Sardis Community Nh - Sardis Nursing Home
General Information
UPDATEFederal Provider Number
255279
Provider Name
SARDIS COMMUNITY NH
Provider Address
613 EAST LEE STREET
SARDIS, MS 38666
SARDIS, MS 38666
Provider Phone Number
(662) 487-2720
Provider SSA County
530
Provider County Name
Panola
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SARDIS COMMUNITY NURSING HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
2001-10-14
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
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
2.51636
Reported LPN Staffing Hours per Resident per Day
0.79818
Reported RN Staffing Hours per Resident per Day
0.52727
Reported Licensed Staffing Hours per Resident per Day
1.32545
Reported Total Nurse Staffing Hours per Resident per Day
3.84181
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00818
Expected CNA Staffing Hours per Resident per Day
2.56983
Expected LPN Staffing Hours per Resident per Day
0.63044
Expected RN Staffing Hours per Resident per Day
0.84045
Expected Total Nurse Staffing Hours per Resident per Day
4.04072
Adjusted CNA Staffing Hours per Resident per Day
2.40264
Adjusted LPN Staffing Hours per Resident per Day
1.05084
Adjusted RN Staffing Hours per Resident per Day
0.46877
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83248
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-05-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-06-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
16.66700
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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