Mississippi Nursing Homes >> Iuka Nursing Homes >> Tishomingo Comm Living Center

Tishomingo Comm Living Center - Iuka Nursing Home

General Information

UPDATE
Federal Provider Number
255127
Provider Name
TISHOMINGO COMM LIVING CENTER
Provider Address
1410 WEST QUITMAN STREET
IUKA, MS 38852
Provider Phone Number
(662) 423-3422
Provider SSA County
700
Provider County Name
Tishomingo
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
73
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLC OF IUKA, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-09-19
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
1.87714
Reported LPN Staffing Hours per Resident per Day
0.84071
Reported RN Staffing Hours per Resident per Day
0.75786
Reported Licensed Staffing Hours per Resident per Day
1.59857
Reported Total Nurse Staffing Hours per Resident per Day
3.47571
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06643
Expected CNA Staffing Hours per Resident per Day
2.15545
Expected LPN Staffing Hours per Resident per Day
0.57741
Expected RN Staffing Hours per Resident per Day
0.90698
Expected Total Nurse Staffing Hours per Resident per Day
3.63984
Adjusted CNA Staffing Hours per Resident per Day
2.13688
Adjusted LPN Staffing Hours per Resident per Day
1.20849
Adjusted RN Staffing Hours per Resident per Day
0.62435
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84913
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
20
Cycle 1 Standard Survey Health Date
2014-12-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-04-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
0
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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Tishomingo Manor

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