Charlotte Harbor Healthcare - Port Charlotte Nursing Home
General Information
UPDATEFederal Provider Number
105859
Provider Name
CHARLOTTE HARBOR HEALTHCARE
Provider Address
4000 KINGS HWY
PORT CHARLOTTE, FL 33980
PORT CHARLOTTE, FL 33980
Provider Phone Number
(941) 255-5855
Provider SSA County
70
Provider County Name
Charlotte
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
180
Number of Residents in Certified Beds
166
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHARLOTTE HARBOR REHAB LLC
Date First Approved to Provide Medicare and Medicaid services
1994-06-02
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.68886
Reported LPN Staffing Hours per Resident per Day
1.10361
Reported RN Staffing Hours per Resident per Day
0.67259
Reported Licensed Staffing Hours per Resident per Day
1.77620
Reported Total Nurse Staffing Hours per Resident per Day
4.46506
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06024
Expected CNA Staffing Hours per Resident per Day
2.53600
Expected LPN Staffing Hours per Resident per Day
0.65753
Expected RN Staffing Hours per Resident per Day
1.06983
Expected Total Nurse Staffing Hours per Resident per Day
4.26337
Adjusted CNA Staffing Hours per Resident per Day
2.60160
Adjusted LPN Staffing Hours per Resident per Day
1.39308
Adjusted RN Staffing Hours per Resident per Day
0.46976
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22160
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-10-31
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
26.00000
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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