Haven Hall Health Care Center - Brookhaven Nursing Home
General Information
UPDATEFederal Provider Number
255221
Provider Name
HAVEN HALL HEALTH CARE CENTER
Provider Address
101 MILLS STREET
BROOKHAVEN, MS 39601
BROOKHAVEN, MS 39601
Provider Phone Number
(601) 833-5608
Provider SSA County
420
Provider County Name
Lincoln
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAGNOLIA HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.41774
Reported LPN Staffing Hours per Resident per Day
1.31452
Reported RN Staffing Hours per Resident per Day
0.58629
Reported Licensed Staffing Hours per Resident per Day
1.90081
Reported Total Nurse Staffing Hours per Resident per Day
4.31855
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09435
Expected CNA Staffing Hours per Resident per Day
2.41016
Expected LPN Staffing Hours per Resident per Day
0.58526
Expected RN Staffing Hours per Resident per Day
0.86682
Expected Total Nurse Staffing Hours per Resident per Day
3.86223
Adjusted CNA Staffing Hours per Resident per Day
2.46142
Adjusted LPN Staffing Hours per Resident per Day
1.86423
Adjusted RN Staffing Hours per Resident per Day
0.50539
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50715
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
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
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
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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