Gulf Shore Rehabilitation And Nursing Center - Pinellas Park Nursing Home
General Information
UPDATEFederal Provider Number
105978
Provider Name
GULF SHORE REHABILITATION AND NURSING CENTER
Provider Address
6767 86TH AVE N
PINELLAS PARK, FL 33782
PINELLAS PARK, FL 33782
Provider Phone Number
7275485566
Provider SSA County
510
Provider County Name
Pinellas
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINELLAS PARK SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1998-02-06
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.51752
Reported LPN Staffing Hours per Resident per Day
0.81453
Reported RN Staffing Hours per Resident per Day
0.47350
Reported Licensed Staffing Hours per Resident per Day
1.28803
Reported Total Nurse Staffing Hours per Resident per Day
3.80555
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14658
Expected CNA Staffing Hours per Resident per Day
2.40761
Expected LPN Staffing Hours per Resident per Day
0.72887
Expected RN Staffing Hours per Resident per Day
1.16011
Expected Total Nurse Staffing Hours per Resident per Day
4.29659
Adjusted CNA Staffing Hours per Resident per Day
2.56571
Adjusted LPN Staffing Hours per Resident per Day
0.92755
Adjusted RN Staffing Hours per Resident per Day
0.30497
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57022
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-20
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-12
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
23.33300
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
Nursiong Homes Nearby
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