Bonifay Nursing And Rehab Center - Bonifay Nursing Home
General Information
UPDATEFederal Provider Number
105624
Provider Name
BONIFAY NURSING AND REHAB CENTER
Provider Address
306 WEST BROCK AVENUE
BONIFAY, FL 32425
BONIFAY, FL 32425
Provider Phone Number
(850) 547-9289
Provider SSA County
290
Provider County Name
Holmes
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
161
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOVEREIGN HEALTHCARE OF BONIFAY LLC
Date First Approved to Provide Medicare and Medicaid services
1989-01-01
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.34255
Reported LPN Staffing Hours per Resident per Day
1.15000
Reported RN Staffing Hours per Resident per Day
0.48261
Reported Licensed Staffing Hours per Resident per Day
1.63261
Reported Total Nurse Staffing Hours per Resident per Day
3.97516
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07112
Expected CNA Staffing Hours per Resident per Day
2.38679
Expected LPN Staffing Hours per Resident per Day
0.59911
Expected RN Staffing Hours per Resident per Day
0.92894
Expected Total Nurse Staffing Hours per Resident per Day
3.91485
Adjusted CNA Staffing Hours per Resident per Day
2.40822
Adjusted LPN Staffing Hours per Resident per Day
1.59319
Adjusted RN Staffing Hours per Resident per Day
0.38819
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09300
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
12.66700
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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