Jefferson County Nursing Home - Fayette Nursing Home
General Information
UPDATEFederal Provider Number
255164
Provider Name
JEFFERSON COUNTY NURSING HOME
Provider Address
910 MAIN STREET
FAYETTE, MS 39069
FAYETTE, MS 39069
Provider Phone Number
6017863888
Provider SSA County
310
Provider County Name
Jefferson
Ownership Type
Government - City/county
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEFFERSON COUNTY NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1993-04-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.67273
Reported LPN Staffing Hours per Resident per Day
1.01545
Reported RN Staffing Hours per Resident per Day
0.34091
Reported Licensed Staffing Hours per Resident per Day
1.35636
Reported Total Nurse Staffing Hours per Resident per Day
4.02909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01545
Expected CNA Staffing Hours per Resident per Day
2.45898
Expected LPN Staffing Hours per Resident per Day
0.64749
Expected RN Staffing Hours per Resident per Day
0.99138
Expected Total Nurse Staffing Hours per Resident per Day
4.09786
Adjusted CNA Staffing Hours per Resident per Day
2.66699
Adjusted LPN Staffing Hours per Resident per Day
1.30167
Adjusted RN Staffing Hours per Resident per Day
0.25694
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96326
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Reviews: Be the first to review this provider.
Share your experience with Jefferson County Nursing Home. You can help others by writing a review.
