Hearth Record

Mississippi Baptist Medical Center

An acute care hospital in Jackson, Mississippi 39202

1225 N State St, Jackson, Mississippi 39202. (601) 968-1000.

  • Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 4 deficiencies in 1 month of the last 36. Last cited Jan 2024. Most serious: Condition-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean4
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Condition-level deficiency
For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.

What did inspectors find?

The last inspection on record was on Jul 24, 2024: a complaint inspection.

4 deficiencies cited in the last three years, 1 of them at condition level, the most serious.

1 deficiency at condition level, the more serious of CMS’s two levels

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

4 deficiencies in 1 month of the last 36. Last cited Jan 2024. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.

4 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Jan 12, 2024: complaint inspection4 deficiencies

  • Nursing Services

    The inspectors’ words, 1,277 words

    “NURSING SERVICES CFR(s): 482.23 The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse. This Condition is not met as evidenced by: 47941 Based on observation of facility video footage of patient #1’s room 3A -329 on the Behavioral Health Unit dated 01/04/2024 from 8:36 a.m. to 12:12 p.m. facility staff interviews, medical record review of “flowsheets” and “encounter problems,” for Patient #1, and facility policy and procedure review, the facility’s nursing staff failed to deliver appropriate nursing services which followed the patient’s plan of care and facility policies and procedures on two (2) of two (2) days of survey. Findings Include: Observation of facility video footage of Patient #1’s room, 3A -329 on the Behavioral Health Unit, dated 01/04/2024 from 8:36 a.m. to 12:12 p.m. with the Director of Risk Management and Director of Accreditation revealed: 08:17:10 a.m. Patient #1 enters room from hallway. 08:17:16a.m. Patient #1 enters bathroom from room. 08:24:45 a.m. Patient #1 exits bathroom to room, stands and looks around room. 08:25:32 a.m. Patient #1 walks to hall door looking towards TV/Camera wall. 08:25:38 a.m. Patient #1 shuts door to hall. 08:27:47 a.m. Patient #1 enters bathroom. 08:29:06 a.m. Patient #1 exits bathroom, standing in room with arms across chest swaying back and forth. 08:29:57 a.m. Patient #1 walks to chair by the window and sits. 08:31:01 a.m. Registered Nurse (RN #1) enters patient room from hallway interacts with patient. 08:33:42 a.m. Patient walks to the bathroom with water pitcher-RN #1 present in room. 08:34:12 Patient #1 exits the bathroom with water pitcher in hand. Places water pitcher on bedside table. 08:36:56 a.m. RN #1 exited patient’s room to hallway. 08:37:08 a.m. Patient #1 enters bathroom. 08:39:15 a.m. Patient #1 exits bathroom standing in room swaying back and forth with hands in pants pockets gazing towards the TV/camera wall. 08:40:32 a.m. Patient #1 walks back to the water pitcher takes a drink, sits in chair by window. 08:45:57 a.m. Patient #1 enters bathroom. 08:53:18 a.m. Patient #1 exits bathroom, walks to wall with TV and Personal belongings shelf and walks back toward the bathroom. Patient #1-out of camera view. 08:53:44 a.m. Patient #1 enters bathroom. 08:53:57 a.m. Patient #1 exits bathroom. While holding the door open the patient looks up at top right corner of door. Patient #1 comes further into the room beside the bed and stands holding on the bed rail, slightly bends over several times as if sick or crying, flexes right hand, looks up with painful expression. 08:54:13 a.m. Patient #1 turns and re-enters the bathroom. 08:56:53 a.m. Patient #1 closes bathroom door. Patient is inside the bathroom. 09:01:02 a.m. Patient #1 opens bathroom door. 09:01:05 a.m. Patient #1 walks to the bed and sits down, shuffles feet, looks around the room, and rocks back and forth. 09:03:50 a.m. Patient #1 lays down on the bed on right side. 09:08:24 a.m. Patient #1 gets out of bed and walks to the bathroom. 09:08:25 a.m. Patient #1 enters bathroom. 09:12:41 a.m. Dark colored strap/belt appears on the top right corner of the door between the door frame and door. 09:12:45 a.m. Patient #1 closes bathroom door from inside the bathroom, after four (4) attempts the door latch catches and the door remains closed, the dark colored strap/belt remains visible. 11:55:17 a.m. RN #1 re-enters patient’s room. Opens bathroom door. Belt loop was released. 11:55:32 a.m. RN #1 pushes code button on the wall. 11:55:40 a.m. RN #1 reenters the bathroom. 11:55:46 a.m. RN #1 pushes code button again and calls for help 11:56:04 a.m. Sitter enters room to assist. 11:56:13 a.m. Sitter exits room. 11:56:19 a.m. Two (2) Staff members enter the room to assist. 11:56:24 a.m. One (1) of the staff members exits the room. 11:56:59 a.m. Staff pull patient #1 out of bathroom between bathroom and patient room. 11:57:12 a.m. Staff who exited the room at 11:56:24 a.m. re-enter the patient’s room. 11:57:28 a.m. Attending physician enters Patient #1’s room, Cardiopulmonary Resuscitation in progress. 11:57:35 a.m. Another staff member enters patient #1’s room with a backboard. 11:57:41 a.m. Staff move bed, Cardiopulmonary Resuscitation continues. 11:57:50 a.m. Cardiac monitor arrives, Cardiopulmonary Resuscitation continues. 11:58:07 a.m. Belt placed on floor beside patient, Cardiopulmonary Resuscitation continues. 11:58:17 a.m. Crash cart arrives, Cardiopulmonary Resuscitation continues. 11:58:37 a.m. Code team arrives, Cardiopulmonary Resuscitation continues. 12:12:00 p.m. Code was stopped, return to spontaneous circulation was not achieved. An interview with the Director of Risk Management on 01/11/2024 at 12:20 p.m., confirmed the hourly safety checks on Patient #1 were not made per the facility policy and physician ordered plan of care after her review of the facility video footage of Patient #1’s room 3A -329 on the Behavioral Health Unit dated 01/04/2024 from 8:36 a.m. to 12:12 p.m. An interview with the Director of Accreditation on 01/11/2024 at 12:20 p.m. confirmed the hourly safety checks on Patient #1 were not made per the facility policy and physician ordered plan of care after her review of the facility video footage of Patient #1’s room 3A -329 on the Behavioral Health Unit dated 01/04/2024 from 8:36 a.m. to 12:12 p.m. An interview with Director of Accreditation on 01/12/2024 at 10:30 a.m. confirmed hourly checks for the suicide level precaution level one (1) in the Suicide Policy and Procedure, policy number PPM5054, dated 7/16, Last revised 6/21, is the same level of observation as the behavioral health unit’s standard observation for patient safety. Interview with Director of Behavioral Health (DBH) on 01/12/2024 at 10:50 a.m., confirmed Patient #1 was on physician ordered routine safety precautions with hourly safety checks; no suicide precaution order was given by the attending physician. Additionally, the DBH revealed during a staff debriefing of the event on 01/08/2024, RN #1 did not perform hourly safety observations on Patient #1 on 01/04/2024 between 8:36 a.m. - 11:55 a.m. due to managing issues with other patients and other duties and RN #1 did not delegate patient safety checks to one (1) of two (2) behavioral health assistants (BHA) who were in the Behavioral Health Unit day room with patients. Review of medical record titled, “Flowsheets” for Patient #1 on 01/04/2024 and facility video footage of Patient #1’s room, 3A-329, dated 01/04/2024 from 8:36 a.m. to 12:12 p.m. revealed a discrepancy in documentation. Documentation at 9:26 a.m. by RN #1 states “ ...patient; awake.” Review of facility video footage of Patient #1’s room revealed no observation of staff entering Patient #1’s room, 3A-329, from 8:36 a.m. - 11:55 a.m. when patient #1 was found unresponsive. Review of the medical record titled, “Encounter Problems” for Patient #1, revealed “ ...Intervention: Develop and Maintain Individualized Safety Plan ...Provide immediate and ongoing protective physical environment ...Conduct environment of care safety checks ...Be alert to warning signs of suicidal ...behavior ...Note: Denial for suicidal ideation or agreement to a safety plan does not invalidate suicide risk ...”. Review of facility policy and procedure, “Suicide Precaution”, policy number PPM5054, dated 7/16, Last revised 6/21 revealed “ ...Patients who demonstrate or verbalize feelings of depression, hopelessness, or have vague suicidal ideations may be placed on suicide watch and observations...Orders for suicide precautions are based on a clinical assessment and depends on categories listed ....A. Level I ...expressing feelings/thoughts of suicide with no specific plan ...Check patients whereabouts ...every hour ... “. During the exit conference on 01/12/2024 at 2:00 p.m. with the Chief Executive Officer, Chief Nursing Officer, the Director of Risk Management, and the Director of Accreditation survey findings related to alleged complaints were discussed. No further documentation was provided for review during the exit conference.”

    Rule A0385. Condition-level. From a complaint.

  • Patient Rights: Care In Safe Setting

    The inspectors’ words, 185 words

    “PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 47941 Based on observation of facility video footage in Room 3A -329 on the Behavioral Health Unit dated 01/04/2024 from 8:36 a.m. to 12:12 p.m., facility staff interviews, Patient #1’s medical record review of “flowsheets” and “encounter problems”, and facility policy and procedure review, the facility failed to follow policy and procedure for hourly safety observation to support a safe environment and to prevent patient self-harm and suicide event on two (2) of two (2) days of survey. Findings Include: Cross Refer to A-0385/482.23 for the facility’s failure to provide a safe environment to prevent patient self-harm and suicide while not following policy and procedure for hourly patient safety observation. During the exit conference on 01/12/2024 at 2:00 p.m. with the Chief Executive Officer, the Chief Nursing Officer, the Director of Risk Management, and the Director of Accreditation survey findings related to alleged complaints were discussed. No further documentation was provided for review during the exit conference.”

    Rule A0144. Standard-level. From a complaint.

  • Supervision Of Contract Staff

    The inspectors’ words, 222 words

    “SUPERVISION OF CONTRACT STAFF CFR(s): 482.23(b)(6) All licensed nurses who provide services in the hospital must adhere to the policies and procedures of the hospital. The director of nursing service must provide for the adequate supervision and evaluation of all nursing personnel which occur within the responsibility of the nursing service, regardless of the mechanism through which those personnel are providing services (that is, hospital employee, contract, lease, other agreement, or volunteer). This Standard is not met as evidenced by: 47941 Based on observation of facility video footage of patient #1’s room 3A -329 of the Behavioral Health Unit dated 01/04/2024 from 8:36 a.m. to 12:12 p.m., facility staff interviews, medical record review of “flowsheets” and “encounter problems,” for Patient #1, and facility policy and procedure review, the facility’s nursing staff failed to adhere to facility patient safety policies and procedures to prevent patient self-harm and suicide event on two (2) of two (2) days of survey. Findings Include: Cross Refer to A-0385/482.23 for the facility’s failure to ensure nursing staff followed policies and procedures. During the exit conference on 01/12/2024 at 2:00 p.m. with the Chief Executive Officer, the Chief Nursing Officer, the Director of Risk Management, and the Director of Accreditation survey findings related to alleged complaints were discussed. No further documentation was provided for review during the exit conference.”

    Rule A0398. Standard-level. From a complaint.

  • Medical Record Services

    The inspectors’ words, 1,095 words

    “MEDICAL RECORD SERVICES CFR(s): 482.24(c)(1) All patient medical record entries must be legible, complete, dated, timed, and authenticated in written or electronic form by the person responsible for providing or evaluating the service provided, consistent with hospital policies and procedures. This Standard is not met as evidenced by: 47941 Based on observation of facility video footage of Patient #1’s room 3A-329 on the Behavioral Health Unit dated 01/04/2024 from 8:36 a.m. to 12:12 p.m. facility staff interviews, and medical record review of “flowsheets” for Patient #1, the facility failed to provide accurate documentation of required hourly rounding to ensure patient safety and prevent self-harm on two (2) of two (2) days of survey. Findings Include: Observation of facility video footage of Patient #1’s Room 3A -329 of the Behavioral Health Unit dated 01/04/2024 from 8:36 a.m. to 12:12 p.m. with the Director of Risk Management and Director of Accreditation revealed: 08:17:10 a.m. Patient #1 enters room from hallway. 08:17:16a.m. Patient #1 enters bathroom from room. 08:24:45 a.m. Patient #1 exits bathroom to room, stands and looks around room. 08:25:32 a.m. Patient #1 walks to hall door looking towards TV/Camera wall. 08:25:38 a.m. Patient #1 shuts door to hall. 08:27:47 a.m. Patient #1 enters bathroom. 08:29:06 a.m. Patient #1 exits bathroom to room standing with arms across chest swaying back and forth. 08:29:57 a.m. Patient #1 walks to chair by the window and sits. 08:31:01 a.m. Registered Nurse (RN #1) enters patient room from hallway interacts with patient. 08:33:42 a.m. Patient #1 walks to the bathroom with water pitcher-RN #1 present in room. 08:34:12 Patient #1 exits the bathroom with water pitcher in hand. Places water pitcher on bedside table. 08:36:56 a.m. RN #1 exited patient’s room to hallway. 08:37:08 a.m. Patient #1 enters bathroom. 08:39:15 a.m. Patient #1 exits bathroom standing in room swaying back and forth with hands in pants pockets gazing towards the TV/camera wall. 08:40:32 a.m. Patient #1 walks back to the water pitcher takes a drink, sits in chair by window. 08:45:57 a.m. Patient #1 enters bathroom. 08:53:18 a.m. Patient #1 exits bathroom, walks to wall with TV and Personal belongings shelf and walks back toward the bathroom. Patient-out of camera view. 08:53:44 a.m. Patient #1 enters bathroom. 08:53:57 a.m. Patient #1 exits bathroom. While holding the door open the patient looks up at top right corner of door. Patient #1 comes further into the room beside the bed and stands holding on the bed rail, slightly bends over several times as if sick or crying, flexes right hand, looks up with painful expression. 08:54:13 a.m. Patient #1 turns and re-enters the bathroom. 08:56:53 a.m. Patient #1 closes bathroom door. Patient is inside the bathroom. 09:01:02 a.m. Patient #1 opens bathroom door. 09:01:05 a.m. Patient #1 walks to the bed and sits down, shuffles his feet, looks around the room, and rocks back and forth. 09:03:50 a.m. Patient #1 lays down on the bed on his right side. 09:08:24 a.m. Patient #1 gets out of bed and walks to the bathroom. 09:08:25 a.m. Patient #1 enters bathroom. 09:12:41 a.m. Dark colored strap/belt appears on the top right corner of the door between the door frame and door. 09:12:45 a.m. Patient #1 closes bathroom door from inside the bathroom, after four (4) attempts the door latch catches and the door remains closed, the dark colored strap/belt remains visible. 11:55:17 a.m. RN #1 re-enters patient’s room. Opens bathroom door. Belt loop was released. 11:55:32 a.m. RN #1 pushes code button on the wall. 11:55:40 a.m. RN #1 reenters the bathroom. 11:55:46 a.m. RN #1 pushes code button again and calls for help. 11:56:04 a.m. Sitter enters room to assist. 11:56:13 a.m. Sitter exits room. 11:56:19 a.m. Two (2) Staff members enter the room to assist. 11:56:24 a.m. One (1) of the staff members exit the room. 11:56:59 a.m. Staff pull patient out of bathroom between bathroom and patient room. 11:57:12 a.m. Staff who exited the room at 11:56:24 a.m. re-enters Paient #1’s room. 11:57:28 a.m. Attending physician enters the room, Cardiopulmonary Resuscitation in progress. 11:57:35 a.m. Another staff member enters the room with a backboard. 11:57:41 a.m. Staff move bed, Cardiopulmonary Resuscitation continues. 11:57:50 a.m. Cardiac monitor arrives, Cardiopulmonary Resuscitation continues. 11:58:07 a.m. Belt placed on floor beside Ptient #1, Cardiopulmonary Resuscitation continues. 11:58:17 a.m. Crash cart arrives, Cardiopulmonary Resuscitation continues. 11:58:37 a.m. Code team arrives, Cardiopulmonary Resuscitation continues. 12:12:00 p.m. Code was stopped, return to spontaneous circulation was not achieved. An interview with the Director of Risk Management on 01/11/2024 at 12:20 p.m., confirmed the hourly safety checks were not made on Ptient #1, every hour per the facility policy and physician orders based on her observation and review of the video footage dated 01/04/2024 from 8:36 a.m. to 12:12 p.m. of the Behavioral Health Unit Floor Three (3) room 3A-329. An interview with the Director of Accreditation on 01/11/2024 at 12:20 p.m. confirmed the hourly safety checks were not made on Paient #1, every hour per the facility policy and physician orders based on her observation and review of the video footage dated 01/04/2024 from 8:36 a.m. to 12:12 am. of the Behavioral Health Unit Floor Three (3) Room 3A-329. An interview with the Director of Behavioral Health (DBH) on 01/12/2024 at 10:50 a.m., confirmed Patient #1 was on physician ordered routine safety precautions with hourly safety checks and no suicide precaution order was given by the attending physician. Additionally, the DBH revealed, during a staff debriefing of the event on 01/08/2024, RN #1 did not make routine safety observations on Patient #1 on 01/04/2024 between 8:36 a.m. - 11:55 a.m. due to managing issues with other patients/other duties and RN #1 did not delegate patient safety checks to one (1) of two (2) behavioral health assistants (BHA) who were in the behavioral health unit day room with patients. Review of medical record titled, “Flowsheets” for Patient #1 on 01/04/2024 and facility video footage of Patient #1’s room, 3A-329, dated 01/04/2024 from 8:36 a.m. to 12:12 p.m. revealed a discrepancy in documentation. Documentation at 9:26 a.m. on flowsheet by RN #1 states “ ...patient; awake.” Review of facility video footage of Patient #1’s room revealed no observation of staff entering Patient #1’s room from 8:36 a.m. - 11:55 a.m. when Patient #1 was found unresponsive. During the exit conference on 01/12/2024 at 2:00 p.m. with the Chief Executive Officer, Chief Nursing Officer, the Director of Risk Management, and the Director of Accreditation survey findings related to alleged complaints were discussed. No further documentation was provided for review during the exit conference.”

    Rule A0450. Standard-level. From a complaint.

All 3 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Jul 24, 2024Complaint inspectionNo deficiencies cited
Feb 29, 2024Complaint inspectionNo deficiencies cited
Jan 12, 2024Complaint inspection4 deficiencies cited

How do patients fare?

  • CMS’s overall for it is 2 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 0 better and 0 worse of 8; safety of care, 2 better and 2 worse of 8; readmission, 1 better and 4 worse of 11.
  • Patients rate it 3 of 5 in CMS’s patient survey (1,261 surveys completed, Oct 1, 2024 to Sep 30, 2025): 73% rated it 9 or 10 out of 10, and 75% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: worse than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 12.8%, heart failure 11.4%, pneumonia 15.3%, COPD 9.5%, stroke 9.8%, heart bypass surgery 3.3%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 13.4%, heart failure 22.8%, pneumonia 18.5%, COPD 20.7%, heart bypass surgery 10.8%, hip or knee replacement 5.5%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
  • Emergency department patients spent a median of 211 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 6% left before being seen.
  • 45% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 1.03 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.

CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 52 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 53 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Aug 1, 1969.
  • Ownership: voluntary non-profit - private.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • Cited at in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
  • Voluntary non-profit - Private.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
  • 4 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

On record, newest first
DateWhatDetail
Medicare payment reduction (HAC Reduction Program)Fiscal year 2026: 1% of Medicare payments

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
  • 88% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • Mississippi Baptist Health Systems, Inc. owns 100% directly since Sep 1, 1996.
  • Mississippi Baptist Health Systems, Inc. runs it.
  • 16 owners or officers are people: Jason M Little (corporate officer, 0%); Jason M Little (corporate director); Karlen Turbeville (corporate director, 0%); Tammy H Young (corporate director, 0%); Douglas M Buckles (corporate director, 0%); Gary C Anderson (corporate officer, 0%); Paul W Calhoun (corporate director, 0%); Arthur Maples (corporate director, 0%); Alveno N Castilla (corporate director, 0%); Robert Gathings (corporate director, 0%); Arthur Jernigan (corporate director, 0%); Gregory M Duckett (corporate officer, 0%); Lee D Miller (corporate director, 0%); Philip Gunn (corporate director, 0%); Bobbie K Ware (corporate officer, 0%); Bobbie K Ware (managing employee (on the payroll)).
  • CMS’s Provider of Services file records 2 changes of ownership.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Mississippi Baptist Health Systems, Inc.Owns 5% or more directly100%Sep 1, 1996
Mississippi Baptist Health Systems, Inc.Runs it (operational or managerial control)100%Sep 1, 1996
Baptist Memorial Health Care CorporationOwns 5% or more through other companies100%May 1, 2017

How does it compare nearby?

  • Of the 7 hospitals CMS lists in Hinds County, 5 have an overall star rating from CMS: 1 rated 4 of 5, 1 rated 3 of 5, 3 rated 2 of 5.
  • CMS rates this one 2 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

6 compared
PlaceOverall star rating
University of Mississippi Med Center2
St Dominic-Jackson Memorial Hospital2
Merit Health Central3
Mississippi Methodist Rehab CtrNot given
G. V. (Sonny) Montgomery VA Medical Center (Jackson)4
Oceans Behavioral Hospital of JacksonNot given

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

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