Provider Name: COMPERE NH INC
Address: 865 NORTH STREET, JACKSON, MS 39202
Phone: (601) 948-6531
County: Hinds (240)
Ownership Type: For profit - Limited Liability company
Certified Beds: 60
Average Residents Per Day: 51.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: NORTH STREET HEALTHCARE LLC
First Approved Date: September 1, 1997
Affiliated Entity: TREND CONSULTANTS (522)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 3 ()
Health Inspection Rating: 4 ()
QM Rating: 1 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.78574, LPN Staff Hours Per Day: 1.1752, RN Staff Hours Per Day: 0.3607, Licensed Staff Hours Per Day: 1.5360
Total Nurse Staff Hours Per Day, per resident: 4.32174
Weekend Nurse Staff Hours: 3.46031, Weekend RN Staff Hours: 0.1688
PT Staff Hours Per Day, per resident: 0.0078
Nurse Staff Turnover: 60.3, Nurse Turnover Note:
RN Turnover: 87.5, RN Turnover Note:
Admin Left Number: 4, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2717, Case Mix LPN Hours Per Day: 0.7292, Case Mix RN Hours Per Day: 0.3331
Adjusted Nurse Aide Hours Per Day, per resident: 2.49816, Adjusted LPN Hours Per Day: 1.1892, Adjusted RN Hours Per Day: 0.4080
Total Adjusted Nurse Hours Per Day, per resident: 4.08563
Adjusted Weekend Nurse Hours Per Day, per resident: 3.27127
Health Survey Dates and Scores: Cycle 1: 2024-01-11 (Score: 12), Cycle 2: 2022-07-20 (Score: 8), Cycle 3: 2020-02-27 (Score: 12)
Total Weighted Health Score: 10.667
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations:
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 1637.69, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 865 NORTH STREET,JACKSON,MS,39202 (32.3092, -90.177)
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: 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 2024-02-16
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 2024-02-16
Type: Health, Deficiency: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living 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 2024-02-16
Type: Health, Deficiency: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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 2022-08-15
Type: Health, Deficiency: PASARR screening for Mental disorders or Intellectual Disabilities
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 2022-08-15
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 2020-04-30
Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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 2020-04-30
Type: Health, Deficiency: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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 2020-04-30
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: