Consulate Health Care Of Melbourne - Melbourne Nursing Home

General Information

UPDATE
Federal Provider Number
105861
Provider Name
CONSULATE HEALTH CARE OF MELBOURNE
Provider Address
3033 SARNO RD
MELBOURNE, FL 32934
Provider Phone Number
(321) 255-9200
Provider SSA County
40
Provider County Name
Brevard
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
167
Number of Residents in Certified Beds
160
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MELBOURNE FACILITY OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1994-08-19
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
2
Overall Rating Footnote
Health Inspection Rating
2
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
2.45125
Reported LPN Staffing Hours per Resident per Day
0.76063
Reported RN Staffing Hours per Resident per Day
0.57500
Reported Licensed Staffing Hours per Resident per Day
1.33563
Reported Total Nurse Staffing Hours per Resident per Day
3.78688
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10344
Expected CNA Staffing Hours per Resident per Day
2.34065
Expected LPN Staffing Hours per Resident per Day
0.65552
Expected RN Staffing Hours per Resident per Day
1.15806
Expected Total Nurse Staffing Hours per Resident per Day
4.15424
Adjusted CNA Staffing Hours per Resident per Day
2.56964
Adjusted LPN Staffing Hours per Resident per Day
0.96308
Adjusted RN Staffing Hours per Resident per Day
0.37100
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67445
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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