Hattiesburg Health & Rehab Center - Hattiesburg Nursing Home
General Information
UPDATEFederal Provider Number
255321
Provider Name
HATTIESBURG HEALTH & REHAB CENTER
Provider Address
514 BAY STREET
HATTIESBURG, MS 39401
HATTIESBURG, MS 39401
Provider Phone Number
(601) 544-4230
Provider SSA County
170
Provider County Name
Forrest
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
184
Number of Residents in Certified Beds
173
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HATTIESBURG HEALTH & REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2007-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.51272
Reported LPN Staffing Hours per Resident per Day
1.03699
Reported RN Staffing Hours per Resident per Day
0.77457
Reported Licensed Staffing Hours per Resident per Day
1.81156
Reported Total Nurse Staffing Hours per Resident per Day
4.32428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03584
Expected CNA Staffing Hours per Resident per Day
2.52659
Expected LPN Staffing Hours per Resident per Day
0.66501
Expected RN Staffing Hours per Resident per Day
0.97610
Expected Total Nurse Staffing Hours per Resident per Day
4.16770
Adjusted CNA Staffing Hours per Resident per Day
2.44023
Adjusted LPN Staffing Hours per Resident per Day
1.29427
Adjusted RN Staffing Hours per Resident per Day
0.59293
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18234
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
20
Cycle 1 Standard Survey Health Date
2014-12-18
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
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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