Central Park Healthcare And Rehabilitation Center - Brandon Nursing Home
General Information
UPDATEFederal Provider Number
105718
Provider Name
CENTRAL PARK HEALTHCARE AND REHABILITATION CENTER
Provider Address
702 S KINGS AVE
BRANDON, FL 33511
BRANDON, FL 33511
Provider Phone Number
8136511818
Provider SSA County
280
Provider County Name
Hillsborough
Ownership Type
For 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
702 SOUTH KINGS AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1991-02-25
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
1
QM Rating Footnote
Staffing Rating
2
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
2.70652
Reported LPN Staffing Hours per Resident per Day
0.72435
Reported RN Staffing Hours per Resident per Day
0.57261
Reported Licensed Staffing Hours per Resident per Day
1.29696
Reported Total Nurse Staffing Hours per Resident per Day
4.00348
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14913
Expected CNA Staffing Hours per Resident per Day
2.55002
Expected LPN Staffing Hours per Resident per Day
0.74388
Expected RN Staffing Hours per Resident per Day
1.21815
Expected Total Nurse Staffing Hours per Resident per Day
4.51206
Adjusted CNA Staffing Hours per Resident per Day
2.60429
Adjusted LPN Staffing Hours per Resident per Day
0.80820
Adjusted RN Staffing Hours per Resident per Day
0.35123
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57656
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
28
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
24
Cycle 2 Health Deficiency Score
180
Cycle 2 Standard Health Survey Date
2013-06-14
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
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
100.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
24
Number of Fines
1
Total Amount of Fines in Dollars
46500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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