Mississippi Nursing Homes >> Vaiden Nursing Homes >> Vaiden Community Living Center

Vaiden Community Living Center - Vaiden Nursing Home

General Information

UPDATE
Federal Provider Number
255283
Provider Name
VAIDEN COMMUNITY LIVING CENTER
Provider Address
868 MULBERRY STREET
VAIDEN, MS 39176
Provider Phone Number
6624647714
Provider SSA County
70
Provider County Name
Carroll
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
CLC OF VAIDEN, LLC
Date First Approved to Provide Medicare and Medicaid services
2001-11-02
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16327
Reported LPN Staffing Hours per Resident per Day
1.07449
Reported RN Staffing Hours per Resident per Day
0.56020
Reported Licensed Staffing Hours per Resident per Day
1.63469
Reported Total Nurse Staffing Hours per Resident per Day
3.79796
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03061
Expected CNA Staffing Hours per Resident per Day
2.51396
Expected LPN Staffing Hours per Resident per Day
0.64494
Expected RN Staffing Hours per Resident per Day
1.00116
Expected Total Nurse Staffing Hours per Resident per Day
4.16006
Adjusted CNA Staffing Hours per Resident per Day
2.11141
Adjusted LPN Staffing Hours per Resident per Day
1.38280
Adjusted RN Staffing Hours per Resident per Day
0.41810
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68004
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
32
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
48
Cycle 3 Standard Health Survey Date
2013-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
29.33300
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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