North Mississippi Med Ctr Sub-acute
830 South Gloster, Tupelo, MS 38801


North Mississippi Med Ctr Sub-acute is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 255317. The address is 830 South Gloster, Tupelo, MS 38801. The zip code is 38801. The phone number is 6623773000.


North Mississippi Med Ctr Sub-acute · 830 South Gloster, Tupelo, MS 38801

Federal Provider Number 255317
Provider Name NORTH MISSISSIPPI MED CTR SUB-ACUTE
Address 830 SOUTH GLOSTER
TUPELO, MS 38801
Phone Number 6623773000
SSA County Code 400
County Name Lee
Ownership Type For profit - Individual
Certified Beds 29
Certified Beds Residents 14
Provider Type Medicare
Resides in Hospital true
Legal Business Name NORTH MISSISSIPPI MEDICAL CENTER INC
Date First Approved to Provide Medicare Medicaid Services 01/01/2006
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council None
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.68929
Reported RN Staffing Hours per Resident per Day 7.10357
Reported Licensed Staffing Hours per Resident per Day 7.10357
Reported Total Nurse Staffing Hours per Resident per Day 10.79286
Reported Physical Therapist Staffing Hours per Resident Per Day 0.81786
Expected CNA Staffing Hours per Resident per Day 2.70029
Expected LPN Staffing Hours per Resident per Day 0.90297
Expected RN Staffing Hours per Resident per Day 1.96109
Expected Total Nurse Staffing Hours per Resident per Day 5.56435
Adjusted CNA Staffing Hours per Resident per Day 3.35238
Adjusted RN Staffing Hours per Resident per Day 2.70655
Adjusted Total Nurse Staffing Hours per Resident per Day 7.81852
Cycle 1 Standard Survey Health Date 11/22/2016
Cycle 2 Standard Health Survey Date 10/08/2015
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 12/05/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 1.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · North Mississippi Med Ctr Sub-acute

Owner Name Role Association Date
CRAIG, MARK (Individual) DIRECTOR since 11/01/2011
EVERETT, ANGIE (Individual) MANAGING EMPLOYEE since 01/01/2006
GUYTON, BARNEY (Individual) DIRECTOR since 11/01/2011
HOLLIMAN, WILLIAM (Individual) DIRECTOR since 11/01/2011
HOOPER, ERSKINE (Individual) DIRECTOR since 11/01/2011
KELLEY, JIM (Individual) DIRECTOR since 11/01/2011
LONG, DAVID (Individual) DIRECTOR since 11/01/2011
LONG, HOMER (Individual) DIRECTOR since 11/01/2011
MILAM, WILLIAM (Individual) DIRECTOR since 11/01/2011
MURPHREE, MABEL (Individual) DIRECTOR since 11/01/2011
NORTH MISSISSIPPI HEALTH SERVICES (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2006
PHILLIPS, JOHN (Individual) DIRECTOR since 11/01/2011
RAY, MARK (Individual) DIRECTOR since 11/01/2011
REPPERT, JOSEPH (Individual) OFFICER since 01/12/2009
ROGERS, CHRIS (Individual) DIRECTOR since 01/01/2006
SPEES, MICHAEL (Individual) OFFICER since 02/01/2014
TIDWELL, ALVIS (Individual) DIRECTOR since 11/01/2011
TOPPIN, BRUCE (Individual) OFFICER since 11/01/1997
WERNER, MARY (Individual) DIRECTOR since 11/01/2011

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