Daniel Health Care Inc - Fulton Nursing Home

General Information

UPDATE
Federal Provider Number
255160
Provider Name
DANIEL HEALTH CARE INC
Provider Address
1905 SOUTH ADAMS STREET
FULTON, MS 38843
Provider Phone Number
(662) 862-2165
Provider SSA County
280
Provider County Name
Itawamba
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DANIEL HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.76639
Reported LPN Staffing Hours per Resident per Day
1.45738
Reported RN Staffing Hours per Resident per Day
0.61230
Reported Licensed Staffing Hours per Resident per Day
2.06967
Reported Total Nurse Staffing Hours per Resident per Day
4.83607
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10779
Expected CNA Staffing Hours per Resident per Day
2.62388
Expected LPN Staffing Hours per Resident per Day
0.65961
Expected RN Staffing Hours per Resident per Day
1.09677
Expected Total Nurse Staffing Hours per Resident per Day
4.38026
Adjusted CNA Staffing Hours per Resident per Day
2.58696
Adjusted LPN Staffing Hours per Resident per Day
1.83384
Adjusted RN Staffing Hours per Resident per Day
0.41714
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45035
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
12
Cycle 2 Standard Health Survey Date
2013-11-21
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
12.66700
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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