Neshoba County Nursing Home - Philadelphia Nursing Home
General Information
UPDATEFederal Provider Number
255137
Provider Name
NESHOBA COUNTY NURSING HOME
Provider Address
1001 HOLLAND AVENUE
PHILADELPHIA, MS 39350
PHILADELPHIA, MS 39350
Provider Phone Number
(601) 663-1200
Provider SSA County
490
Provider County Name
Neshoba
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
160
Number of Residents in Certified Beds
160
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
NESHOBA COUNTY GENERAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1991-05-20
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
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
1.96313
Reported LPN Staffing Hours per Resident per Day
0.82781
Reported RN Staffing Hours per Resident per Day
0.67125
Reported Licensed Staffing Hours per Resident per Day
1.49906
Reported Total Nurse Staffing Hours per Resident per Day
3.46219
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03469
Expected CNA Staffing Hours per Resident per Day
2.22214
Expected LPN Staffing Hours per Resident per Day
0.57043
Expected RN Staffing Hours per Resident per Day
0.81827
Expected Total Nurse Staffing Hours per Resident per Day
3.61083
Adjusted CNA Staffing Hours per Resident per Day
2.16770
Adjusted LPN Staffing Hours per Resident per Day
1.20451
Adjusted RN Staffing Hours per Resident per Day
0.61295
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86497
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
21.33300
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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