Covington Co Nursing Center - Collins Nursing Home

General Information

UPDATE
Federal Provider Number
255215
Provider Name
COVINGTON CO NURSING CENTER
Provider Address
1207 SOUTH FIR AVENUE
COLLINS, MS 39428
Provider Phone Number
(601) 765-8262
Provider SSA County
150
Provider County Name
Covington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLLINS COMMUNITY CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.50364
Reported LPN Staffing Hours per Resident per Day
0.69000
Reported RN Staffing Hours per Resident per Day
0.66909
Reported Licensed Staffing Hours per Resident per Day
1.35909
Reported Total Nurse Staffing Hours per Resident per Day
3.86273
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00636
Expected CNA Staffing Hours per Resident per Day
2.35892
Expected LPN Staffing Hours per Resident per Day
0.63894
Expected RN Staffing Hours per Resident per Day
0.91401
Expected Total Nurse Staffing Hours per Resident per Day
3.91187
Adjusted CNA Staffing Hours per Resident per Day
2.60424
Adjusted LPN Staffing Hours per Resident per Day
0.89633
Adjusted RN Staffing Hours per Resident per Day
0.54698
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98027
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-05-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
32
Cycle 3 Standard Health Survey Date
2012-04-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
19.33300
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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