Tippah County Nursing Home - Ripley Nursing Home

General Information

UPDATE
Federal Provider Number
255130
Provider Name
TIPPAH COUNTY NURSING HOME
Provider Address
1005 CITY AVENUE NORTH
RIPLEY, MS 38663
Provider Phone Number
(662) 837-9221
Provider SSA County
690
Provider County Name
Tippah
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
40
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
TIPPAH COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1989-11-15
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
3
Overall Rating Footnote
Health Inspection Rating
4
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
2.10128
Reported LPN Staffing Hours per Resident per Day
0.70641
Reported RN Staffing Hours per Resident per Day
0.78718
Reported Licensed Staffing Hours per Resident per Day
1.49359
Reported Total Nurse Staffing Hours per Resident per Day
3.59487
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09359
Expected CNA Staffing Hours per Resident per Day
2.51075
Expected LPN Staffing Hours per Resident per Day
0.66694
Expected RN Staffing Hours per Resident per Day
0.97240
Expected Total Nurse Staffing Hours per Resident per Day
4.15010
Adjusted CNA Staffing Hours per Resident per Day
2.05353
Adjusted LPN Staffing Hours per Resident per Day
0.87912
Adjusted RN Staffing Hours per Resident per Day
0.60487
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49162
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
12.66700
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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