| West Point Community Living Center | |
| 2056 N Eshman Avenue, West Point, Mississippi 39773 | |
| (662) 494-6011 | |
| Name | West Point Community Living Center |
|---|---|
| Location | 2056 N Eshman Avenue, West Point, Mississippi |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 100 |
| Occupancy Rate | 50% |
| Medicare ID (CCN) | 255111 |
| Legal Business Name | Clc of West Point, LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Community Eldercare Services (17 nursing homes) |
| Chain Average Overall Rating | 2 out of 5 |
| NPI Number | 1093705527 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Clc of West Point, LLC |
| Doing Business As | West Point Community Living Center |
| Address | 2056 N Eshman Ave, West Point, MS 39773 |
| Phone Number | 662-494-6011 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.56 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.52 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.86 | 0.86 |
| Nurse aide hours per resident per day | 2.18 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.15 | 3.42 |
| RN hours per resident per day on the weekend | 0.43 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 38.1% | 45.8% |
| Registered nurse turnover | 66.7% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $44,873 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Aug 7, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Immediate jeopardy, pattern | Corrected by Sep 10, 2025 |
| Aug 7, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Sep 10, 2025 |
| Aug 7, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Sep 10, 2025 |
| Aug 7, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 10, 2025 |
| Aug 7, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 10, 2025 |
| Aug 7, 2025 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 10, 2025 |
| Aug 7, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 10, 2025 |
| Aug 7, 2025 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. F0808, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Sep 10, 2025 |
| Apr 8, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 20, 2025 |
| Apr 8, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 20, 2025 |
| Feb 3, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Mar 20, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Mar 20, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Jan 4, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Feb 6, 2024 |
| Jun 23, 2022 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jul 16, 2022 |
| Jun 23, 2022 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 16, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.38 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 10.16 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.13 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.49 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.44 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 64.11 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 4 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.87 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 29.69 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.28 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.62 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 20.59 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.36 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.69 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 40.83 | 15.38 |
Dugan Memorial Home Location: 26894 East Main Street, West Point, Mississippi 39773 Phone: (662) 494-3640 |