The Nichols Center - Madison Nursing Home

General Information

UPDATE
Federal Provider Number
255304
Provider Name
THE NICHOLS CENTER
Provider Address
1308 HIGHWAY 51 NORTH
MADISON, MS 39110
Provider Phone Number
(601) 853-4343
Provider SSA County
440
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NC LEASING, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-12-15
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.06875
Reported LPN Staffing Hours per Resident per Day
1.05446
Reported RN Staffing Hours per Resident per Day
0.86161
Reported Licensed Staffing Hours per Resident per Day
1.91607
Reported Total Nurse Staffing Hours per Resident per Day
3.98482
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02589
Expected CNA Staffing Hours per Resident per Day
2.58908
Expected LPN Staffing Hours per Resident per Day
0.73132
Expected RN Staffing Hours per Resident per Day
1.16056
Expected Total Nurse Staffing Hours per Resident per Day
4.48097
Adjusted CNA Staffing Hours per Resident per Day
1.96058
Adjusted LPN Staffing Hours per Resident per Day
1.19674
Adjusted RN Staffing Hours per Resident per Day
0.55473
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58458
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-30
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
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
0
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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