Chipola Health And Rehabilitation Center - Marianna Nursing Home
General Information
UPDATEFederal Provider Number
105729
Provider Name
CHIPOLA HEALTH AND REHABILITATION CENTER
Provider Address
4294 3RD AVENUE
MARIANNA, FL 32446
MARIANNA, FL 32446
Provider Phone Number
8505263191
Provider SSA County
310
Provider County Name
Jackson
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NF CHIPOLA LLC
Date First Approved to Provide Medicare and Medicaid services
1991-05-07
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.75556
Reported LPN Staffing Hours per Resident per Day
0.95648
Reported RN Staffing Hours per Resident per Day
0.86574
Reported Licensed Staffing Hours per Resident per Day
1.82222
Reported Total Nurse Staffing Hours per Resident per Day
4.57778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06111
Expected CNA Staffing Hours per Resident per Day
2.42486
Expected LPN Staffing Hours per Resident per Day
0.66609
Expected RN Staffing Hours per Resident per Day
0.99864
Expected Total Nurse Staffing Hours per Resident per Day
4.08959
Adjusted CNA Staffing Hours per Resident per Day
2.78834
Adjusted LPN Staffing Hours per Resident per Day
1.19185
Adjusted RN Staffing Hours per Resident per Day
0.64776
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51208
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-04-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-01-25
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-10-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
10.00000
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
Nursiong Homes Nearby
Marianna Health And Rehabilitation Center
4295 Fifth Avenue |
MARIANNA FL 32446 | 0.1 mile away
Signature Healthcare At The Courtyard
2600 Forest Glen Trail |
MARIANNA FL 32446 | 4 miles away
Signature Healthcare Of North Florida
1083 Sanders Avenue |
GRACEVILLE FL 32440 | 20.2 miles away
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