Provider Name: PEARL RIVER CO NURSING HOME
Address: 305 WEST MOODY STREET, POPLARVILLE, MS 39470
Phone: (601) 795-4543
County: Pearl River (540)
Ownership Type: Government - County
Certified Beds: 110
Average Residents Per Day: 98.2 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: FORREST COUNTY GENERAL HOSPITAL
First Approved Date: December 2, 2020
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 5 ()
QM Rating: 1 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.80405, LPN Staff Hours Per Day: 1.3051, RN Staff Hours Per Day: 0.7110, Licensed Staff Hours Per Day: 2.0161
Total Nurse Staff Hours Per Day, per resident: 4.82018
Weekend Nurse Staff Hours: 3.49085, Weekend RN Staff Hours: 0.2790
PT Staff Hours Per Day, per resident: 0.0204
Nurse Staff Turnover: 58.9, Nurse Turnover Note:
RN Turnover: 42.9, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 1.7382, Case Mix LPN Hours Per Day: 0.6091, Case Mix RN Hours Per Day: 0.2733
Adjusted Nurse Aide Hours Per Day, per resident: 3.28643, Adjusted LPN Hours Per Day: 1.5810, Adjusted RN Hours Per Day: 0.9801
Total Adjusted Nurse Hours Per Day, per resident: 5.79738
Adjusted Weekend Nurse Hours Per Day, per resident: 4.19855
Health Survey Dates and Scores: Cycle 1: 2023-08-24 (Score: 12), Cycle 2: 2020-12-02 (Score: 0), Cycle 3: (Score: .)
Total Weighted Health Score: 7.200
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: 305 WEST MOODY STREET,POPLARVILLE,MS,39470 (30.8571, -89.540)
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: 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 2023-10-02
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 2023-10-02
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 2023-10-02
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: