Consulate Health Care Of Jacksonville - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105917
Provider Name
CONSULATE HEALTH CARE OF JACKSONVILLE
Provider Address
4101 SOUTHPOINT DRIVE EAST
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
Provider Phone Number
(904) 296-6800
Provider SSA County
150
Provider County Name
Duval
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSONVILLE FACILITY OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1996-08-09
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.52478
Reported LPN Staffing Hours per Resident per Day
0.90708
Reported RN Staffing Hours per Resident per Day
0.43982
Reported Licensed Staffing Hours per Resident per Day
1.34690
Reported Total Nurse Staffing Hours per Resident per Day
3.87168
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16106
Expected CNA Staffing Hours per Resident per Day
2.31949
Expected LPN Staffing Hours per Resident per Day
0.65778
Expected RN Staffing Hours per Resident per Day
1.12923
Expected Total Nurse Staffing Hours per Resident per Day
4.10650
Adjusted CNA Staffing Hours per Resident per Day
2.67086
Adjusted LPN Staffing Hours per Resident per Day
1.14457
Adjusted RN Staffing Hours per Resident per Day
0.29103
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80040
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
332
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
332
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
394
Cycle 3 Standard Health Survey Date
2013-08-29
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
197
Cycle 3 Total Health Score
591
Total Weighted Health Survey Score
273.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
Number of Fines
2
Total Amount of Fines in Dollars
136046
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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