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CNCL, LLC

STARKVILLE, MS · Oktibbeha County · For profit - Corporation · 60 certified beds

📍 307 Reed Rd, Starkville, MS 39759  ·  📞 (662) 323-2202

Medicare ID: 255301  ·  Last Medicare inspection: Dec 3, 2025

Overall Safety Score
78
out of 100
Good
Component Scores
80
Inspection
71
Staffing
✓ Clean
Enforcement
✓ None
Complaints
33
Quality
📋 Last inspected: December 3, 2025 📦 CMS data as of: May 2026

Score Breakdown

Inspection
80
Staffing
71
Enforcement
100
Complaints
100
Quality Outcomes
33

What the numbers mean

CNCL, LLC scored 78 out of 100 — 14 points above the state average of 64.

📋 Inspections: 6 citations over the last 36 months — 8 fewer than the state average (14). None were rated as causing actual harm to residents.

👥 Staffing: Staffing is within an acceptable range but not among the highest-performing facilities. Ask about nurse coverage on evenings, nights, and weekends when you visit.

⚖️ Penalties & enforcement: No significant federal fines or enforcement actions on record — a positive indicator of consistent regulatory compliance.

💬 Complaints: Low complaint activity — few formal complaints from residents or families have triggered inspections. Ask if there is a family council you can speak with.

🚨 Resident quality outcomes: Multiple quality measures are well below national benchmarks — residents may experience higher rates of falls, pain, or hospitalizations than at comparable facilities. Ask management about their improvement plans.

What inspectors found (last 3 surveys)

6
Total citations
State avg: 13.8
0
Serious (G+)
State avg: 1.9
0
Repeat findings

Top concern areas

6

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

No federal penalties on record. CMS has not issued civil monetary penalties or payment denials against this facility in the current reporting period.
📋 Enforcement Context Analysis
Clean enforcement record — No significant federal enforcement actions or fines on record for this facility. This is a positive indicator.
✅ No enforcement actions on record. This facility's enforcement score of 100/100 reflects a clean enforcement history in the current CMS reporting cycle.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
5.5% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
25.6% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
Re-hospitalized after discharge
34.3% lower is better
How often short-stay residents who went home ended up back in the hospital within 30 days. Risk-adjusted for resident health.
Hospitalization rate
19.8% lower is better
How often long-stay residents were hospitalized over the past year. Adjusted for how sick residents were.

Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

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🟢
Overall Assessment — Generally Positive  ·  78/100
This facility performs well overall. A few areas are worth reviewing before making a final decision.
What to do next: Worth considering. Check the specific areas flagged below during your facility tour.

What this facility's data shows

📋 Inspections
Inspection record is above average — few deficiencies, no serious findings.
👥 Staffing
Staffing is in an acceptable range but below the highest-performing facilities.
⚖ Penalties
No significant federal enforcement actions or fines in the record.
💬 Complaints
Complaint activity is low — few formal complaints filed by residents or families.
Multiple quality measures are below national benchmarks. Ask management directly about resident care practices.
Score breakdown — the numbers behind this assessment
👥 Staffing 71
What it measures RN hours per resident per day, total nurse hours, and RN turnover rate.
💡 Understaffing is the strongest single predictor of poor inspection outcomes.
📋 Inspection 80
What it measures Number, severity (A–L), and scope of deficiencies found. Repeat findings carry extra weight.
💡 Every citation in Section D feeds directly into this score.
⚖ Penalties 100
What it measures Whether CMS escalated from a deficiency citation to actual financial or operational sanctions.
💡 A penalty means the facility already failed a second level of regulatory review.
💬 Complaints 100
What it measures Volume of complaint-triggered inspections and the share that were substantiated.
💡 Complaint surveys are unannounced — they often surface issues annual surveys miss.
🎯 Quality outcomes 33
What it measures Resident outcome measures: falls, pressure ulcers, antipsychotic use, weight loss, hospitalizations.
💡 Reflects the lived experience of residents beyond what inspectors observe.

Each pillar scores 0–100 and is combined into the overall score. A strong overall can mask a weak pillar — compare all four and see how they stack against the state average in Section B.

🏗 How This Facility Compares to MS State Averages

Comparing a facility to others in the same state puts its score in context. A facility might have 8 citations and that could be above average in one state and below in another. Green means this facility is doing better than its peers; red means it's falling short.

Metric This facility MS avg vs. State
Overall score
The combined Senior Care Report Card score out of 100.
78 64 ▲ Better than state avg
Inspection score
How well the facility performs on standard health surveys.
80 50 ▲ Better than state avg
Staffing score
RN hours, total nurse hours, and staff turnover from CMS payroll data.
71 58 ▲ Better than state avg
Penalty score
Fines, payment denials, and enforcement actions on file.
100 68 ▲ Better than state avg
Complaint score
Volume of complaint surveys and substantiated complaints.
100 93 ▲ Better than state avg
Quality score
Resident clinical outcomes vs national benchmarks: falls, antipsychotics, pain, vaccination, hospitalizations.
33 52 ▼ Worse than state avg
Citations (3 yrs)
Total number of deficiencies cited in the last 36 months.
6 13.8 ▲ Better than state avg
Serious citations
Citations rated severity G or higher (actual harm or immediate jeopardy).
0 1.9 ▲ Better than state avg

📅 Inspection Timeline

State health inspectors visit nursing homes on a regular cycle — typically every 12 to 15 months — and document every deficiency they find. The timeline below shows the date and scale of each inspection visit over the past several years. A pattern of worsening surveys is a red flag even if the most recent visit looks clean.

2025-12-03
4 citations
2024-02-08
2 citations

Bar length proportional to citation count. Red = serious findings (severity G+). Orange = elevated. Green = low.

📄 Full Citation Record

Every time state inspectors visit a nursing home, they write up anything that doesn’t meet federal standards. Each write-up is called a citation.

Each citation shows what the problem was and how serious it was, using a color-coded badge:

Green — No residents harmed Yellow — Risk of harm, no injury Orange — A resident was harmed Red — Life or safety in danger

A Repeat tag means the same problem appeared in a previous inspection — it was not fully corrected the first time. Citations shown cover the last two years.

Survey: 2025-12-03 4 citation(s)
F0812 No harm, could worsen
Food sanitation & safety
F0689 No harm, could worsen
Accident & hazard prevention
F0656 No harm, could worsen
Comprehensive care plan
F0677 No harm, could worsen
Personal hygiene & grooming assistance
🩹

How Are Residents Doing?

Inspections tell you whether a facility followed the rules. These measures tell you how residents actually fared — whether they fell, experienced pain, lost weight, or were over-medicated. CMS collects this data through regular clinical assessments that nurses complete for every resident. Unlike inspections, which happen once a year, these assessments happen continuously.

✓ Positive signal: Most star-rated quality measures for this facility are within a good range, suggesting residents\' day-to-day wellbeing compares favorably to typical nursing homes.

How to read these cards: Each card shows one measure. Lower percentages are better for most (e.g. fewer falls), but higher is better for vaccination rates and community return. ★ Star rating marks measures CMS uses in its official quality star rating.

Long Stay Residents — 2025Q1-2025Q4
★ Star rating
Daily activity decline
22.0% lower is better
Share of long-stay residents who lost the ability to dress, eat, or move around independently over the past year. Rising rates can signal that residents aren't receiving enough physical therapy or that staffing is too thin to support mobility.
★ Star rating
Urinary tract infections
0.8% lower is better
Share of long-stay residents who had a urinary tract infection. While some UTIs are unavoidable, high rates can point to poor hydration practices, catheter hygiene, or rushed care routines.
★ Star rating
Antipsychotic medication use
5.5% lower is better
Share of long-stay residents given antipsychotic drugs. These medications carry serious risks for older adults. High use often signals that a facility is medicating residents to manage behavior instead of addressing needs through attentive, person-centered care.
★ Star rating
Percentage of long-stay residents experiencing on…
1.7% lower is better
Percentage of long-stay residents experiencing one or more falls with major injury
★ Star rating
Flu vaccination rate
25.6% higher is better
Share of long-stay residents vaccinated against the flu. Nursing homes are high-risk environments for flu outbreaks. Anything below 90% warrants a question about the facility's vaccination policy.
★ Star rating
Percentage of long-stay residents with pressure u…
11.9% lower is better
Percentage of long-stay residents with pressure ulcers
★ Star rating
Percentage of long-stay residents who received an…
13.5% lower is better
Percentage of long-stay residents who received an antipsychotic medication
Physical restraints used
3.3% lower is better
Share of long-stay residents physically restrained (lap belts, side rails). Federal regulations require restraints to be a last resort. High use is a red flag for understaffed facilities cutting corners on behavioral care.
Signs of depression
0.0% lower is better
Share of long-stay residents showing symptoms of depression. Social isolation, lack of meaningful activities, and poor staffing all contribute. This measure reflects the emotional quality of life inside the facility.
Unexplained weight loss
0.0% lower is better
Share of long-stay residents who lost 5% or more of body weight unexpectedly. This can indicate inadequate nutrition, difficulty eating without assistance, or unaddressed medical issues.
Percentage of long-stay residents assessed and ap…
100.0% lower is better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
Pneumonia vaccination rate
17.3% higher is better
Share of long-stay residents vaccinated against pneumococcal pneumonia — one of the leading causes of death in older adults. Higher is better.
Percentage of long-stay residents assessed and ap…
100.0% lower is better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
Percentage of long-stay residents with new or wor…
22.0% lower is better
Percentage of long-stay residents with new or worsened bowel or bladder incontinence
Short Stay Residents — 2025Q1-2025Q4
★ Star rating
Worsening depression symptoms
1.5% lower is better
Share of long-stay residents whose depression got measurably worse over the past year — despite being in a care facility.
Percentage of short-stay residents assessed and a…
100.0% lower is better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
Emergency room visits (short-stay)
100.0% lower is better
Share of short-stay residents sent to the ER during their recovery stay. ER visits are disruptive for recovering patients and sometimes avoidable with better on-site clinical management.

Source: CMS MDS Quality Measures (2025Q1-2025Q4). Collected via standardized clinical assessments — not inspector visits.

🏥

Hospitalization & ER Visits

These numbers come directly from Medicare claims — real billing records of every time a resident was hospitalized or sent to the emergency room. They\'re among the most objective measures of care quality because they can\'t be influenced by how a facility writes up an assessment. The adjusted score is the most meaningful number — it\'s been corrected to account for how sick residents were, so a facility treating frailer patients isn\'t unfairly penalized.

What to look for: An adjusted score significantly above the expected score means this facility hospitalizes residents more often than peer facilities with similar patient populations — that gap is worth asking about directly.

Short Stay Residents — 20241001-20250930
★ Star rating
Re-hospitalized after going home
34.3% risk-adjusted rate
Actual: 29.2% Expected: 20.3%
▲ Higher than expected — worth asking about
How often short-stay residents who went home ended up back in the hospital within 30 days. A high rate suggests residents were discharged before they were ready, or that the facility didn't coordinate follow-up care well. Risk-adjusted so facilities treating sicker residents aren't unfairly penalized.
★ Star rating
Hospitalization rate (long-stay)
19.8% risk-adjusted rate
Actual: 18.8% Expected: 10.6%
▲ Higher than expected — worth asking about
How often long-stay residents were hospitalized over the past year, adjusted for how ill they were. A high rate relative to expectations suggests the facility may be sending residents to the hospital for issues that skilled nursing staff should be able to manage on-site.
Long Stay Residents — 20241001-20250930
★ Star rating
Number of hospitalizations per 1000 long-stay res…
2.5% risk-adjusted rate
Actual: 2.3% Expected: 1.8%
About the same as similar facilities
Number of hospitalizations per 1000 long-stay resident days
★ Star rating
Number of outpatient emergency department visits …
2.6% risk-adjusted rate
Actual: 2.5% Expected: 1.6%
About the same as similar facilities
Number of outpatient emergency department visits per 1000 long-stay resident days

Source: CMS Medicare claims data. Scores are risk-adjusted — they account for how ill residents were when admitted so facilities treating sicker populations aren\'t penalized for it.

💬 Questions to Ask Before Touring

These questions are generated specifically from this facility's score profile and citation history — not a generic checklist. A facility's willingness to answer them openly, and the quality of their answers, is itself an important signal. Bring this list when you tour or call.

  1. Can you walk us through the findings from your most recent state inspection and explain how each citation was addressed?
  2. What is the average response time when a resident presses a call button during the night shift?
  3. Resident quality measures for this facility are well below national benchmarks. What specific initiatives — with measurable targets — are in place to address fall rates, antipsychotic medication use, and pressure wound prevention?
  4. Can we speak privately with two or three current residents or their families?

👪 Family Decision Guide

This guide translates this facility's data into practical next steps for families. It is not a recommendation for or against placement — it is a structured framework for the conversations you need to have before making a decision.

✓ Positives to confirm

  • Inspection record is above average — verify improvements are maintained
  • No significant penalty history — a positive indicator of consistent compliance
  • Low complaint activity — ask if there is a family council you can speak with
  • No serious-harm citations (G+) in the public record
  • No pattern of repeat violations detected

⚠ Areas to probe

  • Always speak with at least two current residents or family members independently

📈 Score History

The score is recalculated every time CMS releases updated data (typically monthly). A consistent downward trend is more concerning than a single low score. An improving trend after a period of poor performance may indicate management changes are taking effect. Your subscription will alert you whenever the score changes materially.

2026-05-07
78 — Good

🏢 Ownership & Operators

Ownership matters because large corporate chains sometimes prioritize cost controls over care quality. CMS requires every nursing home to disclose its owners, operators, and managing employees. Frequent ownership changes can disrupt staffing and operations — which is why we flag facilities that changed ownership in the past 12 months.

🔗 ROTOLO, DAVID operates 6 facilities across MS. A mid-size operator; compare scores across their other facilities if evaluating multiple options.
Owner / Operator Role Ownership % Effective
ROTOLO, DAVID Individual 1970-01-01
WHITLOW, CARRIE Individual 1970-01-01
WHITE, DEBORAH Individual 1970-01-01
KING, CURTIS Individual 1970-01-01
BURLISON, SANDY Individual 1970-01-01
GREEN, DONNA Individual 1970-01-01
PHILIPPE, LYNN Individual 1970-01-01
MUHA, ASHLEY Individual 1970-01-01
BRIAR HILL MANAGEMENT, LLC Organization 1970-01-01
ROTOLO, ROBERT Individual 1970-01-01
CUMMINS, JEREMY Individual 1970-01-01
BURNS, SHARON Individual 1970-01-01
MCCARTER, STARLA Individual 1970-01-01

🔔 Monthly tracking is now free

We check CMS data monthly. Use the tracking form above and we will email you when new citations appear, scores change, or enforcement actions are added.

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Monthly report update
New citation alerts
📈
Score trend tracking
🏠 Verify this data on Medicare.gov
All data in this report comes from the CMS Care Compare database. You can review the official public record directly on Medicare.gov — including the full inspection narrative, star ratings, and any recent enforcement actions.
View on Medicare.gov ↗

This report reflects publicly available CMS data only and is updated monthly. Severity codes and narratives are reproduced directly from the CMS health inspection database. Senior Care Report Card scores are independently computed and are not affiliated with or endorsed by CMS or Medicare.gov.

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 5, 2026.