Jnh-adams Inn - Whitfield Nursing Home
General Information
UPDATEFederal Provider Number
25A403
Provider Name
JNH-ADAMS INN
Provider Address
3550 HIGHWAY 468 WEST PO BOX 207, BUILDING 31 & 48
WHITFIELD, MS 39193
WHITFIELD, MS 39193
Provider Phone Number
(601) 351-8015
Provider SSA County
600
Provider County Name
Rankin
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
133
Number of Residents in Certified Beds
83
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
2001-06-25
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.96084
Reported LPN Staffing Hours per Resident per Day
0.87410
Reported RN Staffing Hours per Resident per Day
0.53253
Reported Licensed Staffing Hours per Resident per Day
1.40663
Reported Total Nurse Staffing Hours per Resident per Day
4.36747
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00602
Expected CNA Staffing Hours per Resident per Day
2.00990
Expected LPN Staffing Hours per Resident per Day
0.53270
Expected RN Staffing Hours per Resident per Day
0.67765
Expected Total Nurse Staffing Hours per Resident per Day
3.22026
Adjusted CNA Staffing Hours per Resident per Day
3.61461
Adjusted LPN Staffing Hours per Resident per Day
1.36193
Adjusted RN Staffing Hours per Resident per Day
0.58719
Adjusted Total Nurse Staffing Hours per Resident per Day
5.46691
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
12
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
40
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-02-03
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
6
Cycle 3 Total Health Score
18
Total Weighted Health Survey Score
22.33300
Number of Facility Reported Incidents
3
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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