Jnh-madison Inn - Whitfield Nursing Home

General Information

UPDATE
Federal Provider Number
25A404
Provider Name
JNH-MADISON INN
Provider Address
3550 HIGHWAY 468 WEST PO BOX 207 BLGS 28 &34
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
85
Number of Residents in Certified Beds
74
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
2001-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.38581
Reported LPN Staffing Hours per Resident per Day
3.47095
Reported RN Staffing Hours per Resident per Day
0.39324
Reported Licensed Staffing Hours per Resident per Day
3.86419
Reported Total Nurse Staffing Hours per Resident per Day
6.25000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01959
Expected CNA Staffing Hours per Resident per Day
2.22843
Expected LPN Staffing Hours per Resident per Day
0.59608
Expected RN Staffing Hours per Resident per Day
0.71805
Expected Total Nurse Staffing Hours per Resident per Day
3.54256
Adjusted CNA Staffing Hours per Resident per Day
2.62699
Adjusted LPN Staffing Hours per Resident per Day
4.83306
Adjusted RN Staffing Hours per Resident per Day
0.40920
Adjusted Total Nurse Staffing Hours per Resident per Day
7.11156
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
1
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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