Mississippi Nursing Homes >> Cleveland Nursing Homes >> Bolivar Medical Center Ltc

Bolivar Medical Center Ltc - Cleveland Nursing Home

General Information

UPDATE
Federal Provider Number
25A188
Provider Name
BOLIVAR MEDICAL CENTER LTC
Provider Address
901 E SUNFLOWER RD/PO BOX 1380
CLEVELAND, MS 38732
Provider Phone Number
(662) 846-2520
Provider SSA County
50
Provider County Name
Bolivar
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
35
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1976-04-29
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.28571
Reported LPN Staffing Hours per Resident per Day
0.99571
Reported RN Staffing Hours per Resident per Day
0.62000
Reported Licensed Staffing Hours per Resident per Day
1.61571
Reported Total Nurse Staffing Hours per Resident per Day
3.90142
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00571
Expected CNA Staffing Hours per Resident per Day
2.69240
Expected LPN Staffing Hours per Resident per Day
0.81092
Expected RN Staffing Hours per Resident per Day
1.05977
Expected Total Nurse Staffing Hours per Resident per Day
4.56310
Adjusted CNA Staffing Hours per Resident per Day
2.08306
Adjusted LPN Staffing Hours per Resident per Day
1.01914
Adjusted RN Staffing Hours per Resident per Day
0.43714
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44640
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
16
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
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
32
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-09-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
28.00000
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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