Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

PINE CREST GUEST HOME INC

HAZLEHURST, MS · 55 certified beds · Last Life Safety survey December 12, 2024

CMS Certification Number 255210 · first certified August 1995

Ownership

Operated by CAVALIER HEALTHCARE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within MS

6 citations — more than 98% of the 202 certified nursing homes in MS. Compared within MS rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2026 to June 2026), and past the point by which nine in ten MS facilities have been surveyed. This facility’s last Life Safety survey was December 2024. Facilities in MS are typically surveyed 15–19 months after the last one (median 17), measured over 258 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MS, and nationally. Surveyors differ markedly between states, so the MS figure is the meaningful one.

This facility6MS median1National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in MS1
Median facility nationally11

Survey history

Citations at each Life Safety survey
32020-0212023-0822024-12
Citations at each Life Safety survey
Survey dateCitations
February 13, 20203
August 10, 20231
December 12, 20242

Most-cited tags

Most-cited tags at this facility
K-03531K-03451K-03411K-09181K-03721K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.12020-02-13
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-12-12
K-0341Install a fire alarm system that can be heard throughout the facility.12024-12-12
K-0918Have generator or other power source capable of supplying service within 10 seconds.12020-02-13
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-08-10
K-0712Have simulated fire drills held at unexpected times.12020-02-13

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 12, 2024 — 2 citations

Citations issued on December 12, 2024
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (February 13, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 13, 2025)

August 10, 2023 — 1 citation

Citations issued on August 10, 2023
TagWhat the surveyor checksStatus
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 6, 2023)

February 13, 2020 — 3 citations

Citations issued on February 13, 2020
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 2, 2020)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 2, 2020)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 2, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.