Jones Co Rest Home - Ellisville Nursing Home
General Information
UPDATEFederal Provider Number
255336
Provider Name
JONES CO REST HOME
Provider Address
683 COUNTY HOME ROAD
ELLISVILLE, MS 39437
ELLISVILLE, MS 39437
Provider Phone Number
(601) 477-3334
Provider SSA County
330
Provider County Name
Jones
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
122
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
2012-09-13
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.29573
Reported LPN Staffing Hours per Resident per Day
1.05855
Reported RN Staffing Hours per Resident per Day
0.58077
Reported Licensed Staffing Hours per Resident per Day
1.63932
Reported Total Nurse Staffing Hours per Resident per Day
3.93505
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04872
Expected CNA Staffing Hours per Resident per Day
2.53095
Expected LPN Staffing Hours per Resident per Day
0.69635
Expected RN Staffing Hours per Resident per Day
0.94465
Expected Total Nurse Staffing Hours per Resident per Day
4.17195
Adjusted CNA Staffing Hours per Resident per Day
2.22566
Adjusted LPN Staffing Hours per Resident per Day
1.26171
Adjusted RN Staffing Hours per Resident per Day
0.45938
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80201
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
163
Cycle 2 Standard Health Survey Date
2013-06-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
163
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
67.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
22100
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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