Bedford Care Ctr-monroe Hall - Hattiesburg Nursing Home
General Information
UPDATEFederal Provider Number
255297
Provider Name
BEDFORD CARE CTR-MONROE HALL
Provider Address
300 CAHAL STREET
HATTIESBURG, MS 39401
HATTIESBURG, MS 39401
Provider Phone Number
(601) 582-9157
Provider SSA County
170
Provider County Name
Forrest
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEDFORD CARE CENTER-MONROE HALL, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-05-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19298
Reported LPN Staffing Hours per Resident per Day
1.02982
Reported RN Staffing Hours per Resident per Day
0.48860
Reported Licensed Staffing Hours per Resident per Day
1.51842
Reported Total Nurse Staffing Hours per Resident per Day
3.71140
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01667
Expected CNA Staffing Hours per Resident per Day
2.64562
Expected LPN Staffing Hours per Resident per Day
0.69928
Expected RN Staffing Hours per Resident per Day
1.01576
Expected Total Nurse Staffing Hours per Resident per Day
4.36066
Adjusted CNA Staffing Hours per Resident per Day
2.03390
Adjusted LPN Staffing Hours per Resident per Day
1.22232
Adjusted RN Staffing Hours per Resident per Day
0.35942
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43074
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
2015-04-02
Cycle 1 Number of Health Revisits
0
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
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
225
Cycle 2 Standard Health Survey Date
2014-05-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
225
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
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
80.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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