Williston Rehabilitation And Nursing Center - Williston Nursing Home
General Information
UPDATEFederal Provider Number
105467
Provider Name
WILLISTON REHABILITATION AND NURSING CENTER
Provider Address
300 NW 1ST AVE
WILLISTON, FL 32696
WILLISTON, FL 32696
Provider Phone Number
3525283561
Provider SSA County
370
Provider County Name
Levy
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLISTON REHABILITATION AND NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1984-05-01
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
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60482
Reported LPN Staffing Hours per Resident per Day
1.07456
Reported RN Staffing Hours per Resident per Day
0.32500
Reported Licensed Staffing Hours per Resident per Day
1.39956
Reported Total Nurse Staffing Hours per Resident per Day
4.00438
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04518
Expected CNA Staffing Hours per Resident per Day
2.45378
Expected LPN Staffing Hours per Resident per Day
0.62305
Expected RN Staffing Hours per Resident per Day
0.95410
Expected Total Nurse Staffing Hours per Resident per Day
4.03093
Adjusted CNA Staffing Hours per Resident per Day
2.60474
Adjusted LPN Staffing Hours per Resident per Day
1.43148
Adjusted RN Staffing Hours per Resident per Day
0.25452
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00435
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
2014-09-18
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
12
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-08-02
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
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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