Brookdale Atrium Way 2 - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105927
Provider Name
BROOKDALE ATRIUM WAY 2
Provider Address
9960 ATRIUM WAY
JACKSONVILLE, FL 32225
JACKSONVILLE, FL 32225
Provider Phone Number
(904) 724-4001
Provider SSA County
150
Provider County Name
Duval
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLC ATRIUM JACKSONVILLE SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1996-09-13
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.50000
Reported LPN Staffing Hours per Resident per Day
0.90066
Reported RN Staffing Hours per Resident per Day
0.44145
Reported Licensed Staffing Hours per Resident per Day
1.34211
Reported Total Nurse Staffing Hours per Resident per Day
3.84211
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21908
Expected CNA Staffing Hours per Resident per Day
2.43251
Expected LPN Staffing Hours per Resident per Day
0.69395
Expected RN Staffing Hours per Resident per Day
1.32282
Expected Total Nurse Staffing Hours per Resident per Day
4.44927
Adjusted CNA Staffing Hours per Resident per Day
2.52178
Adjusted LPN Staffing Hours per Resident per Day
1.07724
Adjusted RN Staffing Hours per Resident per Day
0.24936
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48083
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
274
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
274
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
12
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
6
Cycle 2 Total Health Score
18
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
143.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
4745
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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