, 2025 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Aug 15, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Aug 15, 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. |
| Aug 15, 2025 | 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. |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Aug 15, 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. |
| Aug 15, 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. |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Mar 28, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 3, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 3, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 25, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Sep 25, 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. · from a complaint |
| Sep 25, 2024 | 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. · from a complaint |
| Sep 25, 2024 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint |
| Jun 6, 2024 | ▲ G · Actual 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 |
| Jun 6, 2024 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Apr 11, 2024 | 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. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 11, 2024 | 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 11, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint |
| Jul 14, 2022 | 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 14, 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. |
| Jul 14, 2022 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | D |
| 2024 | 12 | 2 | G ▲ |
| 2025 | 12 | 3 | J ▲ |
| 2026 | 5 | 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)
4 fines totaling $30,069.
| Date | Type | Amount / length |
|---|---|---|
| Mar 28, 2025 | Fine | $10,361 |
| Feb 3, 2025 | Fine | $5,598 |
| Feb 3, 2025 | Fine | $5,598 |
| Apr 11, 2024 | Fine | $8,512 |
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) | 3.91 | 4.88 | 3.95 | bottom 10% in Mississippi; top 43% in the U.S. |
| Registered Nurse hours | 0.62 | 0.74 | 0.69 | bottom 45% in Mississippi; top 45% in the U.S. |
| Weekend total nurse staffing | 3.26 | 4.09 | 3.50 | bottom 4% in Mississippi; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.38 | 0.48 | bottom 48% in Mississippi; bottom 30% in the U.S. |
| Total nursing staff turnover (%) | 39.7 | 45.7 | 45.8 | top 36% in Mississippi; top 35% in the U.S. |
| RN turnover (%) | 35.0 | 38.4 | 42.9 | top 45% in Mississippi; top 38% 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 3.75, RN 0.60, weekend 3.13. Staffing rating: 4/5.
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 - Corporation
| 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 |
| Nexion Health, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 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 |
| Nexion Health, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/29/2018 |
| Pope, Jennifer | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/09/2020 |
| Reid, John | Individual | Corporate Director | NOT APPLICABLE | 12/18/2018 |
| 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.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| Clinton Healthcare LLC - SNF | 2.3 mi | Clinton, MS | ★★★★☆ | 4/5 | |
| Chadwick Community Care Center | 4.3 mi | Jackson, MS | ★☆☆☆☆ | 2/5 | |
| Pleasant Hills Community Living Center | 4.6 mi | Jackson, MS | ★☆☆☆☆ | 2/5 | |
| Magnolia Senior Care, LLC | 5.4 mi | Jackson, MS | ★★★★☆ | 3/5 | |
| Willow Creek Retirement Center | 7.7 mi | Byram, MS | ★★☆☆☆ | 2/5 | |
| Pine Forest Health and Rehabilitation | 8.0 mi | Jackson, MS | ★☆☆☆☆ | 1/5 | abuse |
| Compere NH INC | 8.4 mi | Jackson, MS | ★★★★☆ | 4/5 | |
| Methodist Sepcialty Care Center | 8.4 mi | Flowood, MS | ★★★★★ | 4/5 | |
| Manhattan Community Care Center | 9.7 mi | Jackson, MS | ★☆☆☆☆ | 1/5 | |
| Edgewood Health & Rehabilitation | 9.8 mi | Byram, MS | ★☆☆☆☆ | 1/5 | abuseSFF |
| Lakeland Community Care Center | 9.9 mi | Jackson, MS | ★★☆☆☆ | 2/5 | |
| Alyce G Clarke Center for Medically Fragile Childr | 10.2 mi | Jackson, MS | —/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 255148.