Silver Cross Health & Rehab — Skilled Nursing Facility Profile (CCN #255310)

Brookhaven, Mississippi · CCN 255310 · Phone: 6018332361 · 60 beds · Ownership: For Profit - Limited Liability Company

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Compliance Indicator: 58/100 — Material Gaps

About Silver Cross Health & Rehab

Silver Cross Health & Rehab is a Medicare- and Medicaid-certified skilled nursing facility in Brookhaven, Mississippi, operating under CMS Certification Number (CCN) 255310. 60-bed facility. For Profit - Limited Liability Company. Part of the Advanced Health Care Management chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.

Silver Cross Health & Rehab has held its Medicare/Medicaid certification for approximately 21 years (certification date on file: 2005-01-10). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.

Local market context (Lincoln County): Silver Cross Health & Rehab operates in Lincoln County alongside 3 other Medicare-certified SNFs in our Mississippi cohort sample. Multi-facility counties create direct cohort comparison pressure — hospital discharge planners typically run side-by-side Care Compare lookups before placement decisions.

CMS Five-Star Quality Ratings

CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.

Long-Stay vs Short-Stay Quality Measures

Long-Stay Quality Measure rating: ★★★★☆ (4 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.

Short-Stay Quality Measure rating: ★★★★☆ (4 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.

Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.

Compliance Red Flags

Silver Cross Health & Rehab has none of the four CMS-published red-flag indicators active at the most recent publish: not on the Special Focus Facility list, no Abuse Icon on Care Compare, no overdue inspection flag, and no recent change-of-ownership flag. Absence of these flags does not mean the facility is deficiency-free — see the survey history below.

Survey History and Deficiencies

Recent health deficiencies cited at last standard survey: 11. National average for facilities of this size is approximately 8 deficiencies per cycle. Silver Cross Health & Rehab has no CMS fines in its most recent reporting cycle. Last documented standard health survey: 2025-12-11. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.

Infection Control and Deficiency Weighting

CMS health survey weighted score: 43. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.

Staffing Detail

At today's staffing levels, Silver Cross Health & Rehab would not meet the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876: RN HPRD is 0.433 vs the 0.55 floor, a 0.12-hour gap and nurse-aide HPRD is 1.901 vs the 2.45 floor, a 0.55-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.

Total nurse staffing: 2.916 hours per resident day (HPRD), which is 0.56 hours below the 3.48 total HPRD floor scheduled to take effect for rural-facility facilities by May 2029 (89 FR 40876, May 2024); facilities projected to remain below the floor at the effective date must either close the gap, qualify for a hardship exemption, or face citation under 42 CFR 483.35.

Staffing mix: RN 0.433 HPRD, LPN 0.582 HPRD, CNA 1.901 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.

Weekend RN staffing: 0.224 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.

Total nurse staff turnover: 32% annualized — moderate.

RN-specific turnover: 50% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.

Chain Context and Facility Type

Silver Cross Health & Rehab is operated as part of Advanced Health Care Management, a chain operating 6 Medicare-certified facilities (CMS chain identifier 12). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.

Provider type designation: Medicare And Medicaid.

The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.

How Silver Cross Health & Rehab Compares to Peers in Mississippi

Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.

FileFlo Compliance Indicator

FileFlo's compliance indicator for Silver Cross Health & Rehab is 58/100 (Material Gaps). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.

Why This Page Exists

FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.

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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile

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