Shady Lawn Health And Rehabilitation - Vicksburg Nursing Home
General Information
UPDATEFederal Provider Number
255234
Provider Name
SHADY LAWN HEALTH AND REHABILITATION
Provider Address
60 SHADY LAWN PLACE
VICKSBURG, MS 39180
VICKSBURG, MS 39180
Provider Phone Number
(601) 636-1448
Provider SSA County
740
Provider County Name
Warren
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHADY LAWN, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-08-01
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
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.17563
Reported LPN Staffing Hours per Resident per Day
0.69375
Reported RN Staffing Hours per Resident per Day
0.93563
Reported Licensed Staffing Hours per Resident per Day
1.62938
Reported Total Nurse Staffing Hours per Resident per Day
3.80501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03563
Expected CNA Staffing Hours per Resident per Day
2.47787
Expected LPN Staffing Hours per Resident per Day
0.70752
Expected RN Staffing Hours per Resident per Day
1.00305
Expected Total Nurse Staffing Hours per Resident per Day
4.18844
Adjusted CNA Staffing Hours per Resident per Day
2.15440
Adjusted LPN Staffing Hours per Resident per Day
0.81384
Adjusted RN Staffing Hours per Resident per Day
0.69698
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66189
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-03-26
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
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
2014-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
6.00000
Number of Facility Reported Incidents
1
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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Nursiong Homes Nearby
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