MARION REGIONAL NURSING HOME


MARION REGIONAL NURSING HOME (CCN: 015167) is a Non profit - Corporation facility located in HAMILTON, AL (35570). The facility has an overall rating of 4/5, health inspection rating of 3/5, and a staffing rating of 5/5. It offers 79 certified beds and maintains an average of 62.2 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.99462 total hours per resident per day. It has been certified since June 1, 1977 and the last listed health inspection was on September 19, 2019, The facility is located in Marion county and provides senior and nursing home care.

MARION REGIONAL NURSING HOME Summary


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Provider Name: MARION REGIONAL NURSING HOME

Address: 184 SASSER DRIVE, HAMILTON, AL 35570

Phone: (205) 921-6340

County: Marion (460)

Ownership Type: Non profit - Corporation

Certified Beds: 79

Average Residents Per Day: 62.2 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: MARION REGIONAL MEDICAL CENTER, INC.

First Approved Date: June 1, 1977

Affiliated Entity: NORTH MISSISSIPPI HEALTH SERVICES (376)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 4 ()

Health Inspection Rating: 3 ()

QM Rating: 2 ()

Long Stay QM Rating: 2 ()

Short Stay QM Rating: (2)

Staffing Rating: 5 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.18527, LPN Staff Hours Per Day: 1.0855, RN Staff Hours Per Day: 0.7238, Licensed Staff Hours Per Day: 1.8093

Total Nurse Staff Hours Per Day, per resident: 3.99462

Weekend Nurse Staff Hours: 3.39279, Weekend RN Staff Hours: 0.3462

PT Staff Hours Per Day, per resident: 0.0030

Nurse Staff Turnover: 31.5, Nurse Turnover Note:

RN Turnover: 10.0, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 1.8073, Case Mix LPN Hours Per Day: 0.6410, Case Mix RN Hours Per Day: 0.2780

Adjusted Nurse Aide Hours Per Day, per resident: 2.46319, Adjusted LPN Hours Per Day: 1.2497, Adjusted RN Hours Per Day: 0.9810

Total Adjusted Nurse Hours Per Day, per resident: 4.61822

Adjusted Weekend Nurse Hours Per Day, per resident: 3.92244

Health Survey Dates and Scores: Cycle 1: 2019-09-19 (Score: 12), Cycle 2: 2018-08-08 (Score: 24), Cycle 3: 2017-06-29 (Score: 40)

Total Weighted Health Score: 20.667

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations:

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 184 SASSER DRIVE,HAMILTON,AL,35570 (34.1252, -87.993)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2019-09-19

Type: Health, Deficiency: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-23

Citation on 2019-09-19

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-23

Citation on 2019-09-19

Type: Health, Deficiency: Observe each nurse aide's job performance and give regular training.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-23

Citation on 2018-08-08

Type: Health, Deficiency: Keep residents' personal and medical records private and confidential.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-08-23

Citation on 2018-08-08

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-08-23

Citation on 2018-08-08

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-08-23

Citation on 2017-06-29

Type: Health, Deficiency: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-08-03

Citation on 2017-06-29

Type: Health, Deficiency: Ensure each resident receives an accurate assessment by a qualified health professional.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-08-03

Citation on 2017-06-29

Type: Health, Deficiency: Post nurse staffing information/data on a daily basis.

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-08-03

Citation on 2017-06-29

Type: Health, Deficiency: Store, cook, and serve food in a safe and clean way.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-08-03

Citation on 2017-06-29

Type: Health, Deficiency: Have a program that investigates, controls and keeps infection from spreading.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-08-03


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2019-09-25

Type: Fire Safety, Tag: 0321, Version: New

Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-29

Citation on 2019-09-25

Type: Fire Safety, Tag: 0346, Version: New

Description: Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-29

Citation on 2019-09-25

Type: Fire Safety, Tag: 0354, Version: New

Description: Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-29

Citation on 2019-09-25

Type: Fire Safety, Tag: 0363, Version: New

Description: Install corridor and hallway doors that block smoke.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-29

Citation on 2019-09-25

Type: Fire Safety, Tag: 0521, Version: New

Description: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-29

Citation on 2019-09-25

Type: Fire Safety, Tag: 0920, Version: New

Description: Ensure proper usage of power strips and extension cords.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-29

Citation on 2018-08-14

Type: Fire Safety, Tag: 0351, Version: New

Description: Install an approved automatic sprinkler system.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-08-30

Citation on 2018-08-14

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-09-18

Citation on 2017-06-29

Type: Fire Safety, Tag: 0200, Version: New

Description: Meet other general requirements.

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-07-17

Citation on 2017-06-29

Type: Fire Safety, Tag: 0232, Version: New

Description: Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-07-17

Citation on 2017-06-29

Type: Fire Safety, Tag: 0293, Version: New

Description: Have properly located and lighted "Exit" signs.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-07-17

Citation on 2017-06-29

Type: Fire Safety, Tag: 0325, Version: New

Description: Have properly installed hallway dispensers for alcohol-based hand rub.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-07-17

Citation on 2017-06-29

Type: Fire Safety, Tag: 0711, Version: New

Description: Provide a written emergency evacuation plan.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-07-17

Citation on 2017-06-29

Type: Fire Safety, Tag: 0926, Version: New

Description: Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-07-17