Forest Hill Nursing Center Inc - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
255273
Provider Name
FOREST HILL NURSING CENTER INC
Provider Address
927 COOPER RD
JACKSON, MS 39212
JACKSON, MS 39212
Provider Phone Number
(601) 372-0141
Provider SSA County
240
Provider County Name
Hinds
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOREST HILL NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2001-05-01
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
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.12089
Reported LPN Staffing Hours per Resident per Day
1.21456
Reported RN Staffing Hours per Resident per Day
0.49620
Reported Licensed Staffing Hours per Resident per Day
1.71076
Reported Total Nurse Staffing Hours per Resident per Day
3.83165
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00570
Expected CNA Staffing Hours per Resident per Day
2.33526
Expected LPN Staffing Hours per Resident per Day
0.62891
Expected RN Staffing Hours per Resident per Day
1.05016
Expected Total Nurse Staffing Hours per Resident per Day
4.01432
Adjusted CNA Staffing Hours per Resident per Day
2.22846
Adjusted LPN Staffing Hours per Resident per Day
1.60291
Adjusted RN Staffing Hours per Resident per Day
0.35305
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84747
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2013-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
43.33300
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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