CEDARS HEALTH CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Cedars Health Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CEDARS HEALTH CENTER
2800 WEST MAIN STREET
TUPELO, MS 38801
(662) 844-1441

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 126
  • Certified Beds: 140

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Pontotoc | Okolona | Baldwyn

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Cedars Health Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1667.1%
ADL Index Range: 6-106.6%
ADL Index Range: 0-51.9%
Total Percent:75.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1613.8%
ADL Index Range: 6-106.3%
ADL Index Range: 0-52.3%
Total Percent:22.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.1%
Total Percent:1.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.5%
Total Percent:0.5%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.2%
Total Percent:0.2%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
0.4%
Total Percent:0.4%
 

Rating Details For Cedars Health Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours50 Minutes1 Hour and 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours57 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours4 Hours and 31 Minutes2 Hours and 39 Minutes
Total Licensed Nurse Hours1 Hour and 47 Minutes1 Hour and 53 Minutes
Total Nurse Hours6 Hours and 18 Minutes4 Hours and 32 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Mississippi are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMississippi Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair9%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%2%
Percent of Long-Stay Residents Who Were Physically Restrained15%7%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%11%
Percent of Long-Stay Residents Who Lose Too Much Weight13%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%15%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious26%14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder52%49%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%14%
Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Have Pressure Sores6%12%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/20/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/06/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 01/20/2011
  • Correction Date: 03/06/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/06/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/06/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009

Nutrition and Dietary

Provide a Tasty and Well-Balanced Diet That Meets the Nutritional Needs of Each Resident.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/06/2009
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/06/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/06/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/06/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/06/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/06/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/06/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/09/2009

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)12/11/2008$6,598

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Cedars Health Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 02/03/2010
  • Correction Date: 03/17/2010
Give or Get X-Rays and Other Tests to Meet the Needs of Residents.
  • Complaint Filed: 07/13/2010
  • Correction Date: 08/03/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 03/25/2011
  • Correction Date: 04/22/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/24/2008
  • Correction Date: 12/08/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/13/2010
  • Correction Date: 01/20/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/03/2010
  • Correction Date: 03/17/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/13/2010
  • Correction Date: 08/03/2010

Mistreatment

1) Hire Only People Who Have 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.
  • Complaint Filed: 03/25/2011
  • Correction Date: 04/22/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 02/03/2010
  • Correction Date: 03/17/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 02/03/2010
  • Correction Date: 03/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/13/2010
  • Correction Date: 08/03/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 02/03/2010
  • Correction Date: 03/17/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 10/24/2008
  • Correction Date: 11/17/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Cedars Health Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 01/19/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/09/2008
  • Correction Date: 01/09/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/22/2009
  • Correction Date: 11/11/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/11/2011

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 12/09/2008
  • Correction Date: 01/09/2009
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/01/2009

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 01/19/2011
  • Correction Date: 03/01/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/19/2011
  • Correction Date: 03/06/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/19/2011
  • Correction Date: 03/06/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/11/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/09/2008
  • Correction Date: 01/09/2009

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 12/09/2008
  • Correction Date: 01/09/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/19/2011
  • Correction Date: 03/06/2011
Source: Medicare Nursing Home Compare; Mississippi Department of Health - Retrieved 2011