Martha Coker Green House Home - Yazoo City Nursing Home
General Information
UPDATEFederal Provider Number
255327
Provider Name
MARTHA COKER GREEN HOUSE HOME
Provider Address
2041 GRAND AVE
YAZOO CITY, MS 39194
YAZOO CITY, MS 39194
Provider Phone Number
(662) 746-4621
Provider SSA County
810
Provider County Name
Yazoo
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARTHA COKER HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
2008-11-10
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
3
Health Inspection Rating Footnote
QM Rating
3
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
4.79310
Reported LPN Staffing Hours per Resident per Day
0.82759
Reported RN Staffing Hours per Resident per Day
0.63017
Reported Licensed Staffing Hours per Resident per Day
1.45776
Reported Total Nurse Staffing Hours per Resident per Day
6.25086
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03448
Expected CNA Staffing Hours per Resident per Day
2.60002
Expected LPN Staffing Hours per Resident per Day
0.66076
Expected RN Staffing Hours per Resident per Day
1.13043
Expected Total Nurse Staffing Hours per Resident per Day
4.39122
Adjusted CNA Staffing Hours per Resident per Day
4.52337
Adjusted LPN Staffing Hours per Resident per Day
1.03955
Adjusted RN Staffing Hours per Resident per Day
0.41653
Adjusted Total Nurse Staffing Hours per Resident per Day
5.73795
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-02-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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