Legacy Manor Nursing And Rehabilitation - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
255292
Provider Name
LEGACY MANOR NURSING AND REHABILITATION
Provider Address
1935 NORTH THEOBOLD EXTENSION
GREENVILLE, MS 38704
GREENVILLE, MS 38704
Provider Phone Number
6623344501
Provider SSA County
750
Provider County Name
Washington
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN LEGACY PROPERTIES, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-10-25
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.32685
Reported LPN Staffing Hours per Resident per Day
0.97963
Reported RN Staffing Hours per Resident per Day
0.61944
Reported Licensed Staffing Hours per Resident per Day
1.59907
Reported Total Nurse Staffing Hours per Resident per Day
3.92592
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00926
Expected CNA Staffing Hours per Resident per Day
2.44256
Expected LPN Staffing Hours per Resident per Day
0.65186
Expected RN Staffing Hours per Resident per Day
0.95362
Expected Total Nurse Staffing Hours per Resident per Day
4.04804
Adjusted CNA Staffing Hours per Resident per Day
2.33746
Adjusted LPN Staffing Hours per Resident per Day
1.24734
Adjusted RN Staffing Hours per Resident per Day
0.48536
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90930
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
44
Cycle 2 Standard Health Survey Date
2013-08-22
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
12
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
184
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
184
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
15210
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Washington Care Center
1920 Lisa Drive Extended |
GREENVILLE MS 38703 | 0.6 mile away
Ms Care Center Of Greenville
1221 East Union Street |
GREENVILLE MS 38703 | 0.7 mile away
Arbor Walk Healthcare Center
570 North Solomon Street |
GREENVILLE MS 38703 | 1 mile away
River Heights Healthcare Center
402 Arnold Avenue |
GREENVILLE MS 38701 | 1.3 miles away
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