01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-06 | 12 | 2025-06-06 | 1 |
| Cycle 2 | 2023-12-05 | 17 | 2023-12-05 | 1 |
| Cycle 3 | 2021-03-26 | 12 | 2021-03-26 | 1 |
CMS CCN 2553262026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Pine Forest Health And Rehabilitation
1116 Forest Avenue · Jackson, MS 39206 · Hinds County
Certified beds120CMS provider file
Recent citation rows44current CMS citation release
Penalty rows8current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
44 rows in the current release
11 rows carry G–L scope/severity codes; 7 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-28 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-06-19 · complaint2026-01-08 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-01-30 · complaint2026-01-08 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-01-30 · complaint2025-12-09 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-01-05 · complaint2025-09-04 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-10-07 · complaint2025-09-04 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2025-10-07 · complaint2025-06-06 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-07-042025-06-06 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-07-04 · complaint2025-06-06 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-07-042025-06-06 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-07-04 · complaint2025-06-06 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-07-04 · complaint2025-06-06 · HEALTHF0865Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Correction field: Deficient, Provider has date of correction · 2025-07-042025-06-06 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-07-042025-06-06 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-06-042025-02-26 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-03-07 · complaint2025-02-26 · HEALTHF0656Severity G · isolated actual harm
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.
Correction field: Deficient, Provider has date of correction · 2025-03-07 · complaint2025-01-17 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-02-28 · complaint2025-01-17 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-28 · complaint2025-01-17 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-02-28 · complaint2024-07-18 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-08-22 · complaint2024-07-18 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-08-22 · complaint2024-07-18 · HEALTHF0865Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Correction field: Deficient, Provider has date of correction · 2024-08-22 · complaint2023-12-05 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2024-01-022023-12-05 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-01-02 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-12-09 | Fine | $12,935 | 0 |
| 2025-12-09 | Payment Denial | $0 | 24 |
| 2025-06-06 | Fine | $7,255 | 0 |
| 2025-06-06 | Fine | $7,256 | 0 |
| 2025-01-17 | Fine | $12,438 | 0 |
| 2025-01-17 | Fine | $37,518 | 0 |
| 2025-01-17 | Payment Denial | $0 | 20 |
| 2023-12-05 | Fine | $59,397 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ORAND JR, WILLIAMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST20% · since 10/01/2018
- ORAND, WILLIAMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST80% · since 10/01/2018
- ORIGIN BANCORP INCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 10/01/2018
- HEGGINS, MARGARETIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/01/2018
- FICK, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2018
- ORAND JR, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2018
- ORAND, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2018
- JACKSON MANAGEMENT ASSOCIATES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2018
- ORAND, WILLIAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.87per resident day
RN hours0.39per resident day
Weekend nurse hours3.57per resident day
Staff turnover63.0%CMS reported field
06 / LOCAL RECORDS
Open the Jackson ledger →Other published facilities nearby
Alyce G Clarke Center For Medically Fragile Childr— beds · CMS overall —/50 citation rowsChadwick Community Care Center102 beds · CMS overall 1/526 citation rowsCompere Nh Inc60 beds · CMS overall 4/58 citation rowsLakeland Community Care Center105 beds · CMS overall 2/533 citation rowsMagnolia Senior Care, Llc60 beds · CMS overall 4/512 citation rowsManhattan Community Care Center180 beds · CMS overall 1/532 citation rowsPleasant Hills Community Living Center100 beds · CMS overall 1/524 citation rows