Carlton Shores Health And Rehabilitation Center - Daytona Beach Nursing Home
General Information
UPDATEFederal Provider Number
105580
Provider Name
CARLTON SHORES HEALTH AND REHABILITATION CENTER
Provider Address
1350 S NOVA RD
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
Provider Phone Number
(386) 258-5544
Provider SSA County
630
Provider County Name
Volusia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARLTON SHORES NH LLC
Date First Approved to Provide Medicare and Medicaid services
1987-10-19
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
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
2.58286
Reported LPN Staffing Hours per Resident per Day
1.01667
Reported RN Staffing Hours per Resident per Day
0.90286
Reported Licensed Staffing Hours per Resident per Day
1.91952
Reported Total Nurse Staffing Hours per Resident per Day
4.50239
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19286
Expected CNA Staffing Hours per Resident per Day
2.22833
Expected LPN Staffing Hours per Resident per Day
0.73208
Expected RN Staffing Hours per Resident per Day
1.41410
Expected Total Nurse Staffing Hours per Resident per Day
4.37451
Adjusted CNA Staffing Hours per Resident per Day
2.84408
Adjusted LPN Staffing Hours per Resident per Day
1.15266
Adjusted RN Staffing Hours per Resident per Day
0.47707
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14874
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-23
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
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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