Noxubee County Nursing Home - Macon Nursing Home
General Information
UPDATEFederal Provider Number
25A374
Provider Name
NOXUBEE COUNTY NURSING HOME
Provider Address
606 NORTH JEFFERSON STREET
MACON, MS 39341
MACON, MS 39341
Provider Phone Number
(662) 726-2097
Provider SSA County
510
Provider County Name
Noxubee
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
60
Number of Residents in Certified Beds
59
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-10-22
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
2.40847
Reported LPN Staffing Hours per Resident per Day
0.83559
Reported RN Staffing Hours per Resident per Day
0.78983
Reported Licensed Staffing Hours per Resident per Day
1.62542
Reported Total Nurse Staffing Hours per Resident per Day
4.03389
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04831
Expected CNA Staffing Hours per Resident per Day
2.24046
Expected LPN Staffing Hours per Resident per Day
0.55330
Expected RN Staffing Hours per Resident per Day
0.81886
Expected Total Nurse Staffing Hours per Resident per Day
3.61261
Adjusted CNA Staffing Hours per Resident per Day
2.63771
Adjusted LPN Staffing Hours per Resident per Day
1.25346
Adjusted RN Staffing Hours per Resident per Day
0.72071
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50095
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
16
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
12.00000
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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