Jeff Davis Living Center, Llc - Jennings Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
195314
Provider Name
JEFF DAVIS LIVING CENTER, LLC
Provider Address
1338 NORTH CUTTING AVENUE
JENNINGS, LA 70546
JENNINGS, LA 70546
Provider Phone Number
(337) 824-3165
Provider SSA County
260
Provider County Name
Jeffrson Davis
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
120
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEFF DAVIS LIVING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-01-10
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.78261
Reported LPN Staffing Hours per Resident per Day
0.87681
Reported RN Staffing Hours per Resident per Day
0.34783
Reported Licensed Staffing Hours per Resident per Day
1.22464
Reported Total Nurse Staffing Hours per Resident per Day
3.00725
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08261
Expected CNA Staffing Hours per Resident per Day
2.22787
Expected LPN Staffing Hours per Resident per Day
0.67773
Expected RN Staffing Hours per Resident per Day
1.10874
Expected Total Nurse Staffing Hours per Resident per Day
4.01433
Adjusted CNA Staffing Hours per Resident per Day
1.96331
Adjusted LPN Staffing Hours per Resident per Day
1.07382
Adjusted RN Staffing Hours per Resident per Day
0.23441
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01966
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
2014-07-31
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
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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