Dixie White House Health And Rehabiliation Center - Pass Christian Nursing Home
General Information
UPDATEFederal Provider Number
255287
Provider Name
DIXIE WHITE HOUSE HEALTH AND REHABILIATION CENTER
Provider Address
538 MENGE AVENUE
PASS CHRISTIAN, MS 39571
PASS CHRISTIAN, MS 39571
Provider Phone Number
(228) 452-4344
Provider SSA County
230
Provider County Name
Harrison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MS HUD DIXIE LLC
Date First Approved to Provide Medicare and Medicaid services
2002-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24914
Reported LPN Staffing Hours per Resident per Day
0.97414
Reported RN Staffing Hours per Resident per Day
1.81897
Reported Licensed Staffing Hours per Resident per Day
2.79310
Reported Total Nurse Staffing Hours per Resident per Day
5.04225
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04569
Expected CNA Staffing Hours per Resident per Day
2.53130
Expected LPN Staffing Hours per Resident per Day
0.72820
Expected RN Staffing Hours per Resident per Day
1.15339
Expected Total Nurse Staffing Hours per Resident per Day
4.41289
Adjusted CNA Staffing Hours per Resident per Day
2.18019
Adjusted LPN Staffing Hours per Resident per Day
1.11032
Adjusted RN Staffing Hours per Resident per Day
1.17838
Adjusted Total Nurse Staffing Hours per Resident per Day
4.60578
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
2013-08-28
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
17.33300
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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