Clifford Chester Sims State Veterans Nursing Home - Panama City Nursing Home
General Information
UPDATEFederal Provider Number
106056
Provider Name
CLIFFORD CHESTER SIMS STATE VETERANS NURSING HOME
Provider Address
4419 TRAM ROAD
PANAMA CITY, FL 32404
PANAMA CITY, FL 32404
Provider Phone Number
(850) 747-5401
Provider SSA County
20
Provider County Name
Bay
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Date First Approved to Provide Medicare and Medicaid services
2003-11-05
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
5
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
3.21752
Reported LPN Staffing Hours per Resident per Day
1.31154
Reported RN Staffing Hours per Resident per Day
0.82179
Reported Licensed Staffing Hours per Resident per Day
2.13333
Reported Total Nurse Staffing Hours per Resident per Day
5.35085
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04872
Expected CNA Staffing Hours per Resident per Day
2.50367
Expected LPN Staffing Hours per Resident per Day
0.66011
Expected RN Staffing Hours per Resident per Day
0.94475
Expected Total Nurse Staffing Hours per Resident per Day
4.10854
Adjusted CNA Staffing Hours per Resident per Day
3.15330
Adjusted LPN Staffing Hours per Resident per Day
1.64908
Adjusted RN Staffing Hours per Resident per Day
0.64995
Adjusted Total Nurse Staffing Hours per Resident per Day
5.24974
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
3.33300
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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