Bay Breeze Senior Living And Rehabilitation Center - Gulf Breeze Nursing Home
General Information
UPDATEFederal Provider Number
105487
Provider Name
BAY BREEZE SENIOR LIVING AND REHABILITATION CENTER
Provider Address
3387 GULF BREEZE PARKWAY
GULF BREEZE, FL 32561
GULF BREEZE, FL 32561
Provider Phone Number
(850) 932-9257
Provider SSA County
560
Provider County Name
Santa Rosa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FL HUD BAYBREEZE, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.93440
Reported LPN Staffing Hours per Resident per Day
0.78394
Reported RN Staffing Hours per Resident per Day
1.16789
Reported Licensed Staffing Hours per Resident per Day
1.95183
Reported Total Nurse Staffing Hours per Resident per Day
4.88623
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06376
Expected CNA Staffing Hours per Resident per Day
2.50946
Expected LPN Staffing Hours per Resident per Day
0.74801
Expected RN Staffing Hours per Resident per Day
1.21083
Expected Total Nurse Staffing Hours per Resident per Day
4.46830
Adjusted CNA Staffing Hours per Resident per Day
2.86920
Adjusted LPN Staffing Hours per Resident per Day
0.86986
Adjusted RN Staffing Hours per Resident per Day
0.72070
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40792
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
12
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
13.33300
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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