Atlantic Shores Nursing And Rehab Center - Melbourne Nursing Home
General Information
UPDATEFederal Provider Number
105904
Provider Name
ATLANTIC SHORES NURSING AND REHAB CENTER
Provider Address
4251 STACK BLVD
MELBOURNE, FL 32901
MELBOURNE, FL 32901
Provider Phone Number
(321) 953-2219
Provider SSA County
40
Provider County Name
Brevard
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOVEREIGN HEALTHCARE OF ATLANTIC SHORES LLC
Date First Approved to Provide Medicare and Medicaid services
1996-01-31
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.89762
Reported LPN Staffing Hours per Resident per Day
1.09476
Reported RN Staffing Hours per Resident per Day
0.66143
Reported Licensed Staffing Hours per Resident per Day
1.75619
Reported Total Nurse Staffing Hours per Resident per Day
4.65381
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08762
Expected CNA Staffing Hours per Resident per Day
2.53220
Expected LPN Staffing Hours per Resident per Day
0.68206
Expected RN Staffing Hours per Resident per Day
1.10390
Expected Total Nurse Staffing Hours per Resident per Day
4.31816
Adjusted CNA Staffing Hours per Resident per Day
2.80779
Adjusted LPN Staffing Hours per Resident per Day
1.33222
Adjusted RN Staffing Hours per Resident per Day
0.44771
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34423
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-07
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
12
Cycle 2 Standard Health Survey Date
2013-06-20
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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