Pine Forest Health and Rehabilitation
1116 Forest Avenue, Jackson, MS 39206
Pine Forest Health and Rehabilitation is a nursing home in Jackson, Mississippi. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
Special Focus Facility candidate
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (601) 366-6461
- Last standard health inspection
- June 6, 2025 (1 year ago)
- Certified beds
- 120
- Residents per day, on average
- 100.4
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Forest Avenue Opco, LLC
- Chain
- Vanguard Healthcare
- Takes part in
- Medicare and Medicaid
More health citations than the Mississippi average (46 vs 18).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
3 citations
Health inspection on August 19, 2026
CMS lists this as a complaint inspection.
Citation F0553. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS lists it as corrected on September 22, 2026.
Citation F0573. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
CMS lists it as corrected on September 22, 2026.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on September 22, 2026.
CMS has cited this home for F0657 2 times since 2023.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Fine
CMS changed the fine from December 9, 2025 from $19,900 to $12,935.
2 citations
Health inspection on July 16, 2026
CMS lists this as a complaint inspection.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on August 21, 2026.
CMS has cited this home for F0558 2 times since 2025.
Citation F0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on August 21, 2026.
CMS has cited this home for F0921 2 times since 2021.
1 citation
Health inspection on May 28, 2026
CMS lists this as a complaint inspection.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 19, 2026.
CMS has cited this home for F0880 4 times since 2021.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of March 25, 2026
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Fine
CMS changed the fine from June 6, 2025 from $11,162 to $7,255.
Fine
CMS changed the fine from June 6, 2025 from $11,163 to $7,256.
2 citations
Health inspection on January 8, 2026
CMS lists this as a complaint inspection.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on January 30, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 30, 2026.
CMS has cited this home for F0689 5 times since 2021.
Payment stopped
January 6, 2026 (10 months ago)
CMS stopped payment for new admissions from January 6, 2026, for 24 days.
1 citation
Health inspection on December 9, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
57 of 202 Mississippi homes (28%) got a citation at the actual harm level in 2025.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 5, 2026.
Fine
December 9, 2025 (11 months ago)
CMS fine of $12,935 on December 9, 2025.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.2 to 2.8 hours per resident per day.
Fine
CMS changed the fine from January 17, 2025 from $19,135 to $12,438.
Fine
CMS changed the fine from January 17, 2025 from $57,720 to $37,518.
2 citations
Health inspection on September 4, 2025
CMS lists this as a complaint inspection.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on October 7, 2025.
CMS has cited this home for F0656 5 times since 2023.
Citation F0679. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide activities to meet all resident's needs.
CMS lists it as corrected on October 7, 2025.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
Staffing
Total nurse staffing reported to CMS went from 5.1 to 4.2 hours per resident per day.
7 citations
Health inspection on June 6, 2025
CMS lists this as a standard inspection and a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
25 of 202 Mississippi homes (12%) got a citation at the immediate jeopardy level in 2025.
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on July 4, 2025.
CMS has cited this home for F0600 3 times since 2023.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 4, 2025.
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on July 4, 2025.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 4, 2025.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on July 4, 2025.
CMS has cited this home for F0686 2 times since 2023.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on July 4, 2025.
Citation F0865. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on July 4, 2025.
CMS has cited this home for F0865 2 times since 2024.
1 citation
Fire safety inspection on June 6, 2025
CMS lists this as a standard inspection.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on June 4, 2025.
Fine
June 6, 2025 (1 year ago)
CMS fine of $7,255 on June 6, 2025.
Fine
June 6, 2025 (1 year ago)
CMS fine of $7,256 on June 6, 2025.
2 citations
Health inspection on February 26, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
57 of 202 Mississippi homes (28%) got a citation at the actual harm level in 2025.
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on March 7, 2025.
Citation F0656. Severity G: actual harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on March 7, 2025.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Payment stopped
February 15, 2025 (1 year ago)
CMS stopped payment for new admissions from February 15, 2025, for 20 days.
3 citations
Health inspection on January 17, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
57 of 202 Mississippi homes (28%) got a citation at the actual harm level in 2025.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on February 28, 2025.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on February 28, 2025.
Citation F0585. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on February 28, 2025.
CMS has cited this home for F0585 2 times since 2021.
Fine
January 17, 2025 (1 year ago)
CMS fine of $12,438 on January 17, 2025.
Fine
January 17, 2025 (1 year ago)
CMS fine of $37,518 on January 17, 2025.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.5 to 3.8 hours per resident per day.
3 citations
Health inspection on July 18, 2024
CMS lists this as a complaint inspection.
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on August 22, 2024.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on August 22, 2024.
CMS has cited this home for F0677 3 times since 2021.
Citation F0865. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on August 22, 2024.
CMS update of May 29, 2024
Fine
CMS changed the fine from December 5, 2023 from $91,380 to $59,397.
CMS update of February 29, 2024
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
11 citations
Health inspection on December 5, 2023
CMS lists this as a standard inspection and a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
6 of 202 Mississippi homes (3%) got a citation at the immediate jeopardy level in 2023.
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on January 2, 2024.
Citation F0656. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on January 2, 2024.
Citation F0657. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on January 2, 2024.
Citation F0686. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on January 2, 2024.
Citation F0726. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on January 2, 2024.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on January 2, 2024.
CMS has cited this home for F0561 2 times since 2021.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on January 2, 2024.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on January 2, 2024.
Citation F0806. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on January 2, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 2, 2024.
Citation F0887. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
CMS lists it as corrected on January 2, 2024.
1 citation
Fire safety inspection on December 5, 2023
CMS lists this as a standard inspection.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on January 2, 2024.
Fine
December 5, 2023 (2 years ago)
CMS fine of $59,397 on December 5, 2023.
9 citations
Health inspection on March 26, 2021
CMS lists this as a standard inspection.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on May 17, 2021.
Citation F0585. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on May 17, 2021.
Citation F0608. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
CMS lists it as corrected on May 17, 2021.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on May 17, 2021.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on May 17, 2021.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 17, 2021.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on May 17, 2021.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 17, 2021.
Citation F0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on May 17, 2021.
1 citation
Fire safety inspection on March 26, 2021
CMS lists this as a standard inspection.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on March 26, 2021.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ORAND JR, WILLIAM5% or greater direct ownership interest · 20% · since 10/01/2018
- ORAND, WILLIAM5% or greater direct ownership interest · 80% · since 10/01/2018
- JACKSON MANAGEMENT ASSOCIATES LLCOperational/managerial control · not applicable · since 10/01/2018
- ESTES, TIMOTHYOperational/managerial control · not applicable · since 03/01/2023
- MINCHEW, HEATHEROperational/managerial control · not applicable · since 01/22/2026
- ORAND, WILLIAMOperational/managerial control · not applicable · since 10/01/2018
Questions
When was Pine Forest Health and Rehabilitation last inspected?
CMS lists June 6, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Pine Forest Health and Rehabilitation have?
CMS lists 46 health citations since March 26, 2021. CMS also calls these deficiencies.
Has Pine Forest Health and Rehabilitation been fined?
CMS lists 6 fines in the past three years, $136,799 in total.
What is the CMS star rating of Pine Forest Health and Rehabilitation?
Its CMS overall star rating is 1 of 5.
Is Pine Forest Health and Rehabilitation a Special Focus Facility?
Yes. CMS lists it as a Special Focus Facility candidate.