Myrtles Nursing Center, Llc - Columbia Nursing Home
General Information
UPDATEFederal Provider Number
255272
Provider Name
MYRTLES NURSING CENTER, LLC
Provider Address
1018 ALBERTA AVENUE
COLUMBIA, MS 39429
COLUMBIA, MS 39429
Provider Phone Number
(601) 731-1745
Provider SSA County
450
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLUMBIA COMMUNITY CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2001-05-01
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
3
Health Inspection Rating Footnote
QM Rating
2
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
2.30761
Reported LPN Staffing Hours per Resident per Day
0.81685
Reported RN Staffing Hours per Resident per Day
0.65109
Reported Licensed Staffing Hours per Resident per Day
1.46793
Reported Total Nurse Staffing Hours per Resident per Day
3.77555
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00707
Expected CNA Staffing Hours per Resident per Day
2.56608
Expected LPN Staffing Hours per Resident per Day
0.61717
Expected RN Staffing Hours per Resident per Day
0.87533
Expected Total Nurse Staffing Hours per Resident per Day
4.05858
Adjusted CNA Staffing Hours per Resident per Day
2.20655
Adjusted LPN Staffing Hours per Resident per Day
1.09853
Adjusted RN Staffing Hours per Resident per Day
0.55579
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74980
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-31
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
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
1
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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Song Health & Rehab Of Columbia, Llc
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COLUMBIA MS 39429 | 1.8 miles away