HINDS COUNTY NURSING & REHABILITATION CTR LLC

Nursing Home Inspector

3454 ALBERMARLE RD
JACKSON, MS 39213
Hinds County
Phone: 601-362-5394
Provider Number: 255103
Last Inspection: 06/09/2017

About the Nursing Home

Number of Beds: 60
Number of Residents: 60
Beds Available: 0
Percent Occupancy: 100%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

0

Facility
12

County
11

MS
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2017
24

2016
6

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

9/15/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 10/15/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 10/15/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 10/15/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/15/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/15/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 10/15/2016
 

8/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 9/29/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/29/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MS State Avg
Number of Residents 60 89.07 77.87
Registered Nurses 0.53 0.62 0.78
Licensed Practical / Vocational Nurses 0.89 1.10 0.98
Certified Nursing Assistants 2.36 2.02 2.33
Total Staff Hours 3.78 3.74 4.09

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MS State Avg%
of high risk long-stay residents with pressure ulcers 5 7 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 91 95 97
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 97 96
of long-stay residents experiencing one or more falls with major injury 3 1 3
of long-stay residents who have depressive symptoms 0 0 1
of long-stay residents who lose too much weight 2 7 7
of long-stay residents who received an antianxiety or hypnotic medication 27 22 26
of long-stay residents who received an antipsychotic medication 13 20 19
of long-stay residents who self-report moderate to severe pain 4 7 8
of long-stay residents who were physically restrained 8 1 1
of long-stay residents whose ability to move independently worsened 15 16 18
of long-stay residents whose need for help with daily activities has increased 13 18 16
of long-stay residents with a catheter inserted and left in their bladder 1 2 2
of long-stay residents with a urinary tract infection 4 3 4
of low risk long-stay residents who lose control of their bowels or bladder 53 51 49
of short-stay residents who had an outpatient emergency department visit 6 85 87
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 64 12 14
of short-stay residents who were rehospitalized after a nursing home admission 23 61 62