Mississippi Nursing Homes >> Calhoun City Nursing Homes >> Calhoun Co Nh

Calhoun Co Nh - Calhoun City Nursing Home

General Information

UPDATE
Federal Provider Number
25A233
Provider Name
CALHOUN CO NH
Provider Address
152 BURKE CC RD
CALHOUN CITY, MS 38916
Provider Phone Number
(662) 628-6611
Provider SSA County
60
Provider County Name
Calhoun
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
120
Number of Residents in Certified Beds
100
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
1980-03-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.70000
Reported LPN Staffing Hours per Resident per Day
1.09700
Reported RN Staffing Hours per Resident per Day
0.74250
Reported Licensed Staffing Hours per Resident per Day
1.83950
Reported Total Nurse Staffing Hours per Resident per Day
4.53950
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00850
Expected CNA Staffing Hours per Resident per Day
2.30809
Expected LPN Staffing Hours per Resident per Day
0.61393
Expected RN Staffing Hours per Resident per Day
0.79667
Expected Total Nurse Staffing Hours per Resident per Day
3.71869
Adjusted CNA Staffing Hours per Resident per Day
2.87033
Adjusted LPN Staffing Hours per Resident per Day
1.48308
Adjusted RN Staffing Hours per Resident per Day
0.69639
Adjusted Total Nurse Staffing Hours per Resident per Day
4.92062
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-03-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-01-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
2
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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