Meadville Convalescent Home - Meadville Nursing Home
General Information
UPDATEFederal Provider Number
255213
Provider Name
MEADVILLE CONVALESCENT HOME
Provider Address
300 HWY 556/ROUTE 2 BOX 66
MEADVILLE, MS 39653
MEADVILLE, MS 39653
Provider Phone Number
(601) 384-5861
Provider SSA County
180
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Individual
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
MEADVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1995-08-01
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
4
Health Inspection Rating Footnote
QM Rating
3
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
2.79828
Reported LPN Staffing Hours per Resident per Day
1.28103
Reported RN Staffing Hours per Resident per Day
0.77759
Reported Licensed Staffing Hours per Resident per Day
2.05862
Reported Total Nurse Staffing Hours per Resident per Day
4.85690
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04397
Expected CNA Staffing Hours per Resident per Day
2.26224
Expected LPN Staffing Hours per Resident per Day
0.64108
Expected RN Staffing Hours per Resident per Day
0.93663
Expected Total Nurse Staffing Hours per Resident per Day
3.83995
Adjusted CNA Staffing Hours per Resident per Day
3.03510
Adjusted LPN Staffing Hours per Resident per Day
1.65853
Adjusted RN Staffing Hours per Resident per Day
0.62033
Adjusted Total Nurse Staffing Hours per Resident per Day
5.09842
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-08
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
24.00000
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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