Cathedral Gerontology Center, Inc - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105834
Provider Name
CATHEDRAL GERONTOLOGY CENTER, INC
Provider Address
333 E ASHLEY ST
JACKSONVILLE, FL 32202
JACKSONVILLE, FL 32202
Provider Phone Number
(904) 798-5300
Provider SSA County
150
Provider County Name
Duval
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CATHEDRAL GERONTOLOGY CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-10-15
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
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.09848
Reported LPN Staffing Hours per Resident per Day
0.96566
Reported RN Staffing Hours per Resident per Day
1.01919
Reported Licensed Staffing Hours per Resident per Day
1.98485
Reported Total Nurse Staffing Hours per Resident per Day
5.08333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11111
Expected CNA Staffing Hours per Resident per Day
2.20972
Expected LPN Staffing Hours per Resident per Day
0.59484
Expected RN Staffing Hours per Resident per Day
1.01507
Expected Total Nurse Staffing Hours per Resident per Day
3.81962
Adjusted CNA Staffing Hours per Resident per Day
3.44059
Adjusted LPN Staffing Hours per Resident per Day
1.34743
Adjusted RN Staffing Hours per Resident per Day
0.75023
Adjusted Total Nurse Staffing Hours per Resident per Day
5.36451
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-30
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-04-19
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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