Midsouth Health And Rehabilitation Center - Memphis Nursing Home
General Information
UPDATEFederal Provider Number
445436
Provider Name
MIDSOUTH HEALTH AND REHABILITATION CENTER
Provider Address
2380 JAMES ROAD
MEMPHIS, TN 38127
MEMPHIS, TN 38127
Provider Phone Number
(901) 358-1707
Provider SSA County
780
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
155
Number of Residents in Certified Beds
134
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHELBY HEALTH SERVICES, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.29478
Reported LPN Staffing Hours per Resident per Day
1.14104
Reported RN Staffing Hours per Resident per Day
0.48769
Reported Licensed Staffing Hours per Resident per Day
1.62873
Reported Total Nurse Staffing Hours per Resident per Day
3.92351
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03470
Expected CNA Staffing Hours per Resident per Day
2.58134
Expected LPN Staffing Hours per Resident per Day
0.63658
Expected RN Staffing Hours per Resident per Day
0.98235
Expected Total Nurse Staffing Hours per Resident per Day
4.20026
Adjusted CNA Staffing Hours per Resident per Day
2.18131
Adjusted LPN Staffing Hours per Resident per Day
1.48774
Adjusted RN Staffing Hours per Resident per Day
0.37095
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76531
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-11-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-22
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
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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