Pearl River Co Nursing Home - Poplarville Nursing Home
General Information
UPDATEFederal Provider Number
25A156
Provider Name
PEARL RIVER CO NURSING HOME
Provider Address
305 WEST MOODY STREET
POPLARVILLE, MS 39470
POPLARVILLE, MS 39470
Provider Phone Number
6017954543
Provider SSA County
540
Provider County Name
Pearl River
Ownership Type
Government - County
Number of Certified Beds
120
Number of Residents in Certified Beds
103
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.51408
Reported LPN Staffing Hours per Resident per Day
1.35437
Reported RN Staffing Hours per Resident per Day
0.91699
Reported Licensed Staffing Hours per Resident per Day
2.27136
Reported Total Nurse Staffing Hours per Resident per Day
4.78544
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03107
Expected CNA Staffing Hours per Resident per Day
2.47983
Expected LPN Staffing Hours per Resident per Day
0.63970
Expected RN Staffing Hours per Resident per Day
0.87738
Expected Total Nurse Staffing Hours per Resident per Day
3.99692
Adjusted CNA Staffing Hours per Resident per Day
2.48758
Adjusted LPN Staffing Hours per Resident per Day
1.75728
Adjusted RN Staffing Hours per Resident per Day
0.78093
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82613
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
8
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
273
Cycle 2 Standard Health Survey Date
2013-10-17
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
102.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
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
Nursiong Homes Nearby
Covenant Health & Rehab Of Picayune
1620 Read Road |
PICAYUNE MS 39466 | 23.1 miles away
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