Provider Name: LEAKESVILLE REHABILITATION AND NURSING CENTER, INC
Address: 1300 MELODY LANE, LEAKESVILLE, MS 39451
Phone: (601) 394-2331
County: Greene (200)
Ownership Type: For profit - Limited Liability company
Certified Beds: 60
Average Residents Per Day: 47.5 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: LEAKESVILLE REHABILITATION AND NURSING CENTER, INC.
First Approved Date: September 1, 1994
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 3 ()
Health Inspection Rating: 4 ()
QM Rating: 1 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: (2)
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.24288, LPN Staff Hours Per Day: 1.2842, RN Staff Hours Per Day: 0.5062, Licensed Staff Hours Per Day: 1.7905
Total Nurse Staff Hours Per Day, per resident: 4.03340
Weekend Nurse Staff Hours: 3.44412, Weekend RN Staff Hours: 0.2095
PT Staff Hours Per Day, per resident: 0.0013
Nurse Staff Turnover: 72.6, Nurse Turnover Note:
RN Turnover: 100., RN Turnover Note:
Admin Left Number: 2, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0238, Case Mix LPN Hours Per Day: 0.6632, Case Mix RN Hours Per Day: 0.3218
Adjusted Nurse Aide Hours Per Day, per resident: 2.25768, Adjusted LPN Hours Per Day: 1.4289, Adjusted RN Hours Per Day: 0.5926
Total Adjusted Nurse Hours Per Day, per resident: 4.22506
Adjusted Weekend Nurse Hours Per Day, per resident: 3.60778
Health Survey Dates and Scores: Cycle 1: 2022-11-09 (Score: 4), Cycle 2: 2019-10-24 (Score: 36), Cycle 3: 2018-11-09 (Score: 12)
Total Weighted Health Score: 16.000
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations: 3
Fines and Penalties: Number of Fines: 3, Total Fines in Dollars: 7971.19, Payment Denials Number: 0, Total Penalties Number: 3
Location and GPS: 1300 MELODY LANE,LEAKESVILLE,MS,39451 (31.1498, -88.559)
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: 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 2022-12-02
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: 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 2023-03-31
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 2023-03-31
Type: Health, Deficiency: Have a plan that describes the process for conducting QAPI and QAA activities.
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 2023-03-31
Type: Health, Deficiency: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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 2019-11-15
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: 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 2019-11-15
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 2019-11-15
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
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 2018-12-09
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 2018-12-09
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 2018-12-09
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: 0712, Version: New
Description: Have simulated fire drills held at unexpected times.
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 2019-11-15