Choctaw Residential Center - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
255339
Provider Name
CHOCTAW RESIDENTIAL CENTER
Provider Address
135 HOSPITAL CIRCLE
PHILADELPHIA, MS 39350
PHILADELPHIA, MS 39350
Provider Phone Number
(601) 656-2582
Provider SSA County
490
Provider County Name
Neshoba
Provider Website
Provider Description
Ownership Type
Government - Federal
Number of Certified Beds
120
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MISSISSIPPI BAND OF CHOCTAW INDIANS
Date First Approved to Provide Medicare and Medicaid services
2013-08-25
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
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
2.58696
Reported LPN Staffing Hours per Resident per Day
0.89304
Reported RN Staffing Hours per Resident per Day
0.59609
Reported Licensed Staffing Hours per Resident per Day
1.48913
Reported Total Nurse Staffing Hours per Resident per Day
4.07609
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04217
Expected CNA Staffing Hours per Resident per Day
2.39990
Expected LPN Staffing Hours per Resident per Day
0.61900
Expected RN Staffing Hours per Resident per Day
0.95018
Expected Total Nurse Staffing Hours per Resident per Day
3.96908
Adjusted CNA Staffing Hours per Resident per Day
2.64495
Adjusted LPN Staffing Hours per Resident per Day
1.19745
Adjusted RN Staffing Hours per Resident per Day
0.46875
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13957
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
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
8
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
41.60000
Number of Facility Reported Incidents
1
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
Reviews: Be the first to review this provider.
Share your experience with Choctaw Residential Center. You can help others by writing a review.
Ask the Community
Connect, Seek Advice, Share Knowledge
Nursiong Homes Nearby
Neshoba County Nursing Home
1001 Holland Avenue |
PHILADELPHIA MS 39350 | 0.1 mile away
J G Alexander Nursing Center
25112 Highway 15, Union, Ms |
UNION MS 39365 | 4.7 miles away
Hilltop Manor Health And Rehabilitation Center
101 Kirkland Street |
UNION MS 39365 | 12.5 miles away