Provider Name: CAMELLIA ESTATES
Address: 1714 WHITE STREET, MCCOMB, MS 39648
Phone: (601) 250-0066
County: Pike (560)
Ownership Type: For profit - Corporation
Certified Beds: 30
Average Residents Per Day: 21.7 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: PIKE COMMUNITY CARE CENTER, LLC
First Approved Date: September 7, 2001
Affiliated Entity: BEEBE FAMILY (74)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 2 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.12015, LPN Staff Hours Per Day: 1.5790, RN Staff Hours Per Day: 0.6990, Licensed Staff Hours Per Day: 2.2780
Total Nurse Staff Hours Per Day, per resident: 4.39821
Weekend Nurse Staff Hours: 3.92563, Weekend RN Staff Hours: 0.4707
PT Staff Hours Per Day, per resident: 0.2033
Nurse Staff Turnover: 53.1, Nurse Turnover Note:
RN Turnover: , RN Turnover Note: 6
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9420, Case Mix LPN Hours Per Day: 0.8000, Case Mix RN Hours Per Day: 0.4533
Adjusted Nurse Aide Hours Per Day, per resident: 2.22405, Adjusted LPN Hours Per Day: 1.4564, Adjusted RN Hours Per Day: 0.5810
Total Adjusted Nurse Hours Per Day, per resident: 4.33841
Adjusted Weekend Nurse Hours Per Day, per resident: 3.87226
Health Survey Dates and Scores: Cycle 1: 2023-04-06 (Score: 0), Cycle 2: 2020-01-30 (Score: 32), Cycle 3: 2018-11-02 (Score: 4)
Total Weighted Health Score: 11.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 2
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 7065.50, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 1714 WHITE STREET,MCCOMB,MS,39648 (31.2531, -90.475)
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 2023-04-27
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 2022-05-31
Type: Health, Deficiency: Develop and implement policies and procedures for flu and pneumonia vaccinations.
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 2022-05-31
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 2020-03-13
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 2020-03-13
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 2020-03-13
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 2018-11-23
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: