Windham House Of Hattiesburg - Hattiesburg Nursing Home
General Information
UPDATEFederal Provider Number
255265
Provider Name
WINDHAM HOUSE OF HATTIESBURG
Provider Address
37 HILLCREST DRIVE
HATTIESBURG, MS 39402
HATTIESBURG, MS 39402
Provider Phone Number
(601) 264-0058
Provider SSA County
37
Provider County Name
Forrest
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAMAR COMMUNITY CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-11-14
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.82500
Reported LPN Staffing Hours per Resident per Day
0.83462
Reported RN Staffing Hours per Resident per Day
0.84423
Reported Licensed Staffing Hours per Resident per Day
1.67885
Reported Total Nurse Staffing Hours per Resident per Day
4.50385
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02019
Expected CNA Staffing Hours per Resident per Day
2.27976
Expected LPN Staffing Hours per Resident per Day
0.60579
Expected RN Staffing Hours per Resident per Day
1.02880
Expected Total Nurse Staffing Hours per Resident per Day
3.91435
Adjusted CNA Staffing Hours per Resident per Day
3.04054
Adjusted LPN Staffing Hours per Resident per Day
1.14352
Adjusted RN Staffing Hours per Resident per Day
0.61315
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63795
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
2015-03-06
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-05-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-02-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
11.33300
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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