Greenbough Health And Rehabilitation Center - Clarksdale Nursing Home
General Information
UPDATEFederal Provider Number
255294
Provider Name
GREENBOUGH HEALTH AND REHABILITATION CENTER
Provider Address
340 DESOTO AVE EXTENDED
CLARKSDALE, MS 38614
CLARKSDALE, MS 38614
Provider Phone Number
(662) 627-3486
Provider SSA County
130
Provider County Name
Coahoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MS GREENBOUGH LLC
Date First Approved to Provide Medicare and Medicaid services
2002-12-01
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.27273
Reported LPN Staffing Hours per Resident per Day
0.94455
Reported RN Staffing Hours per Resident per Day
0.87545
Reported Licensed Staffing Hours per Resident per Day
1.82000
Reported Total Nurse Staffing Hours per Resident per Day
4.09273
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01273
Expected CNA Staffing Hours per Resident per Day
2.81321
Expected LPN Staffing Hours per Resident per Day
0.76361
Expected RN Staffing Hours per Resident per Day
1.08001
Expected Total Nurse Staffing Hours per Resident per Day
4.65683
Adjusted CNA Staffing Hours per Resident per Day
1.98229
Adjusted LPN Staffing Hours per Resident per Day
1.02667
Adjusted RN Staffing Hours per Resident per Day
0.60568
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54262
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-06
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
28
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
1
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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Nursiong Homes Nearby
Clarksdale Nursing Center
1120 Ritchie Ave/po Box 1304 |
CLARKSDALE MS 38614 | 1.3 miles away