CCN 255210
Pine Crest Guest Home INC
133 PINE STREET, Hazlehurst, MS 39083 · Copiah County
- Ownership
- For profit - Limited Liability company
- Certified beds
- 55
- Residents per day
- 50.1
- Health citations
- 8
- Penalties
- 2
- Fines
- 2 · $10,364
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.38
- 2.43
- 2.32
- LPN/LVN
- 1.43
- 1.11
- 0.86
- Registered nurse
- 0.38
- 0.64
- 0.69
- Total nurse staff
- 4.19
- 4.18
- 3.86
- Weekend total
- 3.01
- 3.50
- 3.42
- Weekend RN
- 0.21
- 0.38
- 0.48
Adjusted total nurse hours: 4.74. Adjusted RN hours: 0.43. Case-mix total: 3.39. Case-mix index: 1.240.
Total nursing staff turnover: 44.8%. RN turnover: 40.0%. Administrators who left: 1.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 2 fines totaling $10,364, and 0 payment denials.
| Date | Type | Amount or days |
|---|
| June 16, 2025 | Fine | $5,182 |
| June 16, 2025 | Fine | $5,182 |
Cycle 1 standard survey: December 12, 2024. Health deficiencies counted in cycle 1: 2. Cycle 1 total health score: 12.
Cycle 2 standard survey: August 10, 2023. Cycle 2/3 health deficiencies: 4. Total weighted health survey score: 48.5.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 8 citations for this home, including 2 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
June 16, 2025
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Cycle 2 | J: isolated, immediate jeopardy to resident health or safety | Deficient, Provider has date of correction · July 14, 2025 |
| F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Complaint survey · Cycle 2 | J: isolated, immediate jeopardy to resident health or safety | Deficient, Provider has date of correction · July 14, 2025 |
December 12, 2024
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Standard survey · Cycle 1 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · January 31, 2025 |
| F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · January 31, 2025 |
August 10, 2023
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · September 6, 2023 |
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · September 6, 2023 |
February 13, 2020
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 10, 2020 |
| F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 10, 2020 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections