Consulate Health Care Of Orange Park - Orange Park Nursing Home
General Information
UPDATEFederal Provider Number
105653
Provider Name
CONSULATE HEALTH CARE OF ORANGE PARK
Provider Address
1215 KINGSLEY AVE
ORANGE PARK, FL 32073
ORANGE PARK, FL 32073
Provider Phone Number
(904) 269-8922
Provider SSA County
90
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ORANGE PARK FACILITY OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1990-01-09
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
2
QM Rating Footnote
Staffing Rating
3
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
2.51396
Reported LPN Staffing Hours per Resident per Day
0.82252
Reported RN Staffing Hours per Resident per Day
0.63559
Reported Licensed Staffing Hours per Resident per Day
1.45811
Reported Total Nurse Staffing Hours per Resident per Day
3.97207
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10315
Expected CNA Staffing Hours per Resident per Day
2.19408
Expected LPN Staffing Hours per Resident per Day
0.63337
Expected RN Staffing Hours per Resident per Day
1.16061
Expected Total Nurse Staffing Hours per Resident per Day
3.98806
Adjusted CNA Staffing Hours per Resident per Day
2.81143
Adjusted LPN Staffing Hours per Resident per Day
1.07787
Adjusted RN Staffing Hours per Resident per Day
0.40919
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01474
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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