General |
City |
Grenada |
Water Valley |
State attribute explanation |
Ms |
Ms |
Street |
960 Avent Drive |
630 South Main Street/p. O. Box 728 |
Zip Code |
38,901 |
38,965 |
Phone |
6,622,277,000 |
6,624,731,411 |
Overall Star Rating |
3 |
3 |
Health Inspections Star Rating |
3 |
3 |
Nurse Staffing Star Rating |
|
3 |
Quality Measures Star Rating |
3 |
3 |
RN Only Star Rating |
|
2 |
Number of Certified Beds |
14 |
122 |
Total Number of Residents |
2 |
120 |
Percent of Occupied Beds |
14 % |
98 % |
Health Survey Date |
1/13/2012 |
5/27/2011 |
Fire Survey Date |
1/13/2012 |
5/25/2011 |
Sprinkler Status |
Partially Sprinklered |
Fully Sprinklered |
Program Participation |
Medicare |
Medicaid |
Type of Ownership |
Government - County |
Government - County |
Located Within a Hospital? |
Yes |
Yes |
Multi Nursing Home Ownership? |
No |
No |
Resident and Family Councils |
None |
Both |
Continuing Care Retirement Community? |
No |
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 |
|
2 |
|
Staff Information |
Number of Residents |
2 |
120 |
Number of RN Hours Per Resident Per Day |
|
0.46 |
Number of LPN/LVN Hours Per Resident Per Day |
|
1.07 |
Total Number of Licensed Staff Hours Per Resident Per Day |
|
1.52 |
Number of CNA Hours Per Resident Per Day |
|
0.03 |
Number Therapy Hours Per Resident Per Day |
|
0.03 |
Mistreatment Deficiencies |
Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 02/15/2011date Of Correction: 03/29/2011 |
Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 02/15/2011date Of Correction: 03/29/2011 |
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
|
35.4 % |
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 |
|
8.8 % |
Percent of long-stay high-risk residents with pressure ulcers |
|
7.7 % |
Percent of long-stay residents who lose too much weight |
|
6.5 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
25.5 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
3 % |
Percent of long-stay residents with a urinary tract infection |
|
12.8:1 |
Percent of long-stay residents who have depressive symptoms |
|
4.4 % |
Percent of long-stay residents who were physically restrained |
|
3.7 % |
Percent of short-stay residents who self-report moderate to severe pain |
44.9 % |
|
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
100 % |
|
Percent of short-stay residents with Pressure ulcers that are new or worsened |
100 % |
100 % |
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 |
|
3.7 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
|
37.5 % |
Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % |
2.1 % |
Percent of long-stay residents who self-report moderate to severe pain |
|
10.8 % |
Percent of long-stay high-risk residents with pressure ulcers |
|
5.7 % |
Percent of long-stay residents who lose too much weight |
|
3.9 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
24 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
3.6 % |
Percent of long-stay residents with a urinary tract infection |
|
11.3 % |
Percent of long-stay residents who have depressive symptoms |
|
4.8 % |
Percent of long-stay residents who were physically restrained |
|
3.9 % |
Percent of long-stay residents experiencing one or more falls with major injury |
|
4.5 % |
Percent of short-stay residents who self-report moderate to severe pain |
43.3 % |
4.2 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
82 % |
93.1 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
100 % |
95.5 % |
Percent of short-stay residents who newly received an antipsychotic medication |
75.2 % |
4 % |