Gaps in clinical leadership and management presence
Insufficient dementia-care training and protocols
Medication-management oversight
Gaps in wound-prevention and skin-integrity monitoring
Unreliable meal-service delivery and dining consistency
Inconsistent cleanliness and sanitation practices
Gaps in resident safety monitoring and incident response
Financial and placement-consent processes
Barriers to timely access to records and documentation
Summary of reviews
Reviews of Holly Springs Rehabilitation and Healthcare Center present a mixed picture. Many families praise the facility for compassionate direct care, strong rehabilitation services, and a clean, orderly environment. Multiple accounts highlight an engaged therapy team, supportive social work and admissions staff, and well-attended activities that create meaningful family moments. These strengths suggest the facility is capable of delivering high-quality short-term rehabilitation and supportive long-term interactions when staffing and leadership are functioning well.
Care quality shows variability. Numerous positive comments describe attentive bedside manners, individualized assistance, and staff who provide emotional and practical support to families during transitions. At the same time, a set of concerns describes operational weaknesses that affect clinical outcomes for some residents: inconsistent staff professionalism, gaps in clinical leadership presence, and limitations in dementia-specific training and handling. Reviewers also raised issues consistent with inconsistent medication oversight and wound-prevention monitoring, which indicate that clinical protocols and their consistent execution may be uneven across shifts or units.
Dining, activities, and therapy are areas of contrast. Therapy and rehabilitation are frequently singled out for excellent performance and positive outcomes. Activities and social events receive praise for being engaging and family-oriented. Conversely, dining service shows inconsistency in meal delivery and quality for some residents, and there are mentions of practical lapses that affect mealtime experience. Overall facility cleanliness and a welcoming physical environment are commonly noted as strengths, although a subset of accounts points to sanitation and housekeeping inconsistencies.
Management and administrative patterns reflect both effective and problematic aspects. Several reviewers commend an accessible administrative team, supportive social services, and clear referral handling. However, other comments indicate gaps in leadership visibility and responsiveness at the director level, difficulties obtaining records, and questions about placement and billing/consent processes. Safety monitoring and incident-response processes were raised as areas needing improvement in some accounts.
Notable patterns for prospective residents and families: the facility demonstrates clear strengths in therapy, interpersonal care, and customer-facing services, but there are recurring operational concerns related to leadership consistency, dementia-specific care, clinical oversight (medication and skin integrity), meal-service continuity, and administrative transparency. Families considering Holly Springs should weigh the positive experiences with rehabilitation and supportive staff against the variability described, and seek direct verification of protocols for dementia care, medication management, wound-prevention, meal delivery practices, and billing/consent procedures when evaluating placement.
Reviews written on Mirador
We have no reviews to show about Holly Springs Rehabilitation and Healthcare Center.
Help other families by writing a review about your experience with this community.
Medicare Ratings
1·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Holly Springs Rehabilitation and Healthcare Center is located at 1315 MS-4 #1315, Holly Springs, MS, 38635.
About Holly Springs Rehabilitation and Healthcare Center
Holly Springs Rehabilitation and Healthcare Center sits as a place where people come to recover after illness or surgery, and some folks stay long-term if they need more help, and you'll see right away the building puts focus on people regaining their strength, treating injuries, or learning how to do things on their own again, because the staff gives around-the-clock skilled nursing care and keeps an eye on everyone as they go about their day, and there's always someone ready to help with activities like bathing or getting dressed, which is good for folks who need support with those basic things. This center has therapy gyms full of special equipment, therapy programs set up for physical, occupational, and speech needs, and it runs specialized rehab activities, using what they call worksheet files like "sheet1.xml" and "workbook.xml" that help keep everything organized and right for each person's plan, so you'll see that everyone's care has structure to it and isn't just a one-size-fits-all approach, and the staff uses their own names for these programs and rooms depending on what's needed for that person.
There are special rooms set aside for therapy and treatment, and they've designed spaces to make folks feel comfortable, especially if you must be there a good while, and whether it's dementia care, behavioral health, or another condition, they have dedicated units and care teams that work together, from nurses and therapists to dietary and housekeeping staff, all trying to keep a sense of community. The amenities help too, with music events, celebrations for things like Mother's Day, and chances to socialize, which is nice for keeping spirits up, and some days they'll have musical performances or other activities just to give residents something to look forward to.
Admission runs day and night, so families can bring someone in whenever the need comes up, and for those who help care for loved ones at home, Holly Springs offers respite care as a break. The staff, many with Southern charm and longtime experience, focus on each resident, making the place feel as much like home as possible, whether someone's staying a few weeks or moving in for the long term. They run physical, occupational, and speech therapy each day, aiming to help folks walk again, speak better, or do things they've lost strength in, and the programs are set up to support both mobility and independence, so residents can do things for themselves as much as possible. Holly Springs keeps an eye on comfort and safety while always focusing on recovery, and works to make each person's care plan fit their actual needs. All in all, it's a healthcare center that blends skilled nursing, structured rehab programs, and a strong team approach to help people through recovery or daily living with as much dignity and comfort as they can manage.
People often ask...
Holly Springs Rehabilitation and Healthcare Center offers assisted living, memory care, and skilled nursing.
There are 8 photos of Holly Springs Rehabilitation and Healthcare Center on Mirador.
The full address for this community is 1315 MS-4 #1315, Holly Springs, MS 38635.
No, Holly Springs Rehabilitation and Healthcare Center does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Mississippi, the State Department of Health licenses care facilities and publishes the survey, complaint, and infection-control reports from its inspections.
License number
nh-255229
Facility type
Nursing Home
Special certification
Medicaid/Medicare – Dually certified
Inspection Reports
82
Reports
0
Type A Citations
2
Type B Citations
42
Complaints
7
Years
01 Jun 2026Revisit
01 Jun 2026Revisit
Verified corrective actions were in place and compliance with participation requirements was sustained, with a recommendation to return to full compliance.
01 Jun 2026Complaint
01 Jun 2026Complaint
Investigated complaints and found no deficiencies. Census at the time was 92 of 120 beds.
01 Jun 2026Revisit
01 Jun 2026Revisit
Verified that corrective actions were implemented and compliance was restored.
01 Jun 2026Complaint
01 Jun 2026Complaint
Found no deficiencies. Compliance with required standards was determined.
01 May 2026Inspection
01 May 2026Inspection
Identified multiple deficiencies across resident rights, daily living care, ROM, dialysis management, bathroom cleanliness, and infection control.
45.17.2Residents' Rights
45.21.2Activities of daily living
45.21.5Range of motion
45.21.11Special needs
45.33.5Toilet Room Cleanliness
48.58.1Infection Control
01 May 2026Inspection
01 May 2026Inspection
Found widespread non-compliance across quality assurance, daily care, resident rights, discharge procedures, infection control, and dialysis management.
§483.75(g)(1)(i)-(iii)(2)(i); §483.80(c)Quality assessment and assurance
§483.10(f)(5)-(iv)(6)(7)Resident/Family Group and Response
§483.21(b)(1)-(3)Develop/Implement Comprehensive Care Plan
§483.24(a)(2)ADL Care Provided for Dependent Residents
§483.10(a)(1)-(2); §483.10(b)(1)-(2)Resident Rights/Exercise of Rights
§483.25(c)(1)-(3)Increase/Prevent Decrease in ROM/Mobility
§483.25(l)Dialysis
§483.80 Infection ControlInfection Prevention & Control
01 May 2026Inspection
01 May 2026Inspection
Found no deficiencies.
01 Mar 2026Complaint
01 Mar 2026Complaint
Found no deficiencies cited following a complaint investigation.
01 Mar 2026Complaint
01 Mar 2026Complaint
Investigated a complaint and found no deficiencies.
01 Dec 2025Revisit
01 Dec 2025Revisit
Concluded that compliance was restored after a follow-up visit with corrective measures in place to sustain compliance.
01 Dec 2025Revisit
01 Dec 2025Revisit
Determined that compliance was restored after addressing a deficient practice identified in the prior complaint survey.
01 Nov 2025Complaint
01 Nov 2025Complaint
Investigated complaints found supervision gaps allowed a resident with a feeding tube to obtain food from others, risking aspiration, and three residents missed appointments due to transportation funding problems.
CFR 483.25(d)(1)(2)Accidents
CFR 483.25Quality of care
01 Nov 2025Complaint
01 Nov 2025Complaint
Found deficiencies in residents' rights and safety monitoring, including missed medical/dental appointments due to transport funding issues and insufficient supervision that increased aspiration risk.
—Residents' Rights
—Accidents
01 Sept 2025Complaint
01 Sept 2025Complaint
Found no deficiencies after investigation.
01 Sept 2025Complaint
01 Sept 2025Complaint
Investigated two complaints and found no deficiencies.
01 Aug 2025Revisit
01 Aug 2025Revisit
Concluded no deficiencies were found and recommended back in compliance.
01 Aug 2025Revisit
01 Aug 2025Revisit
Determined compliance following a desk review and recommended placing back in compliance effective 7/18/25.
01 Jul 2025Complaint
01 Jul 2025Complaint
Investigated a complaint and found no deficiencies.
01 Jul 2025Complaint
01 Jul 2025Complaint
Concluded no deficiencies were found after a complaint investigation.
01 Jun 2025Inspection
01 Jun 2025Inspection
State investigators found multiple deficiencies including lack of resident dignity, inadequate ADL care, improper food handling, pest control problems, and failure to follow enhanced barrier precautions.
45.17.2Residents' Rights
45.21.2Activities of daily living
45.29.1Safe Food Handling Procedures
45.33.4Control of insects, rodents, etc.
48.58.1Infection Control
01 Jun 2025Inspection
01 Jun 2025Inspection
An inspection identified multiple deficiencies across resident rights, care planning, daily care, environment, infection control, and pest management, including dignity issues, unmet ADL needs, and sanitation problems.
483.10(a)(1)(2)(b)(1)(2)Resident Rights/Exercise of Rights
483.90(i)(4)Maintains Effective Pest Control Program
01 Jun 2025Inspection
01 Jun 2025Inspection
Observed no deficiencies related to emergency preparedness or life safety code; all applicable requirements were met.
01 Feb 2025Revisit
01 Feb 2025Revisit
Verified corrective actions were implemented and compliance was restored after a February 2025 revisit.
01 Feb 2025Complaint
01 Feb 2025Complaint
Investigated a complaint and found no deficiencies in this investigation; however, deficiencies cited in a prior 2/10/25 complaint survey left the site out of compliance.
01 Feb 2025Revisit
01 Feb 2025Revisit
Verified that corrective actions addressed deficiencies and placed back in compliance.
01 Feb 2025Complaint
01 Feb 2025Complaint
Investigated a complaint and found no deficiencies during this visit, but noted prior deficiencies from 01/27/25 left the site out of compliance.
01 Feb 2025Complaint
01 Feb 2025Complaint
Investigated a complaint and found no deficiencies related to abuse and neglect; however, ongoing noncompliance with previously cited deficiencies was noted.
01 Feb 2025Complaint
01 Feb 2025Complaint
Identified ongoing noncompliance from earlier deficiencies cited on a prior complaint survey.
01 Jan 2025Complaint
01 Jan 2025Complaint
Investigated a transfer incident found that two-person assistance was not provided during a resident transfer, resulting in a fracture requiring hospital evaluation.
45.21.8Accidents
01 Jan 2025Complaint
01 Jan 2025Complaint
Investigated a complaint about resident transfers and safety; found deficiencies in care planning and transfer assistance that led to an injury during a lift transfer.
Type B483.21(b)(1), 483.21(b)(3)Develop/Implement Comprehensive Care Plan
Type B483.25(d)(1), 483.25(d)(2)Free of Accident Hazards/Supervision/Devices
01 Oct 2024Revisit
01 Oct 2024Revisit
Concluded placement back in compliance after review.
01 Oct 2024Revisit
01 Oct 2024Revisit
Determined that no deficiencies were cited. The agency placed back in compliance after reviewing the complaint information.
01 Sept 2024Complaint
01 Sept 2024Complaint
Investigated a complaint and found deficiencies in providing two-person assistance as required by the care plan, contributing to a resident fall and inadequate fall-prevention practices.
CFR 483.21(b)(1)-(3)Develop/Implement Comprehensive Care Plan
CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
01 Sept 2024Complaint
01 Sept 2024Complaint
Identified failure to provide two-person assistance with incontinent care for a dependent resident, resulting in a fall on 07/21/2024.
45.21.8Accidents
01 Sept 2024Complaint
01 Sept 2024Complaint
Investigated a complaint about resident care and supervision, identifying failures to provide required two-person assistance during care and to maintain a safe environment, including a fall event.
CFR 483.21(b)(1)-(3)Develop/Implement Comprehensive Care Plan
CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
01 Sept 2024Complaint
01 Sept 2024Complaint
Investigated found that two-person assistance was not provided during incontinent care for a dependent resident, increasing fall risk.
45.21.8Accidents
01 Jun 2024Complaint
01 Jun 2024Complaint
Investigated a narcotics misappropriation incident involving one medication cart. Determined corrective actions brought the situation into compliance by 2024-05-14, classified as past non-compliance.
45.17.2Residents' Rights
01 Jun 2024Complaint
01 Jun 2024Complaint
Investigated a narcotics misappropriation incident and determined a past non-compliance issue was corrected before the survey.
CFR 483.12Free from Misappropriation/Exploitation
01 Feb 2024Revisit
01 Feb 2024Revisit
Determined the facility was in compliance with the minimum standards after a desk review; no deficiencies were cited.
01 Feb 2024Revisit
01 Feb 2024Revisit
Concluded that corrective actions brought the facility back into compliance with Medicare/Medicaid participation requirements, effective 01/27/24.
01 Jan 2024Inspection
01 Jan 2024Inspection
A survey found multiple deficiencies including lack of bed-hold notices, delayed MDS transmission, incomplete care plans, insufficient ADL/hygiene care, inadequate activity programming, missing splints/braces, unsafe smoking supervision, incomplete trauma-informed care assessments, and insufficient dining aids.
§483.24(a)(2)ADL Care Provided for Dependent Residents
§483.24(c)(1)Activities
§483.25(c)Mobility
§483.25(d)Accidents/Environmental Hazards
§483.25(m)Trauma-informed care
§483.60(g)Assistive devices - Eating equipment
01 Jan 2024Inspection
01 Jan 2024Inspection
Identified multiple deficiencies during a re-certification survey, including inadequate hygiene care, ROM management, trauma-informed care, smoking supervision, and adaptive equipment for meals.
45.21.2Activities of daily living
45.21.5Range of motion
45.21.6Mental and psycho-social
45.21.8Accidents
45.21.11Special needs
01 Jan 2024Inspection
01 Jan 2024Inspection
Found no deficiencies. Emergency preparedness requirements were met.
01 Jan 2024Inspection
01 Jan 2024Inspection
Found no deficiencies. The survey showed compliance with applicable life safety standards.
01 Mar 2023Inspection
01 Mar 2023Inspection
Found no deficiencies. Compliance with the Minimal Standards of Operation was observed at the time of the survey.
01 Mar 2023Inspection
01 Mar 2023Inspection
Found no deficiencies after a complaint investigation and determined compliance with Medicare/Medicaid participation requirements.
01 Dec 2022Revisit
01 Dec 2022Revisit
Concluded that the facility was placed back in compliance after a desk review.
01 Dec 2022Revisit
01 Dec 2022Revisit
Found no deficiencies in emergency preparedness. All applicable federal, state, and local requirements were met.
01 Dec 2022Revisit
01 Dec 2022Revisit
Determined that compliance with the Life Safety Code had been restored. A desk review found that information indicated compliance was achieved.
01 Dec 2022Revisit
01 Dec 2022Revisit
Determined that the facility could be placed back in compliance after a desk review confirmed adherence to minimum standards.
01 Nov 2022Inspection
01 Nov 2022Inspection
Found inadequate documentation of annual generator testing and recordkeeping. This indicated noncompliance with essential electrical system maintenance requirements.
NFPA 99 6.4.4.2Electrical Systems - Essential Electric System Maintenance and Testing
01 Nov 2022Inspection
01 Nov 2022Inspection
Found unsafe ice machine conditions with visible black buildup and a door lid that wouldn’t close, creating a contamination risk. Cleaning and maintenance practices were not consistently performed.
CFR 483.60(i)(1)(2)Food safety requirements
01 Nov 2022Inspection
01 Nov 2022Inspection
Observed unsafe ice machine conditions with black buildup and a broken lid that could contaminate ice.
Found no deficiencies related to emergency preparedness.
01 Sept 2022Complaint
01 Sept 2022Complaint
Investigated a complaint and found no deficiencies.
01 Sept 2022Complaint
01 Sept 2022Complaint
Investigated the complaint and found no deficiencies cited.
01 Aug 2022Complaint
01 Aug 2022Complaint
Determined no deficiencies were cited after reviewing a complaint and related incident report. Found compliance with the minimum standards of operation.
01 Aug 2022Complaint
01 Aug 2022Complaint
Found no deficiencies cited after reviewing a complaint and an incident report.
01 Mar 2022Complaint
01 Mar 2022Complaint
Investigated the complaints and found no deficiencies cited.
01 Mar 2022Complaint
01 Mar 2022Complaint
Investigated two complaints and found no deficiencies cited after reviewing adherence to Mississippi Regulations.
01 Jun 2021Complaint
01 Jun 2021Complaint
Found no deficiencies after investigating two complaints. No violations were cited and compliance with Medicare/Medicaid participation was confirmed.
01 Jun 2021Complaint
01 Jun 2021Complaint
Found no deficiencies. Determined compliance with applicable minimum standards.
01 Jan 2021Infection Control
01 Jan 2021Infection Control
Observed improper mask use and inadequate hand hygiene among dietary and tray-delivery staff, indicating infection control deficiencies during a COVID-19 focused review.
42 CFR 483.80Infection Prevention & Control
01 Jan 2021Complaint
01 Jan 2021Complaint
Identified deficiencies in infection control practices during a COVID-19 focused inspection. Noted violations of federal infection control requirements.
42 CFR 483.80Infection control
01 Jan 2021Infection Control
01 Jan 2021Infection Control
Investigated a complaint and concluded no deficiencies were cited.
01 Jan 2021Complaint
01 Jan 2021Complaint
Investigated a complaint and found no deficiencies.
01 Jan 2021Infection Control
01 Jan 2021Infection Control
Determined in compliance with COVID-19 focused emergency preparedness requirements.
01 Jan 2021Infection Control
01 Jan 2021Infection Control
Verified compliance with COVID-19 focused emergency preparedness requirements. No deficiencies were cited.
01 Oct 2020Complaint
01 Oct 2020Complaint
Identified deficiencies for neglect after a resident sustained a fall with a fracture that was not immediately reported by a CNA and for inadequate staffing during ADL care.
—
—
01 Oct 2020Infection Control
01 Oct 2020Infection Control
Investigated complaints and identified deficiencies related to neglect, including a fall with fracture not immediately reported and insufficient staff for turning and repositioning during ADL care.
—
—
01 Oct 2020Complaint
01 Oct 2020Complaint
Investigated findings showed neglect related to a resident fall resulting in a fracture that was not immediately reported, with insufficient staff for two-person assistance during care.
45.17.2Residents' Rights
45.17.3All rights and responsibilities
01 Oct 2020Complaint
01 Oct 2020Complaint
Investigated complaints found neglect due to failing to report a resident fall promptly and insufficient staffing during ADL care, resulting in a fracture.
CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
01 Oct 2020Complaint
01 Oct 2020Complaint
Found no deficiencies and noted compliance with COVID-19 infection control requirements.
01 Oct 2020Infection Control
01 Oct 2020Infection Control
Found no deficiencies.
01 Aug 2020Infection Control
01 Aug 2020Infection Control
Determined no infection-control deficiencies during a focused COVID-19 review and confirmed compliance with infection-control practices.
01 Aug 2020Infection Control
01 Aug 2020Infection Control
Concluded no deficiencies were found in the focused COVID-19 emergency preparedness review.
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Found incomplete reporting of COVID-19 data to NHSN during a seven-day period, with potential harm to residents.
42 CFR 483.80(g)Reporting to NHSN (COVID-19)
01 Jun 2020Infection Control
01 Jun 2020Infection Control
Verified compliance with infection control requirements. No deficiencies were cited.
01 Jun 2020Infection Control
01 Jun 2020Infection Control
Found no deficiencies related to infection control. The focused review showed compliance with infection control requirements.
01 Dec 2019Complaint
01 Dec 2019Complaint
Identified deficiencies related to floor maintenance and dishware cleanliness during cleaning, and improper call light placement and monitoring for residents.
45.31.1 FloorsFloors
45.40.11 Call SystemCall System
01 Dec 2019Inspection
01 Dec 2019Inspection
Investigated and found deficiencies related to floor maintenance in the dietary area and call-light accessibility for residents.
45.31.1Floors
45.40.11Call System
01 Dec 2019Complaint
01 Dec 2019Complaint
Cited deficiencies identified during the annual re-certification survey.
—
—
—
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Holly Springs Rehabilitation and Healthcare Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Holly Springs Rehabilitation and Healthcare Center directly. There is no cost for this service. We are compensated by the community you select.
Are you an owner or operator of Holly Springs Rehabilitation and Healthcare Center?
Claim this listing to receive messages from prospective customers and manage your community page.
Send a message about
Holly Springs Rehabilitation and Healthcare Center