Shearer-richardson Memorial Nursing Home - Okolona Nursing Home
General Information
UPDATEFederal Provider Number
25A162
Provider Name
SHEARER-RICHARDSON MEMORIAL NURSING HOME
Provider Address
512 ROCKWELL DRIVE / PO BOX 420
OKOLONA, MS 38860
OKOLONA, MS 38860
Provider Phone Number
(662) 447-5463
Provider SSA County
80
Provider County Name
Chickasaw
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
73
Number of Residents in Certified Beds
64
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1975-02-02
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.34609
Reported LPN Staffing Hours per Resident per Day
0.14297
Reported RN Staffing Hours per Resident per Day
1.22656
Reported Licensed Staffing Hours per Resident per Day
1.36953
Reported Total Nurse Staffing Hours per Resident per Day
3.71562
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03984
Expected CNA Staffing Hours per Resident per Day
2.24502
Expected LPN Staffing Hours per Resident per Day
0.55806
Expected RN Staffing Hours per Resident per Day
0.89257
Expected Total Nurse Staffing Hours per Resident per Day
3.69565
Adjusted CNA Staffing Hours per Resident per Day
2.56416
Adjusted LPN Staffing Hours per Resident per Day
0.21264
Adjusted RN Staffing Hours per Resident per Day
1.02680
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05268
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
495
Cycle 1 Standard Survey Health Date
2014-03-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
495
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-01-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
278.16700
Number of Facility Reported Incidents
2
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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