Mississippi Nursing Homes >> Prentiss Nursing Homes >> Jefferson Davis Community Hospital Ecf

Jefferson Davis Community Hospital Ecf - Prentiss Nursing Home

General Information

UPDATE
Federal Provider Number
255050
Provider Name
JEFFERSON DAVIS COMMUNITY HOSPITAL ECF
Provider Address
1320 WINFIELD STREET
PRENTISS, MS 39474
Provider Phone Number
6017921172
Provider SSA County
320
Provider County Name
Jefferson Davis
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
FORREST COUNTY GENERAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1970-01-20
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.46019
Reported LPN Staffing Hours per Resident per Day
1.14722
Reported RN Staffing Hours per Resident per Day
0.34259
Reported Licensed Staffing Hours per Resident per Day
1.48981
Reported Total Nurse Staffing Hours per Resident per Day
3.95000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01204
Expected CNA Staffing Hours per Resident per Day
2.19669
Expected LPN Staffing Hours per Resident per Day
0.60260
Expected RN Staffing Hours per Resident per Day
0.97048
Expected Total Nurse Staffing Hours per Resident per Day
3.76977
Adjusted CNA Staffing Hours per Resident per Day
2.74803
Adjusted LPN Staffing Hours per Resident per Day
1.58015
Adjusted RN Staffing Hours per Resident per Day
0.26377
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22362
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-25
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-07
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
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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