Mccomb Nursing And Rehabilitation Center Llc - Mccomb Nursing Home
General Information
UPDATEFederal Provider Number
255101
Provider Name
MCCOMB NURSING AND REHABILITATION CENTER LLC
Provider Address
415 MARION AVE
MCCOMB, MS 39648
MCCOMB, MS 39648
Provider Phone Number
6016848700
Provider SSA County
560
Provider County Name
Pike
Ownership Type
For profit - Partnership
Number of Certified Beds
140
Number of Residents in Certified Beds
132
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MCCOMB NURSING AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-04-01
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
1
QM Rating Footnote
Staffing Rating
1
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
2.07311
Reported LPN Staffing Hours per Resident per Day
0.80189
Reported RN Staffing Hours per Resident per Day
0.44356
Reported Licensed Staffing Hours per Resident per Day
1.24545
Reported Total Nurse Staffing Hours per Resident per Day
3.31856
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10492
Expected CNA Staffing Hours per Resident per Day
2.55055
Expected LPN Staffing Hours per Resident per Day
0.70029
Expected RN Staffing Hours per Resident per Day
1.11840
Expected Total Nurse Staffing Hours per Resident per Day
4.36924
Adjusted CNA Staffing Hours per Resident per Day
1.99439
Adjusted LPN Staffing Hours per Resident per Day
0.95042
Adjusted RN Staffing Hours per Resident per Day
0.29634
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06158
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
565
Cycle 3 Standard Health Survey Date
2012-12-08
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
283
Cycle 3 Total Health Score
848
Total Weighted Health Survey Score
151.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
283628
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Camellia Estates
1714 White Street |
MCCOMB MS 39648 | 0.1 mile away
Courtyard Rehabilitation And Healthcare
501 South Locust Street |
MCCOMB MS 39648 | 2.3 miles away
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