| General |
| City |
| Natchez |
Wiggins |
| State attribute explanation |
| Ms |
Ms |
| Street |
| 555 John R. Junkin Drive |
530 / 550 |
| Zip Code |
| 39,120 |
39,577 |
| Phone |
| 6,014,424,395 |
6,019,285,281 |
|
Overall Star Rating |
| 2 |
2 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 5 |
5 |
|
RN Only Star Rating |
| 2 |
5 |
|
Number of Certified Beds |
| 96 |
103 |
|
Total Number of Residents |
| 81 |
84 |
|
Percent of Occupied Beds |
| 84 % |
82 % |
| Health Survey Date |
| 12/2/2011 |
8/17/2011 |
| Fire Survey Date |
| 11/29/2011 |
8/18/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Limited Liability Company |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| 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 |
| 75.2 |
3 |
| Total Enforcement Actions Count |
| 75.2 |
3 |
| # of deficiencies |
| 7 |
11 |
|
| Staff Information |
| Number of Residents |
| 81 |
84 |
| Number of RN Hours Per Resident Per Day |
| 0.36 |
0.79 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.97 |
0.93 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.33 |
1.71 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.01 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 06/08/2011date Of Correction: 07/06/2011 |
Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/07/2011date Of Correction: 01/13/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/31/2010date Of Correction: 04/14/2010 |
Scope: Somelevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/13/2010date Of Correction: 05/31/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/07/2011date Of Correction: 01/13/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/13/2010date Of Correction: 05/31/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Manylevel Of Harm: 1deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.survey Date: 11/30/2010date Of Correction: 12/10/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 06/04/2009date Of Correction: 07/03/2009 |
| Deficiency #2 |
|
Scope: Fewlevel 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: 06/04/2009date Of Correction: 06/30/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/30/2010date Of Correction: 12/10/2010 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/13/2010date Of Correction: 05/31/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/04/2009date Of Correction: 07/07/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel 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: 05/13/2010date Of Correction: 05/31/2010 |
| 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: 01/07/2011date Of Correction: 01/13/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 01/07/2011date Of Correction: 01/13/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 11/30/2010date Of Correction: 12/10/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 11/30/2010date Of Correction: 12/10/2010 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide A Tasty And Well-balanced Diet That Meets The Nutritional Needs Of Each Resident.survey Date: 11/30/2010date Of Correction: 12/10/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.9 % |
40.9 % |
| 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 |
| 8.2 % |
8.1 / 8.8 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.3 % |
7.5 % |
| Percent of long-stay residents who lose too much weight |
| 13.8 % |
4.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 47.1 % |
38.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.3 % |
6.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
4 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 34.8 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.6 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.2 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.6 / 3 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.50 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 29.5 % |
37.6 % |
| 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 |
| 10.3:1 |
5.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.3 % |
5 % |
| Percent of long-stay residents who lose too much weight |
| 8.5 % |
4.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 49.1 % |
40.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
5.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.50 % |
6.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
0.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.50 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.6 % |
3.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.9 % |
97.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.4 % |
98.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.2 % |
3.3 % |