Wisteria Gardens - Pearl Nursing Home
General Information
UPDATEFederal Provider Number
255325
Provider Name
WISTERIA GARDENS
Provider Address
5420 HIGHWAY 80 EAST
PEARL, MS 39208
PEARL, MS 39208
Provider Phone Number
(601) 988-6800
Provider SSA County
600
Provider County Name
Rankin
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
52
Number of Residents in Certified Beds
48
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
WISTERIA GARDENS, LLC
Date First Approved to Provide Medicare and Medicaid services
2008-03-31
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
3.21458
Reported LPN Staffing Hours per Resident per Day
1.42813
Reported RN Staffing Hours per Resident per Day
0.83333
Reported Licensed Staffing Hours per Resident per Day
2.26146
Reported Total Nurse Staffing Hours per Resident per Day
5.47604
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31250
Expected CNA Staffing Hours per Resident per Day
2.31150
Expected LPN Staffing Hours per Resident per Day
0.63189
Expected RN Staffing Hours per Resident per Day
1.32187
Expected Total Nurse Staffing Hours per Resident per Day
4.26526
Adjusted CNA Staffing Hours per Resident per Day
3.41234
Adjusted LPN Staffing Hours per Resident per Day
1.87588
Adjusted RN Staffing Hours per Resident per Day
0.47105
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17515
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-12-11
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
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
2014-01-10
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
36
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
14.66700
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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