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Covenant Health & Rehab Of Vicksburg, Lp

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2850 Porter's Chapel Road
Vicksburg, MS 39180
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Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 120
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 09/23/2011

Date of last standard health inspection: 09/23/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in MS: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MS: 0 - 5
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with 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. 01/05/2012 01/04/2001 2 Few

Inspection, 02/09/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 02/09/2011 02/02/2012 2 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/09/2011 02/02/2012 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/09/2011 02/02/2012 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/09/2011 02/02/2012 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with 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. 02/09/2011 02/02/2012 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/09/2011 02/02/2012 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/09/2011 02/02/2012 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/09/2011 02/02/2012 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/09/2011 02/02/2012 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/09/2011 02/02/2012 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 02/09/2011 02/02/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 02/09/2011 02/02/2012 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/09/2011 02/02/2012 2 Few

Inspection, 00/07/2011

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/07/2011 02/06/2011 2 Some

Inspection, 02/03/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/03/2009 00/02/2011 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/03/2009 00/02/2011 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 02/03/2009 00/02/2011 2 Few
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 02/03/2009 00/02/2011 2 Few
Provide special eating equipment and utensils for each resident who needs them. 02/03/2009 00/02/2011 2 Few
Store, cook, and serve food in a safe and clean way. 02/03/2009 00/02/2011 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/03/2009 00/02/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/03/2009 00/02/2011 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/03/2009 00/02/2011 2 Some
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 02/03/2009 00/02/2011 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors visit residents regularly, as required. 02/03/2009 00/02/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 02/03/2009 00/02/2011 2 Some

Inspection, 02/00/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/00/2008 02/04/2009 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Hire sufficient dietary support personnel. 02/00/2008 02/04/2009 2 Some
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 02/00/2008 02/04/2009 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/00/2008 02/04/2009 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/00/2008 02/04/2009 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/00/2008 02/04/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 02/00/2008 02/04/2009 2 Few

Inspection, 01/09/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/09/2005 02/00/2005 4 Few

Inspection, 00/05/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/05/2005 02/07/2005 3 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 00/05/2005 02/07/2005 3 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in MS Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 85 78 108
Total, Licensed Nurse Staff Hours
per Resident per Day 		15 hours 26 minutes 19 hours 28 minutes 1 hour 19 minutes
RN Hours
per Resident per Day 		14 hours 37 minutes 18 hours 28 minutes 34 minutes
LPN/LVN Hours
per Resident per Day 		14 hours 52 minutes 18 hours 51 minutes 45 minutes
CNA Hours
per Resident per Day 		16 hours 21 minutes 20 hours 29 minutes 2 hours 10 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 09/23/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/23/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in MS: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MS: 0 - 0

Inspection, 01/08/2008

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/08/2008 02/04/2009 2 Many