Mississippi Nursing Homes >> Belzoni Nursing Homes >> Humphreys Co Nursing Center

Humphreys Co Nursing Center - Belzoni Nursing Home

General Information

UPDATE
Federal Provider Number
255259
Provider Name
HUMPHREYS CO NURSING CENTER
Provider Address
500 CCC ROAD
BELZONI, MS 39038
Provider Phone Number
(662) 247-1821
Provider SSA County
260
Provider County Name
Humphreys
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HUMPHREYS COMMUNITY CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
5
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
2.25357
Reported LPN Staffing Hours per Resident per Day
0.75625
Reported RN Staffing Hours per Resident per Day
0.46607
Reported Licensed Staffing Hours per Resident per Day
1.22232
Reported Total Nurse Staffing Hours per Resident per Day
3.47589
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01161
Expected CNA Staffing Hours per Resident per Day
2.22941
Expected LPN Staffing Hours per Resident per Day
0.63925
Expected RN Staffing Hours per Resident per Day
0.91859
Expected Total Nurse Staffing Hours per Resident per Day
3.78725
Adjusted CNA Staffing Hours per Resident per Day
2.48029
Adjusted LPN Staffing Hours per Resident per Day
0.98191
Adjusted RN Staffing Hours per Resident per Day
0.37911
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69950
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
40
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
16.00000
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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