Pemiscot County Memorial Hospital - Hayti Nursing Home
General Information
UPDATEFederal Provider Number
26A469
Provider Name
PEMISCOT COUNTY MEMORIAL HOSPITAL
Provider Address
PO BOX 489, HIGHWAY 61 AND REED STREET
HAYTI, MO 63851
HAYTI, MO 63851
Provider Phone Number
5733591372
Provider SSA County
770
Provider County Name
Pemiscot
Ownership Type
Government - County
Number of Certified Beds
66
Number of Residents in Certified Beds
28
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
2000-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.42143
Reported LPN Staffing Hours per Resident per Day
1.33393
Reported RN Staffing Hours per Resident per Day
0.38214
Reported Licensed Staffing Hours per Resident per Day
1.71607
Reported Total Nurse Staffing Hours per Resident per Day
4.13750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00179
Expected CNA Staffing Hours per Resident per Day
2.17276
Expected LPN Staffing Hours per Resident per Day
0.51526
Expected RN Staffing Hours per Resident per Day
0.70250
Expected Total Nurse Staffing Hours per Resident per Day
3.39051
Adjusted CNA Staffing Hours per Resident per Day
2.73453
Adjusted LPN Staffing Hours per Resident per Day
2.14876
Adjusted RN Staffing Hours per Resident per Day
0.40646
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91898
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-10-11
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
42
Cycle 2 Total Health Score
42
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
93.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Caruthersville Nursing Center
500 Truman Boulevard |
CARUTHERSVILLE MO 63830 | 5.1 miles away
River Oaks Care Center
1001 North Walnut |
STEELE MO 63877 | 11.1 miles away
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