Clermont Health And Rehabilitation Center - Clermont Nursing Home
General Information
UPDATEFederal Provider Number
105512
Provider Name
CLERMONT HEALTH AND REHABILITATION CENTER
Provider Address
151 E MINNEHAHA AVE
CLERMONT, FL 34711
CLERMONT, FL 34711
Provider Phone Number
(352) 394-2188
Provider SSA County
340
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
182
Number of Residents in Certified Beds
178
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ORLANDO REHABILITATION GROUP, INC.
Date First Approved to Provide Medicare and Medicaid services
1985-04-23
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
3
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
2.53287
Reported LPN Staffing Hours per Resident per Day
0.63146
Reported RN Staffing Hours per Resident per Day
0.68961
Reported Licensed Staffing Hours per Resident per Day
1.32107
Reported Total Nurse Staffing Hours per Resident per Day
3.85394
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09635
Expected CNA Staffing Hours per Resident per Day
2.53945
Expected LPN Staffing Hours per Resident per Day
0.61892
Expected RN Staffing Hours per Resident per Day
0.95697
Expected Total Nurse Staffing Hours per Resident per Day
4.11535
Adjusted CNA Staffing Hours per Resident per Day
2.44734
Adjusted LPN Staffing Hours per Resident per Day
0.84682
Adjusted RN Staffing Hours per Resident per Day
0.53844
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77486
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
20
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
20
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2011-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
3850
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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