SNF

CLEVELAND COMMUNITY CARE CENTER

CCN: 255114 · CLEVELAND, MS 38732 · Lee County

⚠ Inspection > 2 years ago

Overview

Address
4036 HIGHWAY 8 EAST, CLEVELAND, MS 38732
Phone
6628434014
Certified beds
120
Avg daily residents
114 (95% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1989-06-01
Setting
Rural
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 2/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 3/5
Short-Stay Quality Measures ★★★★★ 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.60 2.97 4.69 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.63 0.52 0.82 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.79 0.66 1.03 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.18 1.79 2.84 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.42 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.04 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.10
hrs / resident / day
RN (weekend)
0.55
hrs / resident / day
Total nurse (adjusted, weekend)
4.03
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
45.6%
annual
RN turnover
30.8%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.05
near national average
Case-Mix Index Ratio
0.76
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-02-15 7 5 2 32 1 32
Cycle 2/3 (prior) 2022-06-29 9 1 8 412 1 412
Total weighted health score
127.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (19)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

12 D/E/F Actual harm — potential for minor
7 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2026-01-08 2026-02-13
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2026-01-08 2026-02-13
0584 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. D 2024-02-15 2024-03-20
0638 Assure that each resident’s assessment is updated at least once every 3 months. D 2024-02-15 2024-03-20
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-02-15 2024-03-20
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-02-15 2024-03-20
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2024-02-15 2024-03-20
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2023-09-11 2023-10-11
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. J 2023-09-11 2023-10-11
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. J 2023-09-11 2023-10-11
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. J 2023-09-11 2023-10-11
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. J 2023-09-11 2023-10-11
0841 Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. J 2023-09-11 2023-10-11
0849 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. J 2023-09-11 2023-10-11
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2023-06-15 2023-07-25
0880 Provide and implement an infection prevention and control program. E 2022-06-29 2022-08-11
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2019-06-06 2019-07-01
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2019-06-06 2019-07-01
0880 Provide and implement an infection prevention and control program. D 2019-06-06 2019-07-01

Penalties (2)

Fines issued
1
last 3 years
Total fines
$229,213
Payment denials
1
Date Type Fine amount
2023-09-11 Fine $229,213
2023-09-11 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 13.6% Medicaid 79.4% Other 7.0%

Operating performance

Operating Margin
-3.3%
Total Margin
-2.7%
Occupancy Rate
92.2%
Cost per Resident Day
$25

Revenue & costs

Net Patient Revenue
$9.8M
Total Costs
$992K
Net Income
-$264K

Balance sheet

Total Assets
$2.0M
Total Liabilities
$1.5M
Fund Balance
$477K
Current Ratio
0.52

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: NORBERT BENNETT & DONALD DENZ

Chain ID
771
Facilities in chain
29
Legal business name
CLEVELAND NURSING AND REHABILITATION CENTER, LLC
Chain-average star ratings (for peer context)
Overall
1.7
Health
2.0
Staffing
2.7
QM
2.1

Owner / manager organizations (5)

Organization Role Association
D&N, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 06/30/2003
DTD HC, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 06/30/2003
DONALD T DENZ IRRV TR 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/23/2008
NORBERT A BENNETT IRRV TR FBO CHILDREN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/23/2008
NORBERT A BENNETT IRRV TR FBO GRANDCHILDREN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/23/2008

Owner / manager individuals (3)

Name Role Association
BENNETT, NORBERT 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/30/2003
DENZ, DONALD 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/30/2003
CONRAD, KATHY W-2 MANAGING EMPLOYEE since 02/07/2020

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $25 metrics.cost_per_resident_day
Cost Report Current Ratio 0.52 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 79.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 13.6% metrics.medicare_day_share
Cost Report Net Income ($) $-263,621 metrics.net_income
Cost Report Net Patient Revenue ($) $9,800,975 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 92.2% metrics.occupancy_rate
Cost Report Operating Margin (%) -3.3% metrics.operating_margin
Cost Report Total Assets ($) $2,012,544 metrics.total_assets
Cost Report Total Costs ($) $992,225 metrics.total_costs
Cost Report Total Fund Balances ($) $476,561 metrics.fund_balance
Cost Report Total Liabilities ($) $1,535,983 metrics.total_liabilities
Cost Report Total Margin (%) -2.7% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.02953 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.84475 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.81828 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.69256 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.03379 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 114.0 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.65811 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.78860 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.51873 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 2.96544 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.61372 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.0 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 1.7 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.7 Chain Average Staffing Rating
Provider Information Chain ID 771 Chain ID
Provider Information Chain Name NORBERT BENNETT & DONALD DENZ Chain Name
Provider Information City/Town CLEVELAND City/Town
Provider Information CMS Certification Number (CCN) 255114 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Lee County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1989-06-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 33.7474 Latitude
Provider Information Legal Business Name CLEVELAND NURSING AND REHABILITATION CENTER, LLC Legal Business Name
Provider Information Location 4036 HIGHWAY 8 EAST,CLEVELAND,MS,38732 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -90.699 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago Y Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 120 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 29 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.05052 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.76255 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 4036 HIGHWAY 8 EAST Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name CLEVELAND COMMUNITY CARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 400 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 32 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 2 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-02-15 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 32 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 1 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-06-29 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 412 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 8 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 412 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 9 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.54729 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 30.8 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.41924 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.79074 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.18495 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.03771 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.62849 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.60419 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State MS State
Provider Information Telephone Number 6628434014 Telephone Number
Provider Information Total Amount of Fines in Dollars 229213.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.09821 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 45.6 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 127.000 Total Weighted Health Survey Score
Provider Information Urban N Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 38732 ZIP Code