Pineview Health And Rehabiliation Center - Waynesboro Nursing Home
General Information
UPDATEFederal Provider Number
255286
Provider Name
PINEVIEW HEALTH AND REHABILIATION CENTER
Provider Address
1304 WALNUT ST
WAYNESBORO, MS 39367
WAYNESBORO, MS 39367
Provider Phone Number
6017359025
Provider SSA County
760
Provider County Name
Wayne
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MS HUD PINE VIEW LLC
Date First Approved to Provide Medicare and Medicaid services
2002-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31379
Reported LPN Staffing Hours per Resident per Day
1.06839
Reported RN Staffing Hours per Resident per Day
0.62989
Reported Licensed Staffing Hours per Resident per Day
1.69828
Reported Total Nurse Staffing Hours per Resident per Day
4.01207
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03851
Expected CNA Staffing Hours per Resident per Day
2.53700
Expected LPN Staffing Hours per Resident per Day
0.68186
Expected RN Staffing Hours per Resident per Day
0.99937
Expected Total Nurse Staffing Hours per Resident per Day
4.21823
Adjusted CNA Staffing Hours per Resident per Day
2.23782
Adjusted LPN Staffing Hours per Resident per Day
1.30050
Adjusted RN Staffing Hours per Resident per Day
0.47095
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83389
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
12
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
7.33300
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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