General Information: BILOXI COMMUNITY LIVING CENTER
Nursing home name BILOXI COMMUNITY LIVING CENTER
Address2279 ATKINSON ROAD
BILOXI, MS 39531
Phone number (228) 388-1805
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 180
Total number of residents 148
Perc of occupied beds 82
Sprinkler status Yes
Number of Facility Reported Incidents3
Number of Substantiated Complaints4
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BILOXI COMMUNITY LIVING CENTER
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 2
2
Quality Measures 3
3
Nursing Home Staffing Info: BILOXI COMMUNITY LIVING CENTER
National AverageMississippi AverageBILOXI COMMUNITY LIVING CENTER
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 148
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.22 hours 3.74 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.79 hours 1.9 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.8 hours 0.62 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.99 hours 1.28 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.44 hours 1.84 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.06 hours 0.02 hours
Health Survey: BILOXI COMMUNITY LIVING CENTER
Heath Survey Summary on 2013-10-03
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-12-20
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-09-22
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: BILOXI COMMUNITY LIVING CENTER
Inspection Results: 10/03/2013
Corrected Deficiency Scope and Severity
11/08/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
11/08/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
11/08/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
11/08/2013 Provide care by qualified persons according to each resident's written plan of care. Pattern/Minimal harm or potential for actual harm
11/08/2013 Ensure 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. Isolated/Minimal harm or potential for actual harm
11/08/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
11/08/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
11/08/2013 Make sure that all required doctor visits are made personally. Isolated/Minimal harm or potential for actual harm
11/08/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
11/08/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 12/20/2012
Corrected Deficiency Scope and Severity
01/23/2013 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated/Minimal harm or potential for actual harm
01/23/2013 Provide activities to meet the interests and needs of each resident. Isolated/Minimal harm or potential for actual harm
01/23/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
01/23/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
01/23/2013 Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated/Minimal harm or potential for actual harm
01/23/2013 Allow residents to easily view the results of the nursing home's most recent inspection. Widespread /Minimal harm or potential for actual harm
01/23/2013 Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. Pattern/Minimal harm or potential for actual harm
01/23/2013 Ensure 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. Isolated/Minimal harm or potential for actual harm
01/23/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
01/23/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
01/23/2013 Dispose of garbage and refuse properly. Widespread /Minimal harm or potential for actual harm
01/23/2013 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
Inspection Results: 09/22/2011
Corrected Deficiency Scope and Severity
11/16/2011 Keep residents' personal and medical records private and confidential. Widespread /Minimal harm or potential for actual harm
11/16/2011 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
11/16/2011 Ensure 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. Isolated/Minimal harm or potential for actual harm
11/16/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
11/16/2011 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: BILOXI COMMUNITY LIVING CENTER
Fire Safety Survey Summary on 2013-10-01
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-12-20
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-09-21
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: BILOXI COMMUNITY LIVING CENTER
Fire Safety Survey Results: 10/01/2013
Corrected Deficiency Severity
11/08/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
11/08/2013 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 12/20/2012
Corrected Deficiency Severity
01/23/2013 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/21/2011
Corrected Deficiency Severity
11/16/2011 Properly located and lighted "Exit" signs. Pattern/Minimal harm or potential for actual harm

Resident Complaints: BILOXI COMMUNITY LIVING CENTER
Date Complaint Substantiated: 01/23/2014
CorrectedCategoryDeficiencySeverity
02/21/2014Keep each resident free from physical restraints, unless needed for medical treatment. D
Date Complaint Substantiated: 10/23/2012
CorrectedCategoryDeficiencySeverity
11/23/2012Ensure services provided by the nursing facility meet professional standards of quality. E
11/23/2012Have a program that investigates, controls and keeps infection from spreading. E
11/23/2012Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
11/23/2012Keep accurate, complete and organized clinical records on each resident that meet professional standards. D

Quality Measures: BILOXI COMMUNITY LIVING CENTER
Quality Measures National Average Mississippi Average BILOXI COMMUNITY LIVING CENTER
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 18.4% 21.2%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 11.5% 10.0%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.7% 10.6%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.3% 7.8%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.8% 31.9%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.5% 5.1%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.2% 3.5%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 2.2% 3.6%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 3.5% 0.6%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.8% 2.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.9% 87.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 97.3% 76.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 24.5% 17.3%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 20.9% 33.4%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 0.9%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 86.8% 73.9%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 88.4% 69.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.3% 1.4%

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