Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.51 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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LANDMARK OF DESOTO has 60 certified beds in HORN LAKE, Mississippi. The CMS overall rating is 2 of 5, compared with the Mississippi average of 2.8. The CMS health inspection rating is 2 of 5, compared with the Mississippi average of 2.8. The CMS staffing rating is 2 of 5. The latest standard health survey on Mar 19, 2026 lists 10 deficiencies, compared with the Mississippi average of 5.2. CMS records a fine of $5,264 dated Oct 30, 2024. CMS records a fine of $5,263 dated Oct 30, 2024. Total nurse staffing is 2.78 hours per resident day in 2026Q1, compared with the Mississippi average of 4.20.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 255281.
At a glance
2 of 5
2 of 5
2 of 5
2 of 5
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Showing 25 of 56 relationships from CMS/PECOS evidence.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.51 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 19, 2026 cited 10 deficiencies.
View inspection evidenceCMS-published records list 91 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 49 facilities across 2 states or territories.
View chain evidenceCMS records show a $5,264 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
13 currently connected nursing homes share this CMS organization identity with ELTON G BEEBE SR IRRV GRNDCHILDRENS TR.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2010
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2010
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2014
Other facilities connected through this exact CMS organization identity: 0 across MS.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2010
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2010
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 85%
Association date reported to CMS: Oct 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MS.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2011
Other facilities connected through this exact CMS organization identity: 0 across MS.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 22, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 31, 2008
Other facilities connected through this exact CMS organization identity: 0 across MS.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across MS.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across MS.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 1993
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2005
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 1997
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2005
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2013
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 15, 2015
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 14, 2004
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MS.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MS.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 28, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 22, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2010
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2014
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across MS.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2010
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across MS.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 4, 2022
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2010
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2010
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 12 across MS.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 85%
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 3 across MS.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 75%
Association date reported to CMS: Jan 1, 2014
Other facilities connected through this exact CMS organization identity: 4 across MS.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2010
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2010
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 85%
Association date reported to CMS: Oct 1, 2023
Other facilities connected through this exact CMS organization identity: 5 across MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 50 across LA, MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 50 across LA, MS.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 5 across MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 3 across MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2011
Other facilities connected through this exact CMS organization identity: 19 across MS.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 22, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 31, 2008
Other facilities connected through this exact CMS organization identity: 23 across MS, OK.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 39 across LA, MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 50 across LA, MS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 20 across MS.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 49 across LA, MS.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 1993
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2005
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 1997
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2005
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2013
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 15, 2015
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 779 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 49 | 2.8 | 3.3 |
| Mon Jun | 49 | 2.7 | 3 |
| Fri May | 48 | 2.7 | 3 |
| Wed Apr | 48 | 2.7 | 3 |
| Sun Mar | 48 | 2.6 | 3.1 |
| Sun Feb | 48 | 2.6 | 3.1 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2026)
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2026)
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2026)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2026)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2026)
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 scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2026)
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 scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2026)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2026)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2024)
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2024)
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 scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2024)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2024)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2024)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 18, 2023)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 18, 2023)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 18, 2023)
Penalties & enforcement
Published fine amount: $5,264.00
Published fine amount: $5,263.00
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 3.04 to 2.78 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.04 → 2.78
CMS · Reported in a source release · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 3.34 to 3.04 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
3.34 → 3.04
CMS · Reported in a source release · View related evidence
8 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $5,264 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a $5,263 civil monetary penalty.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 2.913 | 2.435 |
| RN categories | 0.531 | 0.453 |
Contract staff accounted for 0.6% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.003 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.281 | 0.478 | 0.873 | 1.927 | 11.4% | 91 |
| 2025Q3 | 3.335 | 0.448 | 0.876 | 2.012 | 9.3% | 92 |
| 2025Q4 | 3.041 | 0.512 | 0.86 | 1.67 | 2.6% | 92 |
| 2026Q1 | 2.776 | 0.509 | 0.765 | 1.502 | 0.6% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
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Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
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