| General |
| City |
| Collins |
Columbia |
| State attribute explanation |
| Ms |
Ms |
| Street |
| 1207 South Fir Avenue |
1018 Alberta Avenue |
| Zip Code |
| 39,428 |
39,429 |
| Phone |
| 6,017,658,262 |
6,017,311,745 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 60 |
98 |
|
Total Number of Residents |
| 47 |
85 |
|
Percent of Occupied Beds |
| 78 % |
87 % |
| Health Survey Date |
| 4/15/2012 |
6/8/2012 |
| Fire Survey Date |
| 4/17/2012 |
6/5/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
1 |
| Total Enforcement Actions Count |
| 1 |
1 |
| # of deficiencies |
| 10 |
|
|
| Staff Information |
| Number of Residents |
| 47 |
85 |
| Number of RN Hours Per Resident Per Day |
| 0.76 |
0.66 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.81 |
0.64 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.56 |
1.3 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.02 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.02 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/26/2011date Of Correction: 05/27/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 10/29/2009date Of Correction: 11/13/2009 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 10/29/2009date Of Correction: 11/13/2009 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: 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: 10/29/2009date Of Correction: 11/13/2009 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States.survey Date: 10/29/2009date Of Correction: 11/13/2009 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 07/21/2009date Of Correction: 08/17/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 10/29/2009date Of Correction: 11/13/2009 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 07/21/2009date Of Correction: 08/17/2009 |
|
| 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: 04/01/2010date Of Correction: 04/14/2010 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.survey Date: 04/01/2010date Of Correction: 04/14/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.2 % |
29.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.7 % |
40.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
8 % |
| Percent of long-stay residents who lose too much weight |
| 11.1 % |
7.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.9 % |
1.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 15.6 % |
6.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
3.6 % |
| Percent of long-stay residents who were physically restrained |
| 4.4 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
42.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
95.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
95.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
|
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
10.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 29.7 % |
28.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.6 / 3 |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.2 % |
30.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.2 % |
3.6 % |
| Percent of long-stay residents who lose too much weight |
| 7.7 % |
10.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 20.5 % |
22.2:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.4 % |
2 % |
| Percent of long-stay residents with a urinary tract infection |
| 7 % |
7.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.50 % |
2.5 % |
| Percent of long-stay residents who were physically restrained |
| 3.4 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 13.6-28 |
8.6:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.9 (64.2) |
35.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.2 % |
95 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.2 % |
90.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
75.2 % |