Provider Name: PASS CHRISTIAN HEALTH AND REHABILIATION CENTER
Address: 538 MENGE AVENUE, PASS CHRISTIAN, MS 39571
Phone: (228) 452-4344
County: Harrison (230)
Ownership Type: For profit - Limited Liability company
Certified Beds: 60
Average Residents Per Day: 56.2 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: 538 MENGE AVENUE OPERATIONS, LLC
First Approved Date: August 1, 2002
Affiliated Entity: CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE (158)
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: 4 ()
QM Rating: 1 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.75710, LPN Staff Hours Per Day: 0.7687, RN Staff Hours Per Day: 0.7587, Licensed Staff Hours Per Day: 1.5274
Total Nurse Staff Hours Per Day, per resident: 3.28454
Weekend Nurse Staff Hours: 2.79145, Weekend RN Staff Hours: 0.4828
PT Staff Hours Per Day, per resident: 0.0249
Nurse Staff Turnover: 55.8, Nurse Turnover Note:
RN Turnover: 66.7, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0709, Case Mix LPN Hours Per Day: 0.7478, Case Mix RN Hours Per Day: 0.3804
Adjusted Nurse Aide Hours Per Day, per resident: 1.72854, Adjusted LPN Hours Per Day: 0.7586, Adjusted RN Hours Per Day: 0.7515
Total Adjusted Nurse Hours Per Day, per resident: 3.23619
Adjusted Weekend Nurse Hours Per Day, per resident: 2.75036
Health Survey Dates and Scores: Cycle 1: 2022-08-10 (Score: 20), Cycle 2: 2019-09-05 (Score: 8), Cycle 3: 2018-10-04 (Score: 4)
Total Weighted Health Score: 13.333
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 538 MENGE AVENUE,PASS CHRISTIAN,MS,39571 (30.3409, -89.217)
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: Provide safe, appropriate pain management for a resident who requires such services.
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 2023-08-31
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 2022-09-20
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: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-20
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
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 2022-09-20
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 2019-10-11
Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 2019-10-11
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 2018-10-31
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: