Life Care Center At Wells Crossing - Orange Park Nursing Home
General Information
UPDATEFederal Provider Number
105962
Provider Name
LIFE CARE CENTER AT WELLS CROSSING
Provider Address
355 CROSSING BLVD
ORANGE PARK, FL 32073
ORANGE PARK, FL 32073
Provider Phone Number
(904) 264-1950
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
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-07-31
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.41283
Reported LPN Staffing Hours per Resident per Day
0.86903
Reported RN Staffing Hours per Resident per Day
0.69513
Reported Licensed Staffing Hours per Resident per Day
1.56416
Reported Total Nurse Staffing Hours per Resident per Day
3.97699
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21726
Expected CNA Staffing Hours per Resident per Day
2.35943
Expected LPN Staffing Hours per Resident per Day
0.70799
Expected RN Staffing Hours per Resident per Day
1.28678
Expected Total Nurse Staffing Hours per Resident per Day
4.35420
Adjusted CNA Staffing Hours per Resident per Day
2.50923
Adjusted LPN Staffing Hours per Resident per Day
1.01880
Adjusted RN Staffing Hours per Resident per Day
0.40364
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68170
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-04-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
29.33300
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
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