North Mississippi Med Ctr Sub-acute - Tupelo Nursing Home

General Information

UPDATE
Federal Provider Number
255317
Provider Name
NORTH MISSISSIPPI MED CTR SUB-ACUTE
Provider Address
830 SOUTH GLOSTER
TUPELO, MS 38801
Provider Phone Number
(662) 377-3000
Provider SSA County
400
Provider County Name
Lee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
29
Number of Residents in Certified Beds
19
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
NORTH MISSISSIPPI MEDICAL CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2006-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
5
QM Rating Footnote
Staffing Rating
4
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
0.00000
Reported LPN Staffing Hours per Resident per Day
0.31579
Reported RN Staffing Hours per Resident per Day
4.40526
Reported Licensed Staffing Hours per Resident per Day
4.72105
Reported Total Nurse Staffing Hours per Resident per Day
4.72105
Reported Physical Therapist Staffing Hours per Resident Per Day
0.60263
Expected CNA Staffing Hours per Resident per Day
2.31078
Expected LPN Staffing Hours per Resident per Day
0.80923
Expected RN Staffing Hours per Resident per Day
1.92020
Expected Total Nurse Staffing Hours per Resident per Day
5.04022
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.32389
Adjusted RN Staffing Hours per Resident per Day
1.71420
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77565
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
2014-12-05
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-03
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
8.00000
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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