Provider Name: SHADY LAWN HEALTH AND REHABILITATION
Address: 60 SHADY LAWN PLACE, VICKSBURG, MS 39180
Phone: (601) 636-1448
County: Warren (740)
Ownership Type: For profit - Corporation
Certified Beds: 100
Average Residents Per Day: 82.1 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: PORTERS CHAPEL OPCO LLC
First Approved Date: August 1, 1996
Affiliated Entity: VANGUARD HEALTHCARE (543)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.23085, LPN Staff Hours Per Day: 0.8042, RN Staff Hours Per Day: 0.6810, Licensed Staff Hours Per Day: 1.4852
Total Nurse Staff Hours Per Day, per resident: 3.71611
Weekend Nurse Staff Hours: 3.17412, Weekend RN Staff Hours: 0.4096
PT Staff Hours Per Day, per resident: 0.0114
Nurse Staff Turnover: 33.3, Nurse Turnover Note:
RN Turnover: 45.5, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0721, Case Mix LPN Hours Per Day: 0.7413, Case Mix RN Hours Per Day: 0.3658
Adjusted Nurse Aide Hours Per Day, per resident: 2.19328, Adjusted LPN Hours Per Day: 0.8005, Adjusted RN Hours Per Day: 0.7014
Total Adjusted Nurse Hours Per Day, per resident: 3.68420
Adjusted Weekend Nurse Hours Per Day, per resident: 3.14687
Health Survey Dates and Scores: Cycle 1: 2023-01-19 (Score: 0), Cycle 2: 2019-09-12 (Score: 4), Cycle 3: 2018-08-09 (Score: 20)
Total Weighted Health Score: 4.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 60 SHADY LAWN PLACE,VICKSBURG,MS,39180 (32.3327, -90.850)
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 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 2019-10-18
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: 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 2018-09-11
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 2018-09-11
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: 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 2019-10-18