Louisville Healthcare Llc - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
255096
Provider Name
LOUISVILLE HEALTHCARE LLC
Provider Address
543 EAST MAIN STREET/PO BOX 542
LOUISVILLE, MS 39339
LOUISVILLE, MS 39339
Provider Phone Number
(662) 773-8047
Provider SSA County
790
Provider County Name
Winston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LOUISVILLE HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1987-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
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
2.90000
Reported LPN Staffing Hours per Resident per Day
0.68125
Reported RN Staffing Hours per Resident per Day
0.65357
Reported Licensed Staffing Hours per Resident per Day
1.33482
Reported Total Nurse Staffing Hours per Resident per Day
4.23482
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02054
Expected CNA Staffing Hours per Resident per Day
2.28008
Expected LPN Staffing Hours per Resident per Day
0.60633
Expected RN Staffing Hours per Resident per Day
0.91962
Expected Total Nurse Staffing Hours per Resident per Day
3.80603
Adjusted CNA Staffing Hours per Resident per Day
3.12082
Adjusted LPN Staffing Hours per Resident per Day
0.93256
Adjusted RN Staffing Hours per Resident per Day
0.53103
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48502
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.66700
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Winston Co Nh
562 East Main Stree/p. O. Box 967 |
LOUISVILLE MS 39339 | 0.3 mile away