Provider Name: HAVEN HALL HEALTH CARE CENTER
Address: 101 MILLS STREET, BROOKHAVEN, MS 39601
Phone: (601) 833-5608
County: Lincoln (420)
Ownership Type: Non profit - Corporation
Certified Beds: 81
Average Residents Per Day: 68.3 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: MAGNOLIA HEALTHCARE, INC.
First Approved Date: January 1, 1996
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: 1 ()
Health Inspection Rating: 1 ()
QM Rating: 2 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.92776, LPN Staff Hours Per Day: 0.8224, RN Staff Hours Per Day: 0.4271, Licensed Staff Hours Per Day: 1.2495
Total Nurse Staff Hours Per Day, per resident: 3.17732
Weekend Nurse Staff Hours: 2.86082, Weekend RN Staff Hours: 0.2618
PT Staff Hours Per Day, per resident: 0.0038
Nurse Staff Turnover: 32.4, Nurse Turnover Note:
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 1.9199, Case Mix LPN Hours Per Day: 0.6403, Case Mix RN Hours Per Day: 0.2812
Adjusted Nurse Aide Hours Per Day, per resident: 2.04555, Adjusted LPN Hours Per Day: 0.9478, Adjusted RN Hours Per Day: 0.5721
Total Adjusted Nurse Hours Per Day, per resident: 3.52452
Adjusted Weekend Nurse Hours Per Day, per resident: 3.17342
Health Survey Dates and Scores: Cycle 1: 2023-06-28 (Score: 24), Cycle 2: 2020-02-20 (Score: 249), Cycle 3: 2019-04-11 (Score: 20)
Total Weighted Health Score: 98.333
Reported Incidents: 2, Substantiated Complaints: 0
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 10099.71, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 101 MILLS STREET,BROOKHAVEN,MS,39601 (31.5888, -90.443)
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: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2023-08-15
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 2023-07-26
Type: Health, Deficiency: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
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 2022-09-26
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-02
Type: Health, Deficiency: Provide care by qualified persons according to each resident's written plan of care.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-02
Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 2020-03-09
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-02
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: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-02
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 2020-03-02
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 2019-05-10
Type: Health, Deficiency: Develop and implement 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 2019-05-10
Type: Health, Deficiency: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 2019-05-10
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 2019-05-10
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: