Grand Trace Health and Rehabilitation
555 John R. Junkin Drive · Natchez, MS · 39120 · 6014424396
96 certified beds For profit - Limited Liability company Chain: Avardis Health
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 2 · $48,153 |
Inspection citations (39 in the current record)
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Potential for harm · D April 1, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 8, 2026 · Quality of Life and Care
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Potential for harm · D April 1, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 8, 2026 · Quality of Life and Care
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Potential for harm · D April 1, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 8, 2026 · Infection Control
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Potential for harm · D February 17, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 19, 2026 · Resident Rights
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Potential for harm · D August 27, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 7, 2025 · Resident Assessment and Care Planning
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Actual harm · G March 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 24, 2025 · Resident Assessment and Care Planning
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Actual harm · G March 27, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 24, 2025 · Quality of Life and Care
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Actual harm · G March 27, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Assess the resident when there is a significant change in condition
Corrected April 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Ensure each resident receives an accurate assessment.
Corrected April 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected April 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 24, 2025 · Administration
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Potential for harm · D March 27, 2025
Provide and implement an infection prevention and control program.
Corrected April 24, 2025 · Infection Control
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Potential for harm · E March 27, 2025 · found via complaint
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.
Corrected April 24, 2025 · Resident Rights
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Potential for harm · E March 27, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected April 24, 2025 · Resident Rights
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Potential for harm · E March 27, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 24, 2025 · Nursing and Physician Services
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Potential for harm · F March 27, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected April 24, 2025 · Nursing and Physician Services
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Potential for harm · D March 7, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected April 10, 2024 · Resident Rights
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Potential for harm · D March 7, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected April 10, 2024 · Resident Rights
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Potential for harm · D March 7, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 10, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 27, 2025 | Fine | $40,610 |
| September 7, 2023 | Fine | $7,543 |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 255173 · certified since March 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.