Bay Tree Center - Palm Harbor Nursing Home
General Information
UPDATEFederal Provider Number
105394
Provider Name
BAY TREE CENTER
Provider Address
2600 HIGHLANDS BLVD N
PALM HARBOR, FL 34684
PALM HARBOR, FL 34684
Provider Phone Number
(727) 785-5671
Provider SSA County
510
Provider County Name
Pinellas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
2600 HIGHLANDS BOULEVARD NORTH LLC
Date First Approved to Provide Medicare and Medicaid services
1981-09-28
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.47188
Reported LPN Staffing Hours per Resident per Day
0.82009
Reported RN Staffing Hours per Resident per Day
0.50625
Reported Licensed Staffing Hours per Resident per Day
1.32634
Reported Total Nurse Staffing Hours per Resident per Day
3.79822
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10982
Expected CNA Staffing Hours per Resident per Day
2.50324
Expected LPN Staffing Hours per Resident per Day
0.67152
Expected RN Staffing Hours per Resident per Day
1.08559
Expected Total Nurse Staffing Hours per Resident per Day
4.26035
Adjusted CNA Staffing Hours per Resident per Day
2.42296
Adjusted LPN Staffing Hours per Resident per Day
1.01363
Adjusted RN Staffing Hours per Resident per Day
0.34845
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59366
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
24
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
4119
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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