Woodland Village Nursing Center - Diamondhead Nursing Home
General Information
UPDATEFederal Provider Number
255163
Provider Name
WOODLAND VILLAGE NURSING CENTER
Provider Address
5427 GEX ROAD
DIAMONDHEAD, MS 39525
DIAMONDHEAD, MS 39525
Provider Phone Number
(228) 255-4832
Provider SSA County
220
Provider County Name
Hancock
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODLAND VILLAGE NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1993-03-15
Continuing Care Retirement Community
Y
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
4
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
2.41375
Reported LPN Staffing Hours per Resident per Day
0.80792
Reported RN Staffing Hours per Resident per Day
0.88542
Reported Licensed Staffing Hours per Resident per Day
1.69333
Reported Total Nurse Staffing Hours per Resident per Day
4.10709
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01375
Expected CNA Staffing Hours per Resident per Day
2.60266
Expected LPN Staffing Hours per Resident per Day
0.71058
Expected RN Staffing Hours per Resident per Day
1.09174
Expected Total Nurse Staffing Hours per Resident per Day
4.40498
Adjusted CNA Staffing Hours per Resident per Day
2.27560
Adjusted LPN Staffing Hours per Resident per Day
0.94369
Adjusted RN Staffing Hours per Resident per Day
0.60599
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75831
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-27
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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