James T Champion - Meridian Nursing Home
General Information
UPDATEFederal Provider Number
25A418
Provider Name
JAMES T CHAMPION
Provider Address
1455 NORTH LAKELAND DRIVE
MERIDIAN, MS 39307
MERIDIAN, MS 39307
Provider Phone Number
6015818450
Provider SSA County
370
Provider County Name
Lauderdale
Ownership Type
Government - State
Number of Certified Beds
105
Number of Residents in Certified Beds
95
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2010-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
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
3.54895
Reported LPN Staffing Hours per Resident per Day
0.97000
Reported RN Staffing Hours per Resident per Day
1.03737
Reported Licensed Staffing Hours per Resident per Day
2.00737
Reported Total Nurse Staffing Hours per Resident per Day
5.55632
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00737
Expected CNA Staffing Hours per Resident per Day
2.42560
Expected LPN Staffing Hours per Resident per Day
0.65340
Expected RN Staffing Hours per Resident per Day
0.92841
Expected Total Nurse Staffing Hours per Resident per Day
4.00742
Adjusted CNA Staffing Hours per Resident per Day
3.59007
Adjusted LPN Staffing Hours per Resident per Day
1.23216
Adjusted RN Staffing Hours per Resident per Day
0.83489
Adjusted Total Nurse Staffing Hours per Resident per Day
5.58888
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
2014-08-15
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-19
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
2012-04-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
8.66700
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
Nursiong Homes Nearby
Reginald P White Nursing Facility
1451 North Lakeland Drive/po Box 4128 |
MERIDIAN MS 39307 | 0 mile away
Queen City Nursing Home Center
1201 28th Avenue |
MERIDIAN MS 39301 | 3.4 miles away
Golden Living Center-meridian
4728 Highway 39 N/box 3604 |
MERIDIAN MS 39301 | 3.7 miles away
Meridian Comm Living Center
517 33rd Street |
MERIDIAN MS 39305 | 5 miles away
The Oaks Rehabilitation And Healthcare Center
3716 Highway 39 North |
MERIDIAN MS 39301 | 5.4 miles away
Poplar Springs Nursing Ctr, Llc
6615 P0plar Springs Dr |
MERIDIAN MS 39305 | 5.8 miles away
North Pointe Health & Rehabilitation
211 Windmill Drive |
MERIDIAN MS 39305 | 6.6 miles away
Bedford Care Center Of Marion
6434 A Dale Dr |
MARION MS 39342 | 8.2 miles away
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