| Wisteria Gardens | |
| 5420 Highway 80 East, Pearl, Mississippi 39208 | |
| (601) 988-6800 | |
| Name | Wisteria Gardens |
|---|---|
| Location | 5420 Highway 80 East, Pearl, Mississippi |
| Certified By | Medicare |
| No. of Certified Beds | 52 |
| Occupancy Rate | 85.96% |
| Medicare ID (CCN) | 255325 |
| Legal Business Name | Wisteria Gardens, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1306031372 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Wisteria Gardens, LLC |
| Address | 5420 Highway 80 E, Pearl, MS 39208 |
| Phone Number | 601-988-6800 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | Not available: CMS could not validate the staffing data | 3.86 |
| Registered nurse (RN) hours per resident per day | Not available: CMS could not validate the staffing data | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | Not available: CMS could not validate the staffing data | 0.86 |
| Nurse aide hours per resident per day | Not available: CMS could not validate the staffing data | 2.32 |
| Total nurse staff hours per resident per day on the weekend | Not available: CMS could not validate the staffing data | 3.42 |
| RN hours per resident per day on the weekend | Not available: CMS could not validate the staffing data | 0.48 |
| Physical therapist hours per resident per day | Not available: the staffing data did not meet CMS's criteria for this measure | 0.07 |
| Total nursing staff turnover | 61.9% | 45.8% |
| Registered nurse turnover | 16.7% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 11, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 13, 2026 |
| Mar 11, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 13, 2026 |
| Feb 20, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Mar 21, 2025 |
| Feb 20, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Mar 21, 2025 |
| Feb 20, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 21, 2025 |
| Feb 20, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 21, 2025 |
| Feb 20, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, isolated | Corrected by Mar 21, 2025 |
| Feb 20, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 21, 2025 |
| Oct 19, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Nov 30, 2023 |
| Oct 19, 2023 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2023 |
| Oct 19, 2023 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Nov 30, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.5 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.33 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.92 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 16.67 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.79 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.26 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Not Available | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.58 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 0 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 45.41 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | Not Available | 15.38 |