Hinds County Nursing & Rehabilitation Ctr Llc - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
255103
Provider Name
HINDS COUNTY NURSING & REHABILITATION CTR LLC
Provider Address
3454 ALBERMARLE RD
JACKSON, MS 39213
JACKSON, MS 39213
Provider Phone Number
(601) 362-5394
Provider SSA County
240
Provider County Name
Hinds
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HINDS COUNTY NURSING &REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-04-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.29821
Reported LPN Staffing Hours per Resident per Day
1.03988
Reported RN Staffing Hours per Resident per Day
0.55357
Reported Licensed Staffing Hours per Resident per Day
1.59345
Reported Total Nurse Staffing Hours per Resident per Day
3.89166
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06131
Expected CNA Staffing Hours per Resident per Day
2.43988
Expected LPN Staffing Hours per Resident per Day
0.60951
Expected RN Staffing Hours per Resident per Day
0.92065
Expected Total Nurse Staffing Hours per Resident per Day
3.97003
Adjusted CNA Staffing Hours per Resident per Day
2.31123
Adjusted LPN Staffing Hours per Resident per Day
1.41607
Adjusted RN Staffing Hours per Resident per Day
0.44928
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95132
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
2014-09-19
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
43.33300
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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