| General |
| City |
| Mccomb |
Madison |
| State attribute explanation |
| Ms |
Ms |
| Street |
| 1714 White Street |
1308 Highway 51 North |
| Zip Code |
| 39,648 |
39,110 |
| Phone |
| 6,012,500,066 |
6,018,534,343 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 30 |
60 |
|
Total Number of Residents |
| 28 |
57 |
|
Percent of Occupied Beds |
| 93 % |
95 % |
| Health Survey Date |
| 12/20/2011 |
12/29/2011 |
| Fire Survey Date |
| 12/21/2011 |
12/27/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| Yes |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
8 |
|
| Staff Information |
| Number of Residents |
| 28 |
57 |
| Number of RN Hours Per Resident Per Day |
| 0.9 |
0.65 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.89 |
0.88 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.79 |
1.53 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.02 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.02 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.survey Date: 09/01/2009date Of Correction: 10/08/2009 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 09/01/2009date Of Correction: 10/08/2009 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 09/01/2009date Of Correction: 10/08/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 09/01/2009date Of Correction: 10/08/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 09/01/2009date Of Correction: 10/08/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 09/01/2009date Of Correction: 10/08/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 09/01/2009date Of Correction: 10/08/2009 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 09/01/2009date Of Correction: 10/08/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
23.8:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
13.5 % |
| Percent of long-stay residents who lose too much weight |
|
17.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
|
6.5 % |
| Percent of long-stay residents who have depressive symptoms |
|
2.20 % |
| Percent of long-stay residents who were physically restrained |
|
22.2:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 10.2 % |
22.2:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.9 % |
98 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.6 % |
98 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.1:1 |
14.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.9 % |
12.6:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
|
8.1 / 8.8 |
| Percent of long-stay residents who lose too much weight |
| 5.7 % |
8.1 / 8.8 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
33.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 10.3:1 |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 22.9 % |
3.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.9 % |
0.8 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
18 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 14.3 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.8 % |
21.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.6 % |
98.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 99.1 % |
99.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.8 % |
75.2 % |