| General |
| City |
| Columbia |
Clinton |
| State attribute explanation |
| Ms |
Ms |
| Street |
| 1506 North Main Street |
1251 Pinehaven Road |
| Zip Code |
| 39,429 |
39,056 |
| Phone |
| 6,017,369,557 |
6,019,242,996 |
|
Overall Star Rating |
| 2 |
4 |
|
Health Inspections Star Rating |
| 2 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
1 |
|
Quality Measures Star Rating |
| 1 |
5 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 119 |
121 |
|
Total Number of Residents |
| 103 |
112 |
|
Percent of Occupied Beds |
| 87 % |
93 % |
| Health Survey Date |
| 3/1/2012 |
4/13/2012 |
| Fire Survey Date |
| 2/28/2012 |
4/11/2012 |
| 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 |
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 |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 6 |
1 |
|
| Staff Information |
| Number of Residents |
| 103 |
112 |
| Number of RN Hours Per Resident Per Day |
| 0.52 |
0.38 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.77 |
0.83 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.3 |
1.21 |
| Number of CNA Hours Per Resident Per Day |
| 0.02 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.02 |
0.05 |
| 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: 01/12/2010date Of Correction: 02/05/2010 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 11/04/2010date Of Correction: 12/06/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 01/12/2010date Of Correction: 02/05/2010 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| 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: 06/18/2010date Of Correction: 07/16/2010 |
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: 12/28/2010date Of Correction: 03/03/2011 |
| 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: 06/18/2010date Of Correction: 07/16/2010 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Manylevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 06/18/2010date Of Correction: 07/16/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 35.8 % |
38 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.7 % |
2.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 24.6 % |
4.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.3 % |
3.1 % |
| Percent of long-stay residents who lose too much weight |
| 10.3:1 |
7.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 38.5 % |
25.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.9 % |
2.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.6 % |
1 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.6 / 3 |
1 % |
| Percent of long-stay residents who were physically restrained |
| 2.20 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 40.9 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 47.8 % |
68.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 39.6 % |
73.7 % |
| 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 |
| 3.2 % |
1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 34.4 % |
35.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.1 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 22.7 (72.9) |
6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 12.7 % |
7.3 % |
| Percent of long-stay residents who lose too much weight |
| 12.9 (55.2) |
8.9 / 9.9 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 36.1 % |
27.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.8 % |
2.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.2 % |
0.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.4 % |
0.3 % |
| Percent of long-stay residents who were physically restrained |
| 2.5 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.1 % |
1.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 55.6 % |
13.6-28 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 46.3 % |
61.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 23.8:1 |
75 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 5.3 % |
5.1 % |