Provider Name: WEST POINT COMMUNITY LIVING CENTER
Address: 2056 N ESHMAN AVENUE, WEST POINT, MS 39773
Phone: (662) 494-6011
County: Clay (120)
Ownership Type: For profit - Limited Liability company
Certified Beds: 100
Average Residents Per Day: 62.3 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CLC OF WEST POINT, LLC
First Approved Date: June 1, 1989
Affiliated Entity: COMMUNITY ELDERCARE SERVICES (155)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 1 ()
Health Inspection Rating: 2 ()
QM Rating: 1 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.97298, LPN Staff Hours Per Day: 1.0267, RN Staff Hours Per Day: 0.5673, Licensed Staff Hours Per Day: 1.5941
Total Nurse Staff Hours Per Day, per resident: 3.56713
Weekend Nurse Staff Hours: 3.08476, Weekend RN Staff Hours: 0.3094
PT Staff Hours Per Day, per resident: 0.0000
Nurse Staff Turnover: 62.9, Nurse Turnover Note:
RN Turnover: 70.0, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.1465, Case Mix LPN Hours Per Day: 0.6565, Case Mix RN Hours Per Day: 0.3183
Adjusted Nurse Aide Hours Per Day, per resident: 1.87255, Adjusted LPN Hours Per Day: 1.1541, Adjusted RN Hours Per Day: 0.6716
Total Adjusted Nurse Hours Per Day, per resident: 3.60219
Adjusted Weekend Nurse Hours Per Day, per resident: 3.11509
Health Survey Dates and Scores: Cycle 1: 2024-01-04 (Score: 60), Cycle 2: 2022-06-23 (Score: 16), Cycle 3: 2020-02-27 (Score: 8)
Total Weighted Health Score: 36.667
Reported Incidents: 1, Substantiated Complaints: 3
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 7522.06, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 2056 N ESHMAN AVENUE,WEST POINT,MS,39773 (33.6201, -88.633)
Process Date: 2024-03-01
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:
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-21
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-21
Type: Health, Deficiency: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 2023-04-21
Type: Health, Deficiency: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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 2023-04-21
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 2024-02-06
Type: Health, Deficiency: Respond appropriately to all alleged violations.
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 2023-02-03
Type: Health, Deficiency: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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 2022-07-16
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 2022-07-16
Type: Health, Deficiency: PASARR screening for Mental disorders or Intellectual Disabilities
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 2020-03-13
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: