Bedford Care Center of Mendenhall
Bedford Care Center of Mendenhall is a for profit - limited liability company facility in Mendenhall, MS with 60 certified beds and a 1-star overall CMS rating. The inspection file holds 23 deficiency records. Total penalties: $39K.
925 West Mangum Avenue, Mendenhall, MS 39114
Phone: 6018471311
Overall CMS Rating
vs 3.0 national avg
The verdict
Bedford Care Center of Mendenhall holds a 1-star CMS overall rating — below the 3.0-star national average, with nurse staffing below the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall rating (nat'l avg 3.0)
- 3.84
- Nursing hrs/resident-day (nat'l 3.89)
- 23
- Inspection findings on file · 6 serious
- $39K
- Federal penalties (3)
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 255150
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 60
- Residents
- 56
- In Hospital
- No
- County
- Simpson
- Last Inspection
- Feb 6, 2025
Staffing Data
- RN Hours
- 0.58 (nat'l avg: 0.68)
- LPN Hours
- 1.03
- CNA Hours
- 2.23
- Total Nursing Hours
- 3.84 (nat'l avg: 3.89)
- PT Hours
- 0.01
- Nursing Turnover
- 65.9%
- RN Turnover
- 66.7%
What the CMS Record Reveals About Bedford Care Center of Mendenhall
Bedford Care Center of Mendenhall operates 60 certified beds in Mendenhall, MS with approximately 56 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 23 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $39K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.84 total nursing hours per resident day (national average 3.89), with RN coverage at 0.58 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Bedford Care Center of Mendenhall falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 65.9%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (23 most recent)
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Jan 12, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 21, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 21, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Mar 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 10, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Sep 10, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 12, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 12, 2023
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Category: Infection Control Deficiencies
Corrected: Oct 12, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Oct 12, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Oct 12, 2023
Ensure 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.
Category: Pharmacy Service Deficiencies
Corrected: Oct 12, 2023
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 12, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 12, 2023
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 12, 2023
Keep residents' personal and medical records private and confidential.
Category: Resident Rights Deficiencies
Corrected: Oct 12, 2023
The resident has the right to receive notices in a format and a language he or she understands.
Category: Resident Rights Deficiencies
Corrected: Oct 12, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Category: Resident Rights Deficiencies
Corrected: Oct 12, 2023
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Oct 12, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: May 31, 2021
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 31, 2021
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 5.9% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 8.4% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.1% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 98.4% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 35.4% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 29.1% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.4% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 28.2% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.4% | Yes |
Penalty History 3 penalties totaling $39K
| Date | Type | Amount |
|---|---|---|
| Aug 5, 2024 | Fine | $31K |
| Aug 5, 2024 | Payment Denial | - |
| Dec 13, 2023 | Fine | $4K |
| Dec 13, 2023 | Fine | $4K |
Nearby Nursing Homes in MS
Alyce G Clarke Center for Medically Fragile Childr
Jackson, MS
Arabella Health & Wellness of Meridian
Meridian, MS
Arbor Walk Healthcare Center
Greenville, MS
Arrington Living Center
Collins, MS
Ashland Health and Rehabilitation
Ashland, MS
Attala County Nursing Center
Kosciusko, MS
Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Bedford Care Center of Mendenhall?
What are the staffing levels at Bedford Care Center of Mendenhall?
How many beds does Bedford Care Center of Mendenhall have?
Does Bedford Care Center of Mendenhall have any deficiencies on record?
Has Bedford Care Center of Mendenhall received any fines or penalties?
Who owns Bedford Care Center of Mendenhall?
When was Bedford Care Center of Mendenhall last inspected?
What quality measures are tracked for Bedford Care Center of Mendenhall?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.