Golden Livingcenter - Brook Manor - Brookhaven Nursing Home
General Information
UPDATEFederal Provider Number
255175
Provider Name
GOLDEN LIVINGCENTER - BROOK MANOR
Provider Address
519 BROOKMAN DRIVE
BROOKHAVEN, MS 39601
BROOKHAVEN, MS 39601
Provider Phone Number
(601) 833-2881
Provider SSA County
420
Provider County Name
Lincoln
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC BROOKHAVEN LLC
Date First Approved to Provide Medicare and Medicaid services
1994-03-01
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
1.91698
Reported LPN Staffing Hours per Resident per Day
0.45472
Reported RN Staffing Hours per Resident per Day
1.26038
Reported Licensed Staffing Hours per Resident per Day
1.71509
Reported Total Nurse Staffing Hours per Resident per Day
3.63208
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10472
Expected CNA Staffing Hours per Resident per Day
2.18834
Expected LPN Staffing Hours per Resident per Day
0.57596
Expected RN Staffing Hours per Resident per Day
0.93277
Expected Total Nurse Staffing Hours per Resident per Day
3.69706
Adjusted CNA Staffing Hours per Resident per Day
2.14944
Adjusted LPN Staffing Hours per Resident per Day
0.65528
Adjusted RN Staffing Hours per Resident per Day
1.00964
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96005
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
32
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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