Provider Name: CLEVELAND NURSING AND REHABILITATION CENTER
Address: 4036 HIGHWAY 8 EAST, CLEVELAND, MS 38732
Phone: (662) 843-4014
County: Bolivar (050)
Ownership Type: For profit - Limited Liability company
Certified Beds: 120
Average Residents Per Day: 109. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CLEVELAND NURSING AND REHABILITATION CENTER, LLC
First Approved Date: June 1, 1989
Affiliated Entity: D&N, LLC (177)
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: 1 ()
QM Rating: 1 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.74994, LPN Staff Hours Per Day: 0.7669, RN Staff Hours Per Day: 0.6348, Licensed Staff Hours Per Day: 1.4018
Total Nurse Staff Hours Per Day, per resident: 3.15175
Weekend Nurse Staff Hours: 2.55835, Weekend RN Staff Hours: 0.4033
PT Staff Hours Per Day, per resident: 0.0302
Nurse Staff Turnover: 44.3, Nurse Turnover Note:
RN Turnover: 26.7, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.8705, Case Mix LPN Hours Per Day: 0.6486, Case Mix RN Hours Per Day: 0.2883
Adjusted Nurse Aide Hours Per Day, per resident: 1.90588, Adjusted LPN Hours Per Day: 0.8725, Adjusted RN Hours Per Day: 0.8296
Total Adjusted Nurse Hours Per Day, per resident: 3.53844
Adjusted Weekend Nurse Hours Per Day, per resident: 2.87223
Health Survey Dates and Scores: Cycle 1: 2022-06-29 (Score: 412), Cycle 2: 2019-06-06 (Score: 12), Cycle 3: 2018-05-03 (Score: 0)
Total Weighted Health Score: 210.00
Reported Incidents: 1, Substantiated Complaints: 2
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 232510.45, Payment Denials Number: 1, Total Penalties Number: 3
Location and GPS: 4036 HIGHWAY 8 EAST,CLEVELAND,MS,38732 (33.7474, -90.699)
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: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-11
Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-11
Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-11
Type: Health, Deficiency: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-11
Type: Health, Deficiency: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-11
Type: Health, Deficiency: Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-11
Type: Health, Deficiency: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-11
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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 2023-07-25
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2022-08-11
Type: Health, Deficiency: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 2019-07-01
Type: Health, Deficiency: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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 2019-07-01
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 2019-07-01
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:
Type: Fire Safety, Tag: 0341, Version: New
Description: Install a fire alarm system that can be heard throughout the facility.
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 2022-08-11