Madison Co Nh - Canton Nursing Home
General Information
UPDATEFederal Provider Number
255329
Provider Name
MADISON CO NH
Provider Address
1421-A EAST PEACE STREET/P. O. BOX 488
CANTON, MS 39046
CANTON, MS 39046
Provider Phone Number
(601) 855-5760
Provider SSA County
440
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
95
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MADISON COUNTY NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
2010-01-01
Continuing Care Retirement Community
Y
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
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.85000
Reported LPN Staffing Hours per Resident per Day
1.23989
Reported RN Staffing Hours per Resident per Day
0.38034
Reported Licensed Staffing Hours per Resident per Day
1.62022
Reported Total Nurse Staffing Hours per Resident per Day
4.47023
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01629
Expected CNA Staffing Hours per Resident per Day
2.39836
Expected LPN Staffing Hours per Resident per Day
0.60108
Expected RN Staffing Hours per Resident per Day
0.89035
Expected Total Nurse Staffing Hours per Resident per Day
3.88979
Adjusted CNA Staffing Hours per Resident per Day
2.91576
Adjusted LPN Staffing Hours per Resident per Day
1.71211
Adjusted RN Staffing Hours per Resident per Day
0.31919
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63240
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
22
Cycle 1 Total Health Score
66
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
353
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
353
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
160.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
6923
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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