Silver Cross Health & Rehab - Brookhaven Nursing Home
General Information
UPDATEFederal Provider Number
255310
Provider Name
SILVER CROSS HEALTH & REHAB
Provider Address
503 SILVER CROSS DRIVE
BROOKHAVEN, MS 39601
BROOKHAVEN, MS 39601
Provider Phone Number
(601) 833-2361
Provider SSA County
420
Provider County Name
Lincoln
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LINCOLN LTC LLC
Date First Approved to Provide Medicare and Medicaid services
2005-01-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
QM Rating Footnote
Staffing Rating
5
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
3.48707
Reported LPN Staffing Hours per Resident per Day
1.00431
Reported RN Staffing Hours per Resident per Day
1.02414
Reported Licensed Staffing Hours per Resident per Day
2.02845
Reported Total Nurse Staffing Hours per Resident per Day
5.51552
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09828
Expected CNA Staffing Hours per Resident per Day
2.28006
Expected LPN Staffing Hours per Resident per Day
0.61556
Expected RN Staffing Hours per Resident per Day
0.96533
Expected Total Nurse Staffing Hours per Resident per Day
3.86096
Adjusted CNA Staffing Hours per Resident per Day
3.75263
Adjusted LPN Staffing Hours per Resident per Day
1.35417
Adjusted RN Staffing Hours per Resident per Day
0.79272
Adjusted Total Nurse Staffing Hours per Resident per Day
5.75829
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
2014-07-10
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
6
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
26
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
22
Cycle 3 Health Deficiency Score
911
Cycle 3 Standard Health Survey Date
2013-05-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
911
Total Weighted Health Survey Score
184.50000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
276015
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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