Bartram Crossing - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105645
Provider Name
BARTRAM CROSSING
Provider Address
6209 BROOKS BARTRAM DRIVE
JACKSONVILLE, FL 32258
JACKSONVILLE, FL 32258
Provider Phone Number
9048243326
Provider SSA County
150
Provider County Name
Duval
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOKS SKILLED NURSING FACILITY, A, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-06-01
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.23974
Reported LPN Staffing Hours per Resident per Day
1.97885
Reported RN Staffing Hours per Resident per Day
1.05769
Reported Licensed Staffing Hours per Resident per Day
3.03654
Reported Total Nurse Staffing Hours per Resident per Day
6.27628
Reported Physical Therapist Staffing Hours per Resident Per Day
0.34359
Expected CNA Staffing Hours per Resident per Day
2.50145
Expected LPN Staffing Hours per Resident per Day
0.74570
Expected RN Staffing Hours per Resident per Day
1.44470
Expected Total Nurse Staffing Hours per Resident per Day
4.69186
Adjusted CNA Staffing Hours per Resident per Day
3.17789
Adjusted LPN Staffing Hours per Resident per Day
2.20255
Adjusted RN Staffing Hours per Resident per Day
0.54704
Adjusted Total Nurse Staffing Hours per Resident per Day
5.39212
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
16
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
8
Cycle 2 Standard Health Survey Date
2013-04-18
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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