Merit Health Wesley - Hattiesburg Nursing Home
General Information
UPDATEFederal Provider Number
255168
Provider Name
MERIT HEALTH WESLEY
Provider Address
5001 HARDY STREET
HATTIESBURG, MS 39402
HATTIESBURG, MS 39402
Provider Phone Number
(601) 268-5962
Provider SSA County
170
Provider County Name
Forrest
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
25
Number of Residents in Certified Beds
23
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
WESLEY HEALTH SYSTEM LLC
Date First Approved to Provide Medicare and Medicaid services
1993-11-17
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.40000
Reported LPN Staffing Hours per Resident per Day
0.23261
Reported RN Staffing Hours per Resident per Day
3.66957
Reported Licensed Staffing Hours per Resident per Day
3.90217
Reported Total Nurse Staffing Hours per Resident per Day
5.30218
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23913
Expected CNA Staffing Hours per Resident per Day
2.40550
Expected LPN Staffing Hours per Resident per Day
1.12302
Expected RN Staffing Hours per Resident per Day
2.31341
Expected Total Nurse Staffing Hours per Resident per Day
5.84192
Adjusted CNA Staffing Hours per Resident per Day
1.42805
Adjusted LPN Staffing Hours per Resident per Day
0.17192
Adjusted RN Staffing Hours per Resident per Day
1.18522
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65848
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-31
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
7.33300
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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