Many elderly or infirmed people do not need skilled nursing care on a daily basis, but may need safe, affordable housing and assistance with one or more activities of daily living. Housing for the elderly and infirmed population can take many forms.
"Board and care homes" are residences providing rooms (often semi-private), shared common areas, meals, protective oversight, and help with bathing, dressing, grooming, and other daily needs. In Mississippi, these facilities are licensed as personal care homes: Personal Care Home - Residential Living facilities and Personal Care Home - Assisted Living facilities. Both types of facilities provide a sheltered environment and assistance with activities of daily living. Additionally, Personal Care Homes - Assisted Living may provide additional supplemental medical services that include the provision of certain routine health maintenance and emergency response services. In November of 2020, the state had 197 licensed personal care homes, with a total of 7,628 licensed beds. Personal care facilities presently are not reviewable under Certificate of Need authority.
"Retirement communities" or "senior housing facilities" have become common around the state. These communities usually provide apartments for independent living, with services such as transportation, weekly or bi-weekly housekeeping, and one to three daily meals. Many of these facilities include a licensed personal care home where the resident may move when he or she is no longer physically or mentally able to remain in their own apartment. Most facilities do not require an initial fee or require their residents to sign a lifetime contract. Most facilities generally offer only independent living and personal care. Most also do not include a skilled nursing home as a part of the retirement community. Table 2-1 shows the distribution of personal care facilities by Long-Term Care Planning Districts.
Table 2-1
Personal Care Home Licensed Beds, Occupancy Rates and Average Daily Census 2020
District I | |||
County | Licensed Beds | Occupancy Rate % | Average Daily Census |
Attala | 30 | 100.00 | 30.00 |
Bolivar | 137 | 69.84 | 95.68 |
Carroll | 15 | 0.00 | 0.00 |
Coahoma | 15 | 55.51 | 8.33 |
DeSoto | 559 | 44.36 | 247.99 |
Grenada | 63 | 69.17 | 43.58 |
Holmes | 0 | 0.00 | 0.00 |
Humphreys | 0 | 0.00 | 0.00 |
Leflore | 80 | 81.72 | 65.37 |
Montgomery | 0 | 0.00 | 0.00 |
Panola | 54 | 86.10 | 46.50 |
Quitman | 0 | 0.00 | 0.00 |
Sunflower | 115 | 50.41 | 57.97 |
Tallahatchie | 0 | 0.00 | 0.00 |
Tate | 90 | 80.93 | 72.83 |
Tunica | 0 | 0.00 | 0.00 |
Washington | 207 | 48.90 | 101.23 |
Yalobusha | 0 | 0.00 | 0.00 |
District Total | 1,365 | 38.16 | 42.75 |
District II | |||
County | Licensed Beds | Occupancy Rate % | Average Daily Census |
Alcorn | 129 | 70.28 | 90.66 |
Benton | 0 | 0.00 | 0.00 |
Calhoun | 20 | 65.86 | 13.17 |
Chickasaw | 18 | 91.64 | 16.50 |
Choctaw | 14 | 77.51 | 10.85 |
Clay | 32 | 62.85 | 20.11 |
Itawamba | 174 | 65.09 | 113.26 |
Lafayette | 260 | 79.58 | 206.91 |
Lee | 519 | 63.77 | 330.95 |
Lowndes | 200 | 63.84 | 127.69 |
Marshall | 46 | 86.55 | 39.81 |
Monroe | 83 | 91.28 | 75.76 |
Noxubee | 43 | 57.32 | 24.65 |
Oktibbeha | 129 | 93.32 | 120.39 |
Pontotoc | 40 | 70.04 | 28.02 |
Prentiss | 55 | 65.26 | 35.89 |
Tippah | 0 | 0.00 | 0.00 |
Tishomingo | 97 | 83.02 | 80.53 |
Union | 116 | 119.13 | 138.19 |
Webster | 14 | 92.86 | 13.00 |
Winston | 52 | 58.56 | 30.45 |
District Total | 2,041 | 69.42 | 72.23 |
District III | |||
County | Licensed Beds | Occupancy Rate % | Average Daily Census |
Adams | 46 | 68.39 | 31.46 |
Amite | 0 | 0.00 | 0.00 |
Claiborne | 20 | 100.00 | 20.00 |
Copiah | 0 | 0.00 | 0.00 |
Franklin | 0 | 0.00 | 0.00 |
Hinds | 600 | 74.51 | 447.08 |
Jefferson | 0 | 0.00 | 0.00 |
Lawrence | 0 | 0.00 | 0.00 |
Lincoln | 62 | 98.39 | 61.00 |
Madison | 564 | 72.60 | 409.44 |
Pike | 170 | 74.97 | 127.45 |
Rankin | 440 | 87.61 | 385.50 |
Sharkey/Issaquena | 0 | 0.00 | 0.00 |
Simpson | 30 | 97.69 | 29.31 |
Walthall | 0 | 0.00 | 0.00 |
Warren | 73 | 77.11 | 56.29 |
Wilkinson | 0 | 0.00 | 0.00 |
Yazoo | 0 | 0.00 | 0.00 |
District Total | 2,005 | 41.74 | 87.09 |
District IV | |||
County | Licensed Beds | Occupancy Rate % | Average Daily Census |
Clarke | 55 | 84.68 | 46.57 |
Covington | 36 | 76.28 | 27.46 |
Forrest | 241 | 78.84 | 190.00 |
George | 81 | 97.78 | 79.21 |
Greene | 0 | 0.00 | 0.00 |
Hancock | 32 | 50.71 | 16.23 |
Harrison | 606 | 69.05 | 418.44 |
Jackson | 154 | 76.24 | 117.42 |
Jasper | 48 | 48.93 | 23.48 |
Jeff Davis | 0 | 0.00 | 0.00 |
Jones | 242 | 66.10 | 159.96 |
Kemper | 0 | 0.00 | 0.00 |
Lamar | 163 | 68.34 | 111.39 |
Lauderdale | 241 | 63.25 | 152.42 |
Leake | 0 | 0.00 | 0.00 |
Marion | 22 | 58.11 | 12.78 |
Neshoba | 53 | 70.36 | 37.29 |
Newton | 75 | 19.75 | 14.81 |
Pearl River | 69 | 91.30 | 63.00 |
Perry | 0 | 0.00 | 0.00 |
Scott | 31 | 90.80 | 28.15 |
Smith | 0 | 0.00 | 0.00 |
Stone | 16 | 31.25 | 5.00 |
Wayne | 55 | 84.76 | 46.62 |
District Total | 2,220 | 51.11 | 64.59 |
State Total | 7,631 | 50.11 | 66.66373 |
Source: MSDH Division of Health Facilities Licensure and Certification, 2020
"Continuing Care Retirement Communities" (CCRC), another type of retirement community, includes three stages:
15 Miss. Code. R. 8-90-02-201