Greenbriar Nursing Center - Diberville Nursing Home

General Information

UPDATE
Federal Provider Number
255323
Provider Name
GREENBRIAR NURSING CENTER
Provider Address
4347 WEST GAY ROAD
DIBERVILLE, MS 39540
Provider Phone Number
2283928484
Provider SSA County
230
Provider County Name
Harrison
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREENBRIAR NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2007-10-26
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
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
3.20635
Reported LPN Staffing Hours per Resident per Day
1.58889
Reported RN Staffing Hours per Resident per Day
1.31587
Reported Licensed Staffing Hours per Resident per Day
2.90476
Reported Total Nurse Staffing Hours per Resident per Day
6.11111
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13968
Expected CNA Staffing Hours per Resident per Day
2.32487
Expected LPN Staffing Hours per Resident per Day
0.60834
Expected RN Staffing Hours per Resident per Day
1.13469
Expected Total Nurse Staffing Hours per Resident per Day
4.06790
Adjusted CNA Staffing Hours per Resident per Day
3.38402
Adjusted LPN Staffing Hours per Resident per Day
2.16783
Adjusted RN Staffing Hours per Resident per Day
0.86651
Adjusted Total Nurse Staffing Hours per Resident per Day
6.05552
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
28
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
20
Cycle 2 Standard Health Survey Date
2013-05-31
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
21.33300
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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