Provider Name: CLAIBORNE COUNTY SENIOR CARE
Address: 2124 OLD HWY 61 SOUTH, PORT GIBSON, MS 39150
Phone: (601) 437-8737
County: Claiborne (100)
Ownership Type: For profit - Corporation
Certified Beds: 75
Average Residents Per Day: 66.2 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CLAIBORNE COUNTY SENIOR CARE LLC
First Approved Date: December 1, 1994
Affiliated Entity: TREND CONSULTANTS (522)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 2 ()
Health Inspection Rating: 2 ()
QM Rating: 2 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.98601, LPN Staff Hours Per Day: 1.1637, RN Staff Hours Per Day: 0.3111, Licensed Staff Hours Per Day: 1.4749
Total Nurse Staff Hours Per Day, per resident: 4.46098
Weekend Nurse Staff Hours: 3.81883, Weekend RN Staff Hours: 0.1386
PT Staff Hours Per Day, per resident: 0.1031
Nurse Staff Turnover: 54.3, Nurse Turnover Note:
RN Turnover: 40.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9068, Case Mix LPN Hours Per Day: 0.6927, Case Mix RN Hours Per Day: 0.3368
Adjusted Nurse Aide Hours Per Day, per resident: 3.19020, Adjusted LPN Hours Per Day: 1.2397, Adjusted RN Hours Per Day: 0.3481
Total Adjusted Nurse Hours Per Day, per resident: 4.78850
Adjusted Weekend Nurse Hours Per Day, per resident: 4.09921
Health Survey Dates and Scores: Cycle 1: 2021-10-28 (Score: 36), Cycle 2: 2019-02-28 (Score: 40), Cycle 3: 2017-03-23 (Score: 44)
Total Weighted Health Score: 38.667
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: 2124 OLD HWY 61 SOUTH,PORT GIBSON,MS,39150 (31.9575, -90.982)
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: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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 2021-11-29
Type: Health, Deficiency: Assure that each resident’s assessment is updated at least once every 3 months.
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 2021-11-29
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
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 2021-11-29
Type: Health, Deficiency: Ensure medication error rates are not 5 percent or greater.
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 2019-04-28
Type: Health, Deficiency: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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 2019-04-28
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2019-04-28
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 2019-04-28
Type: Health, Deficiency: Keep each resident free from physical restraints, unless needed for medical treatment.
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 2017-04-12
Type: Health, Deficiency: Provide housekeeping and maintenance services.
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 2017-04-30
Type: Health, Deficiency: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 2017-04-12
Type: Health, Deficiency: Allow residents the right to participate in the planning or revision of care and treatment.
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 2017-04-12
Type: Health, Deficiency: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
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 2017-04-12
Type: Health, Deficiency: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
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 2017-04-12
Type: Health, Deficiency: Keep all essential equipment working safely.
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 2017-04-12
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: 0352, Version: New
Description: Properly install and monitor supervisory attachments on 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 2017-04-12