Arbor Village Nursing Center - Wildwood Nursing Home

General Information

UPDATE
Federal Provider Number
105649
Provider Name
ARBOR VILLAGE NURSING CENTER
Provider Address
490 S OLD WIRE RD
WILDWOOD, FL 34785
Provider Phone Number
3527483322
Provider SSA County
590
Provider County Name
Sumter
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
167
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILDWOOD SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1989-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.70868
Reported LPN Staffing Hours per Resident per Day
0.92725
Reported RN Staffing Hours per Resident per Day
0.92934
Reported Licensed Staffing Hours per Resident per Day
1.85659
Reported Total Nurse Staffing Hours per Resident per Day
4.56527
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10868
Expected CNA Staffing Hours per Resident per Day
2.39421
Expected LPN Staffing Hours per Resident per Day
0.65678
Expected RN Staffing Hours per Resident per Day
1.08480
Expected Total Nurse Staffing Hours per Resident per Day
4.13580
Adjusted CNA Staffing Hours per Resident per Day
2.77598
Adjusted LPN Staffing Hours per Resident per Day
1.17180
Adjusted RN Staffing Hours per Resident per Day
0.64012
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44948
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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