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Cleveland Nursing And Rehabilitation Center Llc

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? Yes
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: 04/19/2011

Date of last standard health inspection: 04/19/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 2
Average number of Health Deficiencies in MS: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MS: 0 - 5
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. 01/06/2012 02/03/2012 4 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 01/06/2012 02/03/2012 Few neglect and misappropriation of personal property.

Inspection, 01/02/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 01/02/2010 00/09/2011 4 Few
Give or get x-rays and other tests in a timely manner to meet the needs of residents. 01/02/2010 00/02/2011 4 Few
Tell the attending physician the results of x-rays and other tests 01/02/2010 00/02/2011 Few in a timely manner.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 01/02/2010 00/02/2011 Few neglect and misappropriation of personal property.
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. 01/02/2010 00/02/2011 4 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2010 00/02/2011 4 Few

Inspection, 01/02/2007

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. 01/02/2007 00/01/2008 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 01/02/2007 00/01/2008 2 Some
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 01/02/2007 00/01/2008 2 Some
Store, cook, and serve food in a safe and clean way. 01/02/2007 00/01/2008 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2007 00/01/2008 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. 01/02/2007 00/01/2008 2 Few

Inspection, 01/09/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/09/2004 01/03/2005 2 Some
Provide bedrooms that don't allow residents to see each other when privacy is needed. 01/09/2004 01/03/2005 2 Some
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. 01/09/2004 01/03/2005 2 Many
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/09/2004 01/03/2005 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 01/09/2004 01/03/2005 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. 01/09/2004 01/03/2005 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/09/2004 01/03/2005 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/09/2004 01/03/2005 3 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/09/2004 01/03/2005 3 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. 01/09/2004 01/03/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/09/2004 01/03/2005 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/09/2004 01/03/2005 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/09/2004 01/03/2005 2 Few

Inspection, 01/07/2002

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. 01/07/2002 00/01/2004 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 01/07/2002 00/01/2004 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 01/07/2002 01/02/2003 2 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 2 out of 5 stars
Total Number of Residents 86 79 105
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 22 hours 36 minutes 1 hour 18 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 21 hours 37 minutes 27 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 22 hours 3 minutes 51 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 23 hours 30 minutes 2 hours 16 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: 04/12/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 04/12/2011
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, 01/02/2007

Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/02/2007 00/01/2008 2 Few

Inspection, 01/02/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/02/2004 01/03/2005 1 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 01/02/2004 01/03/2005 2 Few
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 01/02/2004 01/03/2005 2 Few
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 01/02/2004 01/03/2005 2 Few

Inspection, 01/08/2002

Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/08/2002 00/01/2004 2 Few
 

4036 Highway 8 East
Cleveland, MS 38732

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