Brandywyne Health Care Center - Winter Haven Nursing Home
General Information
UPDATEFederal Provider Number
105428
Provider Name
BRANDYWYNE HEALTH CARE CENTER
Provider Address
1801 N LAKE MARIAM DR
WINTER HAVEN, FL 33884
WINTER HAVEN, FL 33884
Provider Phone Number
8632931989
Provider SSA County
520
Provider County Name
Polk
Ownership Type
For profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRANDYWINE CONVALESCENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1983-02-07
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.59130
Reported LPN Staffing Hours per Resident per Day
0.88391
Reported RN Staffing Hours per Resident per Day
0.42000
Reported Licensed Staffing Hours per Resident per Day
1.30391
Reported Total Nurse Staffing Hours per Resident per Day
3.89521
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04826
Expected CNA Staffing Hours per Resident per Day
2.64326
Expected LPN Staffing Hours per Resident per Day
0.64542
Expected RN Staffing Hours per Resident per Day
0.96647
Expected Total Nurse Staffing Hours per Resident per Day
4.25516
Adjusted CNA Staffing Hours per Resident per Day
2.40546
Adjusted LPN Staffing Hours per Resident per Day
1.13669
Adjusted RN Staffing Hours per Resident per Day
0.32471
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68992
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-19
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
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-12-06
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
11
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
282
Cycle 3 Standard Health Survey Date
2013-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
282
Total Weighted Health Survey Score
71.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
58045
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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Crossroads, The
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