Longwood Comm Living Center - Booneville Nursing Home

General Information

UPDATE
Federal Provider Number
255264
Provider Name
LONGWOOD COMM LIVING CENTER
Provider Address
200 LONG STREET/P. O. BOX 326
BOONEVILLE, MS 38829
Provider Phone Number
(662) 728-6234
Provider SSA County
580
Provider County Name
Prentiss
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
64
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLC OF BOONEVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-05-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.48475
Reported LPN Staffing Hours per Resident per Day
0.84407
Reported RN Staffing Hours per Resident per Day
0.84661
Reported Licensed Staffing Hours per Resident per Day
1.69068
Reported Total Nurse Staffing Hours per Resident per Day
3.17543
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01695
Expected CNA Staffing Hours per Resident per Day
2.42601
Expected LPN Staffing Hours per Resident per Day
0.67773
Expected RN Staffing Hours per Resident per Day
1.05308
Expected Total Nurse Staffing Hours per Resident per Day
4.15682
Adjusted CNA Staffing Hours per Resident per Day
1.50170
Adjusted LPN Staffing Hours per Resident per Day
1.03371
Adjusted RN Staffing Hours per Resident per Day
0.60070
Adjusted Total Nurse Staffing Hours per Resident per Day
3.07924
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
160
Cycle 2 Standard Health Survey Date
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
160
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
94.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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