Life Care Center Of Orange Park - Orange Park Nursing Home
General Information
UPDATEFederal Provider Number
105928
Provider Name
LIFE CARE CENTER OF ORANGE PARK
Provider Address
2145 KINGSLEY AVE
ORANGE PARK, FL 32073
ORANGE PARK, FL 32073
Provider Phone Number
(904) 272-2424
Provider SSA County
90
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
161
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAY COUNTY MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-09-19
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.59938
Reported LPN Staffing Hours per Resident per Day
0.97640
Reported RN Staffing Hours per Resident per Day
0.52764
Reported Licensed Staffing Hours per Resident per Day
1.50404
Reported Total Nurse Staffing Hours per Resident per Day
4.10342
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22391
Expected CNA Staffing Hours per Resident per Day
2.46565
Expected LPN Staffing Hours per Resident per Day
0.72718
Expected RN Staffing Hours per Resident per Day
1.29906
Expected Total Nurse Staffing Hours per Resident per Day
4.49189
Adjusted CNA Staffing Hours per Resident per Day
2.58678
Adjusted LPN Staffing Hours per Resident per Day
1.11446
Adjusted RN Staffing Hours per Resident per Day
0.30349
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68229
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
8
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
5100
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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