Attala County Nursing Center - Kosciusko Nursing Home
General Information
UPDATEFederal Provider Number
255191
Provider Name
ATTALA COUNTY NURSING CENTER
Provider Address
326 HIGHWAY 12 WEST
KOSCIUSKO, MS 39090
KOSCIUSKO, MS 39090
Provider Phone Number
6622891200
Provider SSA County
30
Provider County Name
Attala
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ATTALA COMMUNITY CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
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
2
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
2.25472
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
2.12877
Reported Licensed Staffing Hours per Resident per Day
2.12877
Reported Total Nurse Staffing Hours per Resident per Day
4.38349
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01415
Expected CNA Staffing Hours per Resident per Day
2.27534
Expected LPN Staffing Hours per Resident per Day
0.60900
Expected RN Staffing Hours per Resident per Day
0.89921
Expected Total Nurse Staffing Hours per Resident per Day
3.78355
Adjusted CNA Staffing Hours per Resident per Day
2.43147
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.76890
Adjusted Total Nurse Staffing Hours per Resident per Day
4.67006
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-04
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-07-02
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
52
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
1
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
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