Nmmc Baldwyn Nursing Facility - Baldwyn Nursing Home
General Information
UPDATEFederal Provider Number
255161
Provider Name
NMMC BALDWYN NURSING FACILITY
Provider Address
739 4TH STREET SOUTH
BALDWYN, MS 38824
BALDWYN, MS 38824
Provider Phone Number
(662) 365-4091
Provider SSA County
400
Provider County Name
Lee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
107
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH MISSISSIPPI MEDICAL CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1993-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.01667
Reported LPN Staffing Hours per Resident per Day
0.68088
Reported RN Staffing Hours per Resident per Day
1.17843
Reported Licensed Staffing Hours per Resident per Day
1.85931
Reported Total Nurse Staffing Hours per Resident per Day
3.87598
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10441
Expected CNA Staffing Hours per Resident per Day
2.53484
Expected LPN Staffing Hours per Resident per Day
0.81618
Expected RN Staffing Hours per Resident per Day
1.13811
Expected Total Nurse Staffing Hours per Resident per Day
4.48913
Adjusted CNA Staffing Hours per Resident per Day
1.95212
Adjusted LPN Staffing Hours per Resident per Day
0.69241
Adjusted RN Staffing Hours per Resident per Day
0.77367
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48034
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-03-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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