Camelot Brookside - Jennings Nursing Home

General Information

UPDATE
Federal Provider Number
195550
Provider Name
CAMELOT BROOKSIDE
Provider Address
3330 FRONTAGE ROAD
JENNINGS, LA 70546
Provider Phone Number
3378242466
Provider SSA County
260
Provider County Name
Jeffrson Davis
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAMELOT BROOKSIDE LLC
Date First Approved to Provide Medicare and Medicaid services
2002-05-15
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00126
Reported LPN Staffing Hours per Resident per Day
0.90000
Reported RN Staffing Hours per Resident per Day
0.40882
Reported Licensed Staffing Hours per Resident per Day
1.30882
Reported Total Nurse Staffing Hours per Resident per Day
3.31008
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04496
Expected CNA Staffing Hours per Resident per Day
2.13154
Expected LPN Staffing Hours per Resident per Day
0.71815
Expected RN Staffing Hours per Resident per Day
1.19340
Expected Total Nurse Staffing Hours per Resident per Day
4.04309
Adjusted CNA Staffing Hours per Resident per Day
2.30373
Adjusted LPN Staffing Hours per Resident per Day
1.04017
Adjusted RN Staffing Hours per Resident per Day
0.25597
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30010
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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

Nursiong Homes Nearby

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