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Covenant Health & Rehab Of Vicksburg, Lp

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About Covenant Health & Rehab Of Vicksburg, Lp

General Information

Legal Business NameCovenant Health & Rehab Of Vicksburg, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 29, 1991 (25 years)
Capacity120
Residents109
Percent Occupied91%
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 Covenant Health & Rehab Of Vicksburg, Lp

Covenant Health & Rehab Of Vicksburg, Lp
was reviewed by Medicare to have a rating of 1 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

October 30, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

October 29, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential 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 HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

June 16, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$975 fine

November 20, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.

November 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.

August 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

December 13, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Covenant Health & Rehab Of Vicksburg, Lp 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 5min
2hr 25min
ReportedExpected
CNA
40min
40min
ReportedExpected
LPN
40min
1hr 5min
ReportedExpected
RN
3hr 30min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
97.9%
96.9%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Pneumococcal Vaccine
53.1%
-
-
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
29.3%
29.3%
27.4%
22.2%
Q1 2015Q2 2015Q3 2015MS
Received an Antipsychotic Medication
20.5%
24.7%
17.4%
17.4%
Q1 2015Q2 2015Q3 2015MS
Need for Help with ADLs has Increased
14.5%
10.4%
15.1%
10.3%
Q1 2015Q2 2015Q3 2015MS
Self Report Moderate to Severe Pain
14.6%
9.1%
4.3%
8.1%
Q1 2015Q2 2015Q3 2015MS
Lose Too Much Weight
7.9%
10.5%
11.2%
7.7%
Q1 2015Q2 2015Q3 2015MS
High Risk Residents With Pressure Ulcers
4.5%
7.2%
5.8%
2.1%
Q1 2015Q2 2015Q3 2015MS
Have Depressive Symptoms
5.4%
2.1%
6.2%
6.0%
Q1 2015Q2 2015Q3 2015MS
With a Urinary Tract Infection
4.3%
3.2%
3.1%
3.0%
Q1 2015Q2 2015Q3 2015MS
Experiencing One or More Falls with Major Injury
3.1%
2.6%
3.4%
2.6%
Q1 2015Q2 2015Q3 2015MS
With a Catheter Inserted and Left in Their Bladder
8.6%
8.5%
2.1%
2.5%
Q1 2015Q2 2015Q3 2015MS
Were Physically Restrained

Quality Measures for Short Stay Residents

95.6%
96.5%
84.8%
88.6%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Pneumococcal Vaccine
95.5%
94.4%
94.4%
85.7%
Q1 2015Q2 2015Q3 2015MS
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
18.8%
13.3%
23.4%
18.8%
Q1 2015Q2 2015Q3 2015MS
Self Report Moderate to Severe Pain
2.1%
2.1%
2.4%
2.9%
Q1 2015Q2 2015Q3 2015MS
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015MS
With Pressure Ulcers That Are New or Worsened