| Pine Forest Health and Rehabilitation | |
| 1116 Forest Avenue, Jackson, Mississippi 39206 | |
| (601) 366-6461 | |
| Name | Pine Forest Health and Rehabilitation |
|---|---|
| Location | 1116 Forest Avenue, Jackson, Mississippi |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 81.5% |
| Medicare ID (CCN) | 255326 |
| Legal Business Name | Forest Avenue Opco, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Vanguard Healthcare (6 nursing homes) |
| Chain Average Overall Rating | 3.5 out of 5 |
| NPI Number | 1396213492 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Forest Avenue Opco, LLC |
| Doing Business As | Pine Forest Health and Rehabilitation |
| Address | 1116 Forest Ave, Jackson, MS 39206 |
| Phone Number | 601-366-6461 |
| NPI Number | 1326197211 |
| Match | Possible same name, address or phone number |
| Organization Name | Cottage Grove Nursing Home, LP |
| Address | 1116 Forest Ave, Jackson, MS 39206 |
| Phone Number | 601-366-6461 |
| 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 | 4.87 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.39 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.59 | 0.86 |
| Nurse aide hours per resident per day | 2.9 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.57 | 3.42 |
| RN hours per resident per day on the weekend | 0.22 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 63% | 45.8% |
| Registered nurse turnover | 69.2% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 6 |
| Total Amount of Fines in Dollars | $136,799 |
| Number of Payment Denials | 2 |
| Total Number of Penalties | 8 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 28, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by Jun 19, 2026 |
| Jan 8, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 30, 2026 |
| Jan 8, 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, Complaint inspection | Potential for harm, isolated | Corrected by Jan 30, 2026 |
| Dec 9, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jan 5, 2026 |
| Sep 4, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Oct 7, 2025 |
| Sep 4, 2025 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Oct 7, 2025 |
| Jun 6, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Immediate jeopardy, isolated | Corrected by Jul 4, 2025 |
| Jun 6, 2025 | 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, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jul 4, 2025 |
| Jun 6, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jul 4, 2025 |
| Jun 6, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 4, 2025 |
| Jun 6, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 4, 2025 |
| Jun 6, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jul 4, 2025 |
| Jun 6, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, isolated | Corrected by Jul 4, 2025 |
| Feb 26, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Mar 7, 2025 |
| Feb 26, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Actual harm, isolated | Corrected by Mar 7, 2025 |
| Jan 17, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Feb 28, 2025 |
| Jan 17, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Feb 28, 2025 |
| Jan 17, 2025 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Feb 28, 2025 |
| Jul 18, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Aug 22, 2024 |
| Jul 18, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Aug 22, 2024 |
| Jul 18, 2024 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Aug 22, 2024 |
| Dec 5, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jan 2, 2024 |
| Dec 5, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jan 2, 2024 |
| Dec 5, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jan 2, 2024 |
| Dec 5, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jan 2, 2024 |
| Dec 5, 2023 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726, Nursing and Physician Services, Standard inspection, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jan 2, 2024 |
| Dec 5, 2023 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 2, 2024 |
| Dec 5, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jan 2, 2024 |
| Dec 5, 2023 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jan 2, 2024 |
| Dec 5, 2023 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jan 2, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.28 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.68 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.62 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.29 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.68 | 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 | 88.89 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 37.91 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 23.47 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.94 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 67.71 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 9.68 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 13.03 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.34 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.41 | 15.38 |
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