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Pontotoc Nursing Home - Pontotoc Nursing Home

General Information

UPDATE
Federal Provider Number
25A380
Provider Name
PONTOTOC NURSING HOME
Provider Address
176 SOUTH MAIN STREET
PONTOTOC, MS 38863
Provider Phone Number
6624895510
Provider SSA County
570
Provider County Name
Pontotoc
Ownership Type
Non profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
41
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
1996-09-30
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35122
Reported LPN Staffing Hours per Resident per Day
1.05000
Reported RN Staffing Hours per Resident per Day
0.71341
Reported Licensed Staffing Hours per Resident per Day
1.76341
Reported Total Nurse Staffing Hours per Resident per Day
4.11463
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00488
Expected CNA Staffing Hours per Resident per Day
2.43202
Expected LPN Staffing Hours per Resident per Day
0.61476
Expected RN Staffing Hours per Resident per Day
0.78341
Expected Total Nurse Staffing Hours per Resident per Day
3.83020
Adjusted CNA Staffing Hours per Resident per Day
2.37218
Adjusted LPN Staffing Hours per Resident per Day
1.41762
Adjusted RN Staffing Hours per Resident per Day
0.68043
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33024
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
16
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-15
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
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

Graceland Care Ctr Of Pontotoc

278 West Eighth Street/p. O. Box 547 | PONTOTOC MS 38863 | 1.1 miles away

Sunshine Health Care, Inc

1677 Highway 9 North | PONTOTOC MS 38863 | 2.2 miles away

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