| General |
| City |
| Tupelo |
Tupelo |
| State attribute explanation |
| Ms |
Ms |
| Street |
| 2273 South Eason Boulevard |
1901 Briar Ridge Road |
| Zip Code |
| 38,804 |
38,804 |
| Phone |
| 6,628,422,461 |
6,628,440,675 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
1 |
|
Quality Measures Star Rating |
| 5 |
4 |
|
RN Only Star Rating |
| 4 |
1 |
|
Number of Certified Beds |
| 120 |
120 |
|
Total Number of Residents |
| 112 |
117 |
|
Percent of Occupied Beds |
| 93 % |
98 % |
| Health Survey Date |
| 4/22/2011 |
5/20/2011 |
| Fire Survey Date |
| 4/28/2011 |
5/19/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Limited Liability Company |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Both |
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 |
| 11 |
5 |
|
| Staff Information |
| Number of Residents |
| 110 |
117 |
| Number of RN Hours Per Resident Per Day |
| 0.8 |
0.29 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.57 |
1.03 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.37 |
1.33 |
| Number of CNA Hours Per Resident Per Day |
| 0.08 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.08 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 07/21/2010date Of Correction: 09/07/2010 |
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: 03/04/2010date Of Correction: 03/04/2010 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Put Firmly Secured Handrails On Each Side Of Hallways.survey Date: 02/09/2010date Of Correction: 03/19/2010 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 02/09/2010date Of Correction: 03/19/2010 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 03/04/2010date Of Correction: 03/04/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 07/21/2010date Of Correction: 08/10/2010 |
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 06/04/2009date Of Correction: 07/10/2009 |
| 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: 11/23/2009date Of Correction: 12/31/2009 |
|
| Deficiency #3 |
| Scope: Manylevel Of Harm: 1deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.survey Date: 06/08/2009date Of Correction: 07/15/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/21/2010date Of Correction: 08/10/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/25/2009date Of Correction: 12/29/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/23/2009date Of Correction: 12/31/2009 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/08/2009date Of Correction: 07/15/2009 |
|
| 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: 11/23/2009date Of Correction: 12/31/2009 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel 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: 06/08/2009date Of Correction: 07/15/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 11/25/2009date Of Correction: 12/29/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.5 % |
21.1 % |
| 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 |
| 11.5 % |
6.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.4 % |
1.2 % |
| Percent of long-stay residents who lose too much weight |
| 3.1 % |
9.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 73.9 % |
72.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.20 % |
2.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.2 % |
2 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.6 % |
3.8 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 15.1 % |
35.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 77 % |
65.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82 % |
80.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 7.5 % |
2.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1 % |
0.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.3 % |
17.9 (64.2) |
| 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 |
| 13.5 % |
11.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.7 % |
1.6 % |
| Percent of long-stay residents who lose too much weight |
| 5.7 % |
8.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 73.5 % |
73.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.8 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.9 % |
4.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 15 % |
2.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.7 % |
1.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 13.1:1 |
43.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 50.8 % |
54.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 61.3 % |
85.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.9 (55.2) |
11 % |