WISTERIA GARDENS

5420 HIGHWAY 80 EAST
PEARL, MS, 39208
6019886800
CCN: 255325
4
Overall
3
Health
5
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Corporate Integrity Agreements (1)
One or more owners of this facility have entered into Corporate Integrity Agreements (CIAs) with the OIG. CIAs are compliance agreements typically resulting from healthcare fraud settlements.
Signature Healthcare, LLC
Matched via: SIGNATURE HOLDINGS LLC
Closed
2023-12-05
Ownership
NameRole%
ASHLEY HEALTHCARE, INC5% OR GREATER DIRECT OWNERSHIP INTEREST50%
KICKAPOO PROPERTIES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
M-D TRANSPORTATION LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
SIGNATURE HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
TOWN CREEK COMPANY LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
GALLOWAY, CHARLES5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HILL, WILLIAM5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
MCCAY, DAVID5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
WALKER, BEN5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
MAXEY, JOHN5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
ALBERT, MICHAELCONTRACTED MANAGING EMPLOYEENOT APPLICABLE
SHELTON, REBECCACORPORATE OFFICERNOT APPLICABLE
ASHLEY MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HILL, WILLIAMW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (14)
2025-02-20 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F865 · Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2023-10-19 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
2021-09-10 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
5.18
3.68
RN Hrs/Resident/Day
0.75
0.54
LPN Hrs/Resident/Day
1.15
0.81
CNA Hrs/Resident/Day
3.29
2.33
PT Hrs/Resident/Day
0.23
0.12
Data as of 2026-03-01