Provider Name: HUMPHREYS CO NURSING CENTER
Address: 500 CCC ROAD, BELZONI, MS 39038
Phone: (662) 247-1821
County: Humphreys (260)
Ownership Type: For profit - Corporation
Certified Beds: 60
Average Residents Per Day: 52.1 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: HUMPHREYS COMMUNITY CARE CENTER, LLC
First Approved Date: January 1, 2000
Affiliated Entity: BEEBE FAMILY (74)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 3 ()
Health Inspection Rating: 3 ()
QM Rating: 2 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: (2)
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.23047, LPN Staff Hours Per Day: 0.9058, RN Staff Hours Per Day: 0.4006, Licensed Staff Hours Per Day: 1.3064
Total Nurse Staff Hours Per Day, per resident: 3.53694
Weekend Nurse Staff Hours: 3.01086, Weekend RN Staff Hours: 0.3435
PT Staff Hours Per Day, per resident: 0.0062
Nurse Staff Turnover: 33.3, Nurse Turnover Note:
RN Turnover: 60.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1638, Case Mix LPN Hours Per Day: 0.6856, Case Mix RN Hours Per Day: 0.3421
Adjusted Nurse Aide Hours Per Day, per resident: 2.09998, Adjusted LPN Hours Per Day: 0.9749, Adjusted RN Hours Per Day: 0.4413
Total Adjusted Nurse Hours Per Day, per resident: 3.49313
Adjusted Weekend Nurse Hours Per Day, per resident: 2.97356
Health Survey Dates and Scores: Cycle 1: 2023-08-31 (Score: 32), Cycle 2: 2021-10-21 (Score: 4), Cycle 3: 2019-04-04 (Score: 8)
Total Weighted Health Score: 18.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 655.08, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 500 CCC ROAD,BELZONI,MS,39038 (33.1813, -90.486)
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 organize and participate in resident/family groups in 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 2023-10-04
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 2023-10-04
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 2023-10-04
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 2023-10-04
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 2023-10-04
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 2021-11-12
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 2019-04-25
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 2019-04-25
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: