Magnolia Senior Care, Llc - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
255275
Provider Name
MAGNOLIA SENIOR CARE, LLC
Provider Address
3701 PETER QUINN DRIVE
JACKSON, MS 39213
JACKSON, MS 39213
Provider Phone Number
(601) 366-1712
Provider SSA County
240
Provider County Name
Hinds
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAGNOLIA SENIOR CARE LLC
Date First Approved to Provide Medicare and Medicaid services
2001-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
3.30472
Reported LPN Staffing Hours per Resident per Day
1.33491
Reported RN Staffing Hours per Resident per Day
0.64717
Reported Licensed Staffing Hours per Resident per Day
1.98208
Reported Total Nurse Staffing Hours per Resident per Day
5.28680
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10755
Expected CNA Staffing Hours per Resident per Day
2.63598
Expected LPN Staffing Hours per Resident per Day
0.71671
Expected RN Staffing Hours per Resident per Day
0.97628
Expected Total Nurse Staffing Hours per Resident per Day
4.32896
Adjusted CNA Staffing Hours per Resident per Day
3.07620
Adjusted LPN Staffing Hours per Resident per Day
1.54593
Adjusted RN Staffing Hours per Resident per Day
0.49532
Adjusted Total Nurse Staffing Hours per Resident per Day
4.92278
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
44
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-03-19
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
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
36
Total Weighted Health Survey Score
30.66700
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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