Winston Co Nh - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
255072
Provider Name
WINSTON CO NH
Provider Address
562 EAST MAIN STREE/P. O. BOX 967
LOUISVILLE, MS 39339
LOUISVILLE, MS 39339
Provider Phone Number
(662) 779-5183
Provider SSA County
790
Provider County Name
Winston
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
120
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1978-03-29
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.29595
Reported LPN Staffing Hours per Resident per Day
1.26959
Reported RN Staffing Hours per Resident per Day
0.54189
Reported Licensed Staffing Hours per Resident per Day
1.81149
Reported Total Nurse Staffing Hours per Resident per Day
4.10743
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01419
Expected CNA Staffing Hours per Resident per Day
2.33498
Expected LPN Staffing Hours per Resident per Day
0.60496
Expected RN Staffing Hours per Resident per Day
0.90771
Expected Total Nurse Staffing Hours per Resident per Day
3.84765
Adjusted CNA Staffing Hours per Resident per Day
2.41269
Adjusted LPN Staffing Hours per Resident per Day
1.74185
Adjusted RN Staffing Hours per Resident per Day
0.44607
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30305
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
184
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
184
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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Nursiong Homes Nearby
Louisville Healthcare Llc
543 East Main Street/po Box 542 |
LOUISVILLE MS 39339 | 0.3 mile away