Billdora Senior Care - Tylertown Nursing Home
General Information
UPDATEFederal Provider Number
255243
Provider Name
BILLDORA SENIOR CARE
Provider Address
314 ENOCHS ST
TYLERTOWN, MS 39667
TYLERTOWN, MS 39667
Provider Phone Number
(601) 876-2173
Provider SSA County
730
Provider County Name
Walthall
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
77
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BILLDORA SENIOR CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1997-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.41750
Reported LPN Staffing Hours per Resident per Day
1.26083
Reported RN Staffing Hours per Resident per Day
0.83417
Reported Licensed Staffing Hours per Resident per Day
2.09500
Reported Total Nurse Staffing Hours per Resident per Day
5.51250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00917
Expected CNA Staffing Hours per Resident per Day
2.76166
Expected LPN Staffing Hours per Resident per Day
0.65488
Expected RN Staffing Hours per Resident per Day
0.99361
Expected Total Nurse Staffing Hours per Resident per Day
4.41014
Adjusted CNA Staffing Hours per Resident per Day
3.03641
Adjusted LPN Staffing Hours per Resident per Day
1.59799
Adjusted RN Staffing Hours per Resident per Day
0.62730
Adjusted Total Nurse Staffing Hours per Resident per Day
5.03847
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
12
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
40
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
4615
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Golden Livingcenter Tylertown
200 Medical Circle |
TYLERTOWN MS 39667 | 1 mile away