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Belhaven Senior Care, LLC

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About Belhaven Senior Care, LLC

General Information

Legal Business NameBelhaven Senior Care LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 2001 (15 years)
Capacity60
Residents57
Percent Occupied95%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Belhaven Senior Care, LLC

Belhaven Senior Care, LLC
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Mississippi Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 10, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

March 25, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

October 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

June 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
FManyPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
FManyPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmHealth InspectionEnsure 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.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Belhaven Senior Care, LLC require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 20min
2hr 30min
ReportedExpected
CNA
1hr 10min
40min
ReportedExpected
LPN
20min
60min
ReportedExpected
RN
3hr 50min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.0%
94.5%
94.5%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Seasonal Influenza Vaccine
96.0%
93.6%
92.0%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
47.0%
Q1 2015Q2 2015Q3 2015MS
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
39.6%
37.8%
25.0%
22.2%
Q1 2015Q2 2015Q3 2015MS
Received an Antipsychotic Medication
36.8%
38.9%
21.1%
17.4%
Q1 2015Q2 2015Q3 2015MS
Need for Help with ADLs has Increased
1.8%
6.6%
18.6%
10.3%
Q1 2015Q2 2015Q3 2015MS
Self Report Moderate to Severe Pain
10.0%
4.3%
12.0%
8.1%
Q1 2015Q2 2015Q3 2015MS
Lose Too Much Weight
13.9%
18.2%
23.7%
7.7%
Q1 2015Q2 2015Q3 2015MS
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
2.1%
Q1 2015Q2 2015Q3 2015MS
Have Depressive Symptoms
6.0%
4.3%
10.0%
6.0%
Q1 2015Q2 2015Q3 2015MS
With a Urinary Tract Infection
4.0%
6.4%
6.0%
3.0%
Q1 2015Q2 2015Q3 2015MS
Experiencing One or More Falls with Major Injury
1.4%
0.0%
2.2%
2.6%
Q1 2015Q2 2015Q3 2015MS
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
6.0%
2.5%
Q1 2015Q2 2015Q3 2015MS
Were Physically Restrained

Quality Measures for Short Stay Residents

-
42.3%
40.0%
88.6%
Q1 2015Q2 2015Q3 2015MS
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
85.7%
Q1 2015Q2 2015Q3 2015MS
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
18.8%
Q1 2015Q2 2015Q3 2015MS
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.9%
Q1 2015Q2 2015Q3 2015MS
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015MS
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened