| Name: | COLLINS COMMUNITY CARE CENTER, LLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Status: | Good Standing |
| Effective Date: | 07 Aug 2000 (25 years ago) |
| Business ID: | 690352 |
| ZIP code: | 39157 |
| County: | Madison |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 762 AVERY BLVD NORTHRIDGELAND, MS 39157 |
| Fictitious names: |
COVINGTON COUNTY NURSING CENTER LANDMARK OF COLLINS |
| Historical names: |
Covington County Nursing Center DBA Landmark of Collins COVINGTON COUNTY NURSING CENTER |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 645 LAKELAND EAST DRIVE, Suite 101, FLOWOOD, MS 39232 |
| Name | Role | Address |
|---|---|---|
| The Elton G. Beebe, Sr. Irrevocable Grandchildrens Trust LLC | Member | 763 Avery Blvd North, Ridgeland, MS 39157 |
| Medico, LLC | Member | 763 Avery Blvd North, Ridgeland, MS 39157 |
| David Stallard | Member | 762 AVERY BLVD. NORTH, RIDGELAND, MS 39157 |
| Name | Role | Address |
|---|---|---|
| Providence Care LLC | Manager | 763 AVERY BLVD. NORTH, RIDGELAND, MS 39157 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report LLC | Filed | 2025-03-24 | Annual Report For COLLINS COMMUNITY CARE CENTER, LLC |
| Fictitious Name Registration | Filed | 2024-10-18 | Fictitious Name Registration For COLLINS COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2024-04-09 | Annual Report For COLLINS COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2023-04-14 | Annual Report For COLLINS COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2022-04-11 | Annual Report For COLLINS COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2021-04-05 | Annual Report For COLLINS COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2020-03-27 | Annual Report For COLLINS COMMUNITY CARE CENTER, LLC |
| Fictitious Name Registration | Filed | 2019-07-10 | Fictitious Name Registration For COLLINS COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2019-04-11 | Annual Report For COLLINS COMMUNITY CARE CENTER, LLC |
| Fictitious Name Assignment | Filed | 2018-10-30 | Fictitious Name Assignment For COLLINS COMMUNITY CARE CENTER, LLC |
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| 334587938 | 0419400 | 2012-05-17 | 1207 SOUTH FUR P.O. BOX 1089, COLLINS, MS, 39428 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100303 B07 IV |
| Issuance Date | 2012-07-06 |
| Abatement Due Date | 2012-07-13 |
| Current Penalty | 945.0 |
| Initial Penalty | 1575.0 |
| Final Order | 2012-07-31 |
| Nr Instances | 1 |
| Nr Exposed | 7 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.303(b)(7)(iv): There were damaged parts that could adversely affect safe operation or mechanical strength of the equipment, such as parts that were broken, bent, cut, or deteriorated by corrosion, chemical action, or overheating (a) Kitchen Storage - On or about May 17, 2012 electracial panel had the conduit pulled away from the panel. |
| Citation ID | 01002 |
| Citaton Type | Serious |
| Standard Cited | 19100303 G02 I |
| Issuance Date | 2012-07-06 |
| Current Penalty | 1575.0 |
| Initial Penalty | 2625.0 |
| Final Order | 2012-07-31 |
| Nr Instances | 1 |
| Nr Exposed | 7 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.303(g)(2)(i): Live parts of electric equipment operating at 50 volts or more were not guarded against accidental contact by approved cabinets of other forms of approved enclosures, or other means listed under this provision: (a) Kitchen - On or about May 17, 2012 employees were exposed to missing knock outs in electrical box. |
| Citation ID | 01003A |
| Citaton Type | Serious |
| Standard Cited | 19100305 B01 II |
| Issuance Date | 2012-07-06 |
| Abatement Due Date | 2012-07-11 |
| Current Penalty | 1260.0 |
| Initial Penalty | 2100.0 |
| Final Order | 2012-07-31 |
| Nr Instances | 1 |
| Nr Exposed | 7 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.305(b)(1)(ii): Unused openings in boxes, cabinets, or fittings were not effectively closed: (a) Dietary storage - On or about May 17, 2012 employees were exposed to electrial panel with missing breaker or blanks |
| Citation ID | 01003B |
| Citaton Type | Serious |
| Standard Cited | 19100305 B02 I |
| Issuance Date | 2012-07-06 |
| Abatement Due Date | 2012-07-10 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2012-07-31 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.305(b)(2)(i): Each outlet box in completed installations did not have a cover, faceplate, or fixture canopy: (a) Maintenance room - On or about May 17, 2012 the 110 Volt outlet was missing a cover plate. |
| Citation ID | 01004 |
| Citaton Type | Serious |
| Standard Cited | 19101030 D02 IX |
| Issuance Date | 2012-07-06 |
| Current Penalty | 945.0 |
| Initial Penalty | 1575.0 |
| Final Order | 2012-07-31 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(d)(2)(ix): Eating, drinking, smoking, applying cosmetics or lip balm, and handling contact lenses was not prohibited in work areas where there was a reasonable likelihood of occupational exposure: (a) Nurse station - On or about May 21, 2012 employee stored lunch in area where sharps containers were located. |
Date of last update: 03 May 2025
Sources: Company Profile on Mississippi Secretary of State Website
