Blountstown Health And Rehabilitation Center - Blountstown Nursing Home

General Information

UPDATE
Federal Provider Number
105924
Provider Name
BLOUNTSTOWN HEALTH AND REHABILITATION CENTER
Provider Address
16690 SW CHIPOLA RD
BLOUNTSTOWN, FL 32424
Provider Phone Number
(850) 674-4311
Provider SSA County
60
Provider County Name
Calhoun
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
96
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
REGENCY CARE OF BLOUNTSTOWN, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-08-01
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
2
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
3.20988
Reported LPN Staffing Hours per Resident per Day
0.93827
Reported RN Staffing Hours per Resident per Day
0.88333
Reported Licensed Staffing Hours per Resident per Day
1.82160
Reported Total Nurse Staffing Hours per Resident per Day
5.03148
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12346
Expected CNA Staffing Hours per Resident per Day
2.46595
Expected LPN Staffing Hours per Resident per Day
0.70004
Expected RN Staffing Hours per Resident per Day
1.01825
Expected Total Nurse Staffing Hours per Resident per Day
4.18425
Adjusted CNA Staffing Hours per Resident per Day
3.19393
Adjusted LPN Staffing Hours per Resident per Day
1.11245
Adjusted RN Staffing Hours per Resident per Day
0.64819
Adjusted Total Nurse Staffing Hours per Resident per Day
4.84709
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
24
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
2013-02-21
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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