Mississippi Nursing Homes >> Shelby Nursing Homes >> Shelby Health And Rehabilitation Center

Shelby Health And Rehabilitation Center - Shelby Nursing Home

General Information

UPDATE
Federal Provider Number
255293
Provider Name
SHELBY HEALTH AND REHABILITATION CENTER
Provider Address
1108 CHURCH STREET
SHELBY, MS 38774
Provider Phone Number
(662) 398-5117
Provider SSA County
50
Provider County Name
Bolivar
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MS SHELBY LLC
Date First Approved to Provide Medicare and Medicaid services
2003-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.51837
Reported LPN Staffing Hours per Resident per Day
0.84592
Reported RN Staffing Hours per Resident per Day
1.17449
Reported Licensed Staffing Hours per Resident per Day
2.02041
Reported Total Nurse Staffing Hours per Resident per Day
4.53878
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11837
Expected CNA Staffing Hours per Resident per Day
2.48120
Expected LPN Staffing Hours per Resident per Day
0.69869
Expected RN Staffing Hours per Resident per Day
1.19944
Expected Total Nurse Staffing Hours per Resident per Day
4.37933
Adjusted CNA Staffing Hours per Resident per Day
2.49046
Adjusted LPN Staffing Hours per Resident per Day
1.00489
Adjusted RN Staffing Hours per Resident per Day
0.73166
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17766
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
24
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
8
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
2013-07-20
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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