Pine Forest Health And Rehabilitation
Pine Forest Health And Rehabilitation Information
| Facility Name | Pine Forest Health And Rehabilitation |
| Location | 1116 Forest Avenue, Jackson, MS 39206 |
| County (SSA Code) | Hinds (240) |
| Phone Number | 601-366-6461 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 120 |
| Average Number of Residents | 92.8 |
| 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 | Both |
| Provider Business Name | FOREST AVENUE OPCO, LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 2008-06-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.27584 |
| Reported LPN Staffing Hours per Resident per Day | 1.28157 |
| Reported RN Staffing - Hours per Resident per Day | 0.60036 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.88193 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.15776 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05076 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.09473 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.77553 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.36281 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.23306 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.10005 |
| Total Weighted Health Survey Score for three cycles | 36 |
| Rating cycle 1 Standard Survey Health Date | 2019-05-10 |
| Rating cycle 1 - Health Deficiency Score | 10 |
| Rating cycle 1 - Total Health Inspection Score | 16 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-23 |
| Rating cycle 2 - Health Deficiency Score | 16 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-01-13 |
| Rating cycle 3 - Health Deficiency Score | 28 |
| Rating cycle 3 - Total Health Inspection Score | 28 |
| Number of Facility-Reported Incidents | 0 |
| 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 |