Mississippi Nursing Homes >> Port Gibson Nursing Homes >> Claiborne County Senior Care

Claiborne County Senior Care - Port Gibson Nursing Home

General Information

UPDATE
Federal Provider Number
255192
Provider Name
CLAIBORNE COUNTY SENIOR CARE
Provider Address
2124 OLD HWY 61 SOUTH
PORT GIBSON, MS 39150
Provider Phone Number
6014378737
Provider SSA County
100
Provider County Name
Claiborne
Ownership Type
For profit - Individual
Number of Certified Beds
77
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAIBORNE COUNTY SENIOR CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1994-12-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
3.36636
Reported LPN Staffing Hours per Resident per Day
1.30909
Reported RN Staffing Hours per Resident per Day
0.73273
Reported Licensed Staffing Hours per Resident per Day
2.04182
Reported Total Nurse Staffing Hours per Resident per Day
5.40818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10364
Expected CNA Staffing Hours per Resident per Day
2.34591
Expected LPN Staffing Hours per Resident per Day
0.63144
Expected RN Staffing Hours per Resident per Day
0.96143
Expected Total Nurse Staffing Hours per Resident per Day
3.93878
Adjusted CNA Staffing Hours per Resident per Day
3.52104
Adjusted LPN Staffing Hours per Resident per Day
1.72075
Adjusted RN Staffing Hours per Resident per Day
0.56946
Adjusted Total Nurse Staffing Hours per Resident per Day
5.53467
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
157
Cycle 2 Standard Health Survey Date
2013-05-18
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
55.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
31980
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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