Provider Name: MS CARE CENTER OF DEKALB
Address: 220 WILLOW AVENUE, DE KALB, MS 39328
Phone: (601) 743-5888
County: Kemper (340)
Ownership Type: For profit - Corporation
Certified Beds: 60
Average Residents Per Day: 56.3 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: KEMPER COUNTY LTC INC
First Approved Date: November 1, 1997
Affiliated Entity: MISSISSIPPI CARE CENTER (357)
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: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: (2)
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.74696, LPN Staff Hours Per Day: 0.7800, RN Staff Hours Per Day: 0.6779, Licensed Staff Hours Per Day: 1.4579
Total Nurse Staff Hours Per Day, per resident: 4.20487
Weekend Nurse Staff Hours: 3.43061, Weekend RN Staff Hours: 0.2918
PT Staff Hours Per Day, per resident: 0.0091
Nurse Staff Turnover: 45.0, Nurse Turnover Note:
RN Turnover: 38.5, RN Turnover Note:
Admin Left Number: 3, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0467, Case Mix LPN Hours Per Day: 0.6625, Case Mix RN Hours Per Day: 0.3128
Adjusted Nurse Aide Hours Per Day, per resident: 2.73422, Adjusted LPN Hours Per Day: 0.8688, Adjusted RN Hours Per Day: 0.8166
Total Adjusted Nurse Hours Per Day, per resident: 4.38569
Adjusted Weekend Nurse Hours Per Day, per resident: 3.57814
Health Survey Dates and Scores: Cycle 1: 2022-12-08 (Score: 0), Cycle 2: 2019-08-01 (Score: 92), Cycle 3: 2017-10-12 (Score: 8)
Total Weighted Health Score: 32.000
Reported Incidents: 4, Substantiated Complaints: 1
Infection Control Citations:
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 15171.00, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 220 WILLOW AVENUE,DE KALB,MS,39328 (32.7798, -88.677)
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 staff are vaccinated for COVID-19
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-01-09
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2022-06-16
Type: Health, Deficiency: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2022-06-16
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 2022-06-16
Type: Health, Deficiency: Provide safe, appropriate pain management for a resident who requires such services.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2022-06-16
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 2019-09-11
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 2019-09-11
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when 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 2019-09-11
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 2017-11-16
Type: Health, Deficiency: Have a program that investigates, controls and keeps infection from spreading.
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 2017-11-10
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: