Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.
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Quality Measures
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Percentage for HINDS COUNTY NURSING & REHABILITATION CTR LLC
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Average in
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National Average
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Percent of Residents Whose Need for Help With Daily Activities Has Increased
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16%
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16%
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Percent of Residents Who Have Moderate to Severe Pain
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0%
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6%
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Percent of High-Risk Residents Who Have Pressure Sores
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12%
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14%
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Percent of Low-Risk Residents Who Have Pressure Sores
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3%
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3%
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Percent of Residents Who Were Physically Restrained
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2%
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8%
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Percent of Residents Who are More Depressed or Anxious
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20%
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15%
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Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder
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48%
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47%
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Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
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2%
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6%
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Percent of Residents Who Spend Most of Their Time in Bed or in a Chair
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2%
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4%
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Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse
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21%
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13%
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Percent of Residents With a Urinary Tract Infection
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6%
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8%
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Percent of Short-Stay Residents With Delirium
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4%
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3%
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Percent of Short-Stay Residents Who Had Moderate to Severe Pain
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14%
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22%
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Percent of Short-Stay Residents With Pressure Sores
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NOT AVAILABLE
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21%
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Date of this inspection: 10/02/2003
Complaint Investigations During: 04/01/2003 - 06/30/2004
Total number of health deficiencies for this nursing home: 14
Average number of Health Deficiencies in : 5
Average number of Health Deficiencies in the United States: 7
Range of Health Deficiencies in : 1 - 12
View Previous Inspection Results
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Mistreatment Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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1. 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
(05/29/2003)
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07/16/2003
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2 = Minimal harm or potential for actual harm
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Few
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Quality Care Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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2. Give each resident a special diet to help when there is a nutritional problem.
(10/02/2003)
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10/23/2003
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2 = Minimal harm or potential for actual harm
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Few
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3. Give each resident care and services to get or keep the highest quality of life possible.
(10/02/2003)
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10/02/2003
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4 = Immediate jeopardy to resident health or safety
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Some
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4. Give professional services that meet a professional standard of quality.
(10/02/2003)
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10/23/2003
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4 = Immediate jeopardy to resident health or safety
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Some
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Resident Assessment Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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5. 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.
(05/29/2003)
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07/16/2003
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2 = Minimal harm or potential for actual harm
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Few
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Resident Rights Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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6. Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.
(10/02/2003)
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10/02/2003
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4 = Immediate jeopardy to resident health or safety
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Some
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7. Keep each resident's personal and medical records private and confidential.
(10/02/2003)
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11/24/2003
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3 = Actual harm
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Few
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Pharmacy Service Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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8. Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
(10/02/2003)
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10/05/2003
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2 = Minimal harm or potential for actual harm
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Some
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9. Make sure that residents are safe from serious medication errors.
(10/02/2003)
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10/05/2003
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2 = Minimal harm or potential for actual harm
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Some
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Environmental Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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10. Make sure that a working call system is available in each resident's room or bathroom and bathing area.
(10/02/2003)
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10/02/2003
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2 = Minimal harm or potential for actual harm
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Few
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11. Provide bedrooms that don't allow residents to see each other when privacy is needed.
(10/02/2003)
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10/02/2003
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2 = Minimal harm or potential for actual harm
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Few
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Administration Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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12. Train all employees on what to do in an emergency.
(07/16/2003)
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08/04/2003
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2 = Minimal harm or potential for actual harm
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Few
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13. 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.
(10/02/2003)
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10/02/2003
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4 = Immediate jeopardy to resident health or safety
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Some
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14. Be administered in a way that leads to the highest possible level of well being for each resident.
(10/02/2003)
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10/02/2003
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4 = Immediate jeopardy to resident health or safety
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Some
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