Haven Hall Health Care Center is an average performer in CMS ratings, earning a C grade with a score of 65/100. Located in Brookhaven, Mississippi, the facility meets baseline standards across most quality metrics.
Staffing at Haven Hall Health Care Center is near the national average, with 3.84 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 12 deficiencies at Haven Hall Health Care Center, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: electronically submit to cms complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.84 | 3.8 | Average |
| Registered Nurses (RN) | 0.34 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.05 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.46 | 2.4 | Average |
| Weekend Total Nursing | 3.40 | 3.8 | Below Average |
| Weekend RN Hours | 0.18 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0851 Severity FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Oct 30, 2024 · Administration Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Oct 30, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Oct 30, 2024 · Infection Control Deficiencies
- Tag 0686 Severity DProvide appropriate pressure ulcer care and prevent new ulcers from developing.Mar 6, 2024 · Quality of Life and Care Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 23, 2023 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.0% | 4.5% | Worse |
| Falls with major injury | 1.9% | 3.0% | Better |
| On antipsychotic medication | 9.3% | 14.5% | Better |
| Urinary tract infections | 4.3% | 2.5% | Worse |
| ADL decline (daily activities) | 24.3% | 14.0% | Worse |
| Excessive weight loss | 10.2% | 7.5% | Worse |
| New/worsened incontinence | 26.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $9,445
How This Grade Was Calculated
This facility's grade of C is based on a score of 65 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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