Florida Nursing Homes >> Tampa Nursing Homes >> Carrollwood Care Center

Carrollwood Care Center - Tampa Nursing Home

General Information

UPDATE
Federal Provider Number
105553
Provider Name
CARROLLWOOD CARE CENTER
Provider Address
15002 HUTCHINSON RD
TAMPA, FL 33625
Provider Phone Number
(813) 960-1969
Provider SSA County
280
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FI-CARROLLWOOD CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1987-01-09
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
3
Health Inspection Rating Footnote
QM Rating
4
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
2.57870
Reported LPN Staffing Hours per Resident per Day
0.61609
Reported RN Staffing Hours per Resident per Day
0.84000
Reported Licensed Staffing Hours per Resident per Day
1.45609
Reported Total Nurse Staffing Hours per Resident per Day
4.03479
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14826
Expected CNA Staffing Hours per Resident per Day
2.71381
Expected LPN Staffing Hours per Resident per Day
0.66186
Expected RN Staffing Hours per Resident per Day
1.05044
Expected Total Nurse Staffing Hours per Resident per Day
4.42612
Adjusted CNA Staffing Hours per Resident per Day
2.33154
Adjusted LPN Staffing Hours per Resident per Day
0.77260
Adjusted RN Staffing Hours per Resident per Day
0.59751
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67451
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-06-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-01-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
22.66700
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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