Mississippi Nursing Homes >> Bay Springs Nursing Homes >> Jasper Co Nh

Jasper Co Nh - Bay Springs Nursing Home

General Information

UPDATE
Federal Provider Number
25A178
Provider Name
JASPER CO NH
Provider Address
15 A SOUTH SIXTH STREET
BAY SPRINGS, MS 39422
Provider Phone Number
(601) 764-2101
Provider SSA County
300
Provider County Name
Jasper
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
110
Number of Residents in Certified Beds
109
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1976-11-30
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
3.37477
Reported LPN Staffing Hours per Resident per Day
1.12064
Reported RN Staffing Hours per Resident per Day
4.44266
Reported Licensed Staffing Hours per Resident per Day
5.56330
Reported Total Nurse Staffing Hours per Resident per Day
8.93807
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10505
Expected CNA Staffing Hours per Resident per Day
2.27220
Expected LPN Staffing Hours per Resident per Day
0.55464
Expected RN Staffing Hours per Resident per Day
0.80181
Expected Total Nurse Staffing Hours per Resident per Day
3.62866
Adjusted CNA Staffing Hours per Resident per Day
3.64433
Adjusted LPN Staffing Hours per Resident per Day
1.67700
Adjusted RN Staffing Hours per Resident per Day
4.14005
Adjusted Total Nurse Staffing Hours per Resident per Day
9.92887
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
2014-08-21
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
36.00000
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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