Baptist Leake Extended Care Facility - Carthage Nursing Home

General Information

UPDATE
Federal Provider Number
25A371
Provider Name
BAPTIST LEAKE EXTENDED CARE FACILITY
Provider Address
310 ELLIS STREET
CARTHAGE, MS 39051
Provider Phone Number
(601) 267-1355
Provider SSA County
390
Provider County Name
Leake
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
44
Number of Residents in Certified Beds
44
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.00909
Reported LPN Staffing Hours per Resident per Day
1.21250
Reported RN Staffing Hours per Resident per Day
1.04773
Reported Licensed Staffing Hours per Resident per Day
2.26023
Reported Total Nurse Staffing Hours per Resident per Day
4.26932
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00341
Expected CNA Staffing Hours per Resident per Day
2.28263
Expected LPN Staffing Hours per Resident per Day
0.57974
Expected RN Staffing Hours per Resident per Day
0.82367
Expected Total Nurse Staffing Hours per Resident per Day
3.68604
Adjusted CNA Staffing Hours per Resident per Day
2.15966
Adjusted LPN Staffing Hours per Resident per Day
1.73590
Adjusted RN Staffing Hours per Resident per Day
0.95046
Adjusted Total Nurse Staffing Hours per Resident per Day
4.66875
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-12-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
42.66700
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
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