Forrest General Hospital Skilled Nursing Unit - Hattiesburg Nursing Home
General Information
UPDATEFederal Provider Number
255335
Provider Name
FORREST GENERAL HOSPITAL SKILLED NURSING UNIT
Provider Address
6051 US HIGHWAY 49 SOUTH
HATTIESBURG, MS 39401
HATTIESBURG, MS 39401
Provider Phone Number
6012887000
Provider SSA County
170
Provider County Name
Forrest
Ownership Type
Government - County
Number of Certified Beds
20
Number of Residents in Certified Beds
20
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
FORREST COUNTY GENERAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2012-05-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
5
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
1.20000
Reported LPN Staffing Hours per Resident per Day
0.58500
Reported RN Staffing Hours per Resident per Day
3.92250
Reported Licensed Staffing Hours per Resident per Day
4.50750
Reported Total Nurse Staffing Hours per Resident per Day
5.70750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.94250
Expected CNA Staffing Hours per Resident per Day
2.52469
Expected LPN Staffing Hours per Resident per Day
0.72637
Expected RN Staffing Hours per Resident per Day
1.55529
Expected Total Nurse Staffing Hours per Resident per Day
4.80636
Adjusted CNA Staffing Hours per Resident per Day
1.16626
Adjusted LPN Staffing Hours per Resident per Day
0.66846
Adjusted RN Staffing Hours per Resident per Day
1.88446
Adjusted Total Nurse Staffing Hours per Resident per Day
4.78665
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-09
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-07
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
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
Nursiong Homes Nearby
Bedford Care Center Of Hatties
#10 Medical Boulevard |
HATTIESBURG MS 39401 | 0.3 mile away
Bedford Care Ctr-monroe Hall
300 Cahal Street |
HATTIESBURG MS 39401 | 1.9 miles away
Bedford Alzheimer's Care Center, Llc
300 B Cahal Street |
HATTIESBURG MS 39401 | 1.9 miles away
Merit Health Wesley
5001 Hardy Street |
HATTIESBURG MS 39402 | 2.2 miles away
Windham House Of Hattiesburg
37 Hillcrest Drive |
HATTIESBURG MS 39402 | 2.4 miles away
Hattiesburg Health & Rehab Center
514 Bay Street |
HATTIESBURG MS 39401 | 2.6 miles away
Bedford Care Center Of Petal
908 S George Street |
PETAL MS 39465 | 3.8 miles away
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