Chadwick Nursing And Rehabilitation Center Llc - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
255125
Provider Name
CHADWICK NURSING AND REHABILITATION CENTER LLC
Provider Address
1900 CHADWICK DRIVE
JACKSON, MS 39204
JACKSON, MS 39204
Provider Phone Number
(601) 372-0231
Provider SSA County
240
Provider County Name
Hinds
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
102
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHADWICK NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.80354
Reported LPN Staffing Hours per Resident per Day
1.04394
Reported RN Staffing Hours per Resident per Day
0.52727
Reported Licensed Staffing Hours per Resident per Day
1.57121
Reported Total Nurse Staffing Hours per Resident per Day
3.37475
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05707
Expected CNA Staffing Hours per Resident per Day
2.61566
Expected LPN Staffing Hours per Resident per Day
0.63201
Expected RN Staffing Hours per Resident per Day
0.95159
Expected Total Nurse Staffing Hours per Resident per Day
4.19926
Adjusted CNA Staffing Hours per Resident per Day
1.69187
Adjusted LPN Staffing Hours per Resident per Day
1.37098
Adjusted RN Staffing Hours per Resident per Day
0.41402
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23945
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
2014-09-11
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
24
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
16.66700
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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