Bedford Care Center Of Petal - Petal Nursing Home
General Information
UPDATEFederal Provider Number
255149
Provider Name
BEDFORD CARE CENTER OF PETAL
Provider Address
908 S GEORGE STREET
PETAL, MS 39465
PETAL, MS 39465
Provider Phone Number
(601) 544-7441
Provider SSA County
170
Provider County Name
Forrest
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEDFORD CARE CENTER OF PETAL, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.51909
Reported LPN Staffing Hours per Resident per Day
1.01727
Reported RN Staffing Hours per Resident per Day
0.56182
Reported Licensed Staffing Hours per Resident per Day
1.57909
Reported Total Nurse Staffing Hours per Resident per Day
4.09818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00909
Expected CNA Staffing Hours per Resident per Day
2.53970
Expected LPN Staffing Hours per Resident per Day
0.61626
Expected RN Staffing Hours per Resident per Day
0.94169
Expected Total Nurse Staffing Hours per Resident per Day
4.09766
Adjusted CNA Staffing Hours per Resident per Day
2.43378
Adjusted LPN Staffing Hours per Resident per Day
1.37009
Adjusted RN Staffing Hours per Resident per Day
0.44578
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03141
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
20
Cycle 3 Standard Health Survey Date
2013-04-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
6.66700
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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