Bon Secours Maria Manor Nursing Care Center - Saint Petersburg Nursing Home
General Information
UPDATEFederal Provider Number
105688
Provider Name
BON SECOURS MARIA MANOR NURSING CARE CENTER
Provider Address
10300 4TH ST N
SAINT PETERSBURG, FL 33716
SAINT PETERSBURG, FL 33716
Provider Phone Number
7275761025
Provider SSA County
510
Provider County Name
Pinellas
Ownership Type
Non profit - Corporation
Number of Certified Beds
274
Number of Residents in Certified Beds
257
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BON SECOURS MARIA MANOR NURSING CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-02-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.89027
Reported LPN Staffing Hours per Resident per Day
0.99864
Reported RN Staffing Hours per Resident per Day
0.51342
Reported Licensed Staffing Hours per Resident per Day
1.51206
Reported Total Nurse Staffing Hours per Resident per Day
4.40233
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06751
Expected CNA Staffing Hours per Resident per Day
2.59170
Expected LPN Staffing Hours per Resident per Day
0.61251
Expected RN Staffing Hours per Resident per Day
0.93625
Expected Total Nurse Staffing Hours per Resident per Day
4.14047
Adjusted CNA Staffing Hours per Resident per Day
2.73637
Adjusted LPN Staffing Hours per Resident per Day
1.35323
Adjusted RN Staffing Hours per Resident per Day
0.40975
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28584
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-05
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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