Choctaw Nursing And Rehabilitation Center - Ackerman Nursing Home
General Information
UPDATEFederal Provider Number
25A419
Provider Name
CHOCTAW NURSING AND REHABILITATION CENTER
Provider Address
311 WEST CHERRY STREET
ACKERMAN, MS 39735
ACKERMAN, MS 39735
Provider Phone Number
(662) 285-3257
Provider SSA County
90
Provider County Name
Choctaw
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2010-03-14
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.27273
Reported LPN Staffing Hours per Resident per Day
0.97182
Reported RN Staffing Hours per Resident per Day
0.36364
Reported Licensed Staffing Hours per Resident per Day
1.33545
Reported Total Nurse Staffing Hours per Resident per Day
2.60819
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04909
Expected CNA Staffing Hours per Resident per Day
2.25132
Expected LPN Staffing Hours per Resident per Day
0.60924
Expected RN Staffing Hours per Resident per Day
0.81515
Expected Total Nurse Staffing Hours per Resident per Day
3.67572
Adjusted CNA Staffing Hours per Resident per Day
1.38714
Adjusted LPN Staffing Hours per Resident per Day
1.32396
Adjusted RN Staffing Hours per Resident per Day
0.33333
Adjusted Total Nurse Staffing Hours per Resident per Day
2.86022
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
14
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2013-04-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
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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