Tishomingo Manor
Tishomingo Manor Information
| Facility Name | Tishomingo Manor |
| Location | 230 Khaki Street, Iuka, MS 38852 |
| County (SSA Code) | Tishomingo (700) |
| Phone Number | 662-423-9112 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 105 |
| Average Number of Residents | 98.1 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | TISHOMINGO COMMUNITY CARE CENTER, LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1996-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.56804 |
| Reported LPN Staffing Hours per Resident per Day | 0.8825 |
| Reported RN Staffing - Hours per Resident per Day | 0.6613 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.5438 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.11184 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01322 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.29916 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.79182 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.36169 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.45267 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.79685 |
| Total Weighted Health Survey Score for three cycles | 11.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-03-28 |
| Rating cycle 1 - Health Deficiency Score | 5 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-01-11 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-10-06 |
| Rating cycle 3 - Health Deficiency Score | 8 |
| Rating cycle 3 - Total Health Inspection Score | 8 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |