Provider Name: GREENBOUGH HEALTH AND REHABILITATION CENTER
Address: 340 DESOTO AVE EXTENDED, CLARKSDALE, MS 38614
Phone: (662) 627-3486
County: Coahoma (130)
Ownership Type: For profit - Corporation
Certified Beds: 60
Average Residents Per Day: 57.5 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: 340 DESOTO AVENUE EXT OPERATIONS, LLC
First Approved Date: December 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: 2 ()
Health Inspection Rating: 2 ()
QM Rating: 3 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.13543, LPN Staff Hours Per Day: 0.8573, RN Staff Hours Per Day: 0.3609, Licensed Staff Hours Per Day: 1.2182
Total Nurse Staff Hours Per Day, per resident: 3.35373
Weekend Nurse Staff Hours: 2.88140, Weekend RN Staff Hours: 0.2225
PT Staff Hours Per Day, per resident: 0.0091
Nurse Staff Turnover: 54.8, Nurse Turnover Note:
RN Turnover: 60.0, RN Turnover Note:
Admin Left Number: 4, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0026, Case Mix LPN Hours Per Day: 0.6893, Case Mix RN Hours Per Day: 0.3239
Adjusted Nurse Aide Hours Per Day, per resident: 2.17231, Adjusted LPN Hours Per Day: 0.9178, Adjusted RN Hours Per Day: 0.4198
Total Adjusted Nurse Hours Per Day, per resident: 3.50513
Adjusted Weekend Nurse Hours Per Day, per resident: 3.01148
Health Survey Dates and Scores: Cycle 1: 2023-01-11 (Score: 84), Cycle 2: 2019-10-03 (Score: 8), Cycle 3: 2018-12-20 (Score: 0)
Total Weighted Health Score: 44.667
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 5, Total Fines in Dollars: 48521.25, Payment Denials Number: 0, Total Penalties Number: 5
Location and GPS: 340 DESOTO AVE EXTENDED,CLARKSDALE,MS,38614 (34.1752, -90.640)
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: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 2023-02-09
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: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-09
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 2023-02-09
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-09
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 2023-02-09
Type: Health, Deficiency: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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 2023-02-09
Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 2023-02-09
Type: Health, Deficiency: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 2023-02-09
Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of 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 2019-10-31
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 2019-10-31
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: