Bedford Alzheimer's Care Center, Llc - Hattiesburg Nursing Home
General Information
UPDATEFederal Provider Number
25A416
Provider Name
BEDFORD ALZHEIMER'S CARE CENTER, LLC
Provider Address
300 B CAHAL STREET
HATTIESBURG, MS 39401
HATTIESBURG, MS 39401
Provider Phone Number
(601) 544-5300
Provider SSA County
170
Provider County Name
Forrest
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
20
Number of Residents in Certified Beds
20
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
2007-07-09
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
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
3.19250
Reported LPN Staffing Hours per Resident per Day
1.20750
Reported RN Staffing Hours per Resident per Day
1.16500
Reported Licensed Staffing Hours per Resident per Day
2.37250
Reported Total Nurse Staffing Hours per Resident per Day
5.56500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.17579
Expected LPN Staffing Hours per Resident per Day
0.51754
Expected RN Staffing Hours per Resident per Day
0.64526
Expected Total Nurse Staffing Hours per Resident per Day
3.33860
Adjusted CNA Staffing Hours per Resident per Day
3.60027
Adjusted LPN Staffing Hours per Resident per Day
1.93650
Adjusted RN Staffing Hours per Resident per Day
1.34904
Adjusted Total Nurse Staffing Hours per Resident per Day
6.71898
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
2014-07-31
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-09-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
10.66700
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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