Concordia Manor - Saint Petersburg Nursing Home
General Information
UPDATEFederal Provider Number
105714
Provider Name
CONCORDIA MANOR
Provider Address
321 13TH AVE N
SAINT PETERSBURG, FL 33701
SAINT PETERSBURG, FL 33701
Provider Phone Number
(727) 822-3030
Provider SSA County
510
Provider County Name
Pinellas
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
39
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR HEALTH-CONCORDIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-03-01
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.50811
Reported LPN Staffing Hours per Resident per Day
0.79459
Reported RN Staffing Hours per Resident per Day
0.50541
Reported Licensed Staffing Hours per Resident per Day
1.30000
Reported Total Nurse Staffing Hours per Resident per Day
3.80811
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06216
Expected CNA Staffing Hours per Resident per Day
2.24786
Expected LPN Staffing Hours per Resident per Day
0.57040
Expected RN Staffing Hours per Resident per Day
0.91107
Expected Total Nurse Staffing Hours per Resident per Day
3.72932
Adjusted CNA Staffing Hours per Resident per Day
2.73779
Adjusted LPN Staffing Hours per Resident per Day
1.15622
Adjusted RN Staffing Hours per Resident per Day
0.41451
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11606
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-14
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
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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