Consulate Health Care Of Winter Haven - Winter Haven Nursing Home
General Information
UPDATEFederal Provider Number
105998
Provider Name
CONSULATE HEALTH CARE OF WINTER HAVEN
Provider Address
2701 LAKE ALFRED RD
WINTER HAVEN, FL 33881
WINTER HAVEN, FL 33881
Provider Phone Number
(863) 298-5000
Provider SSA County
520
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINTER HAVEN FACILITY OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1998-10-02
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.46514
Reported LPN Staffing Hours per Resident per Day
0.91101
Reported RN Staffing Hours per Resident per Day
0.33257
Reported Licensed Staffing Hours per Resident per Day
1.24358
Reported Total Nurse Staffing Hours per Resident per Day
3.70872
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11789
Expected CNA Staffing Hours per Resident per Day
2.34293
Expected LPN Staffing Hours per Resident per Day
0.69308
Expected RN Staffing Hours per Resident per Day
1.38023
Expected Total Nurse Staffing Hours per Resident per Day
4.41624
Adjusted CNA Staffing Hours per Resident per Day
2.58169
Adjusted LPN Staffing Hours per Resident per Day
1.09098
Adjusted RN Staffing Hours per Resident per Day
0.18004
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38512
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-06
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
14
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
489
Cycle 3 Standard Health Survey Date
2013-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
489
Total Weighted Health Survey Score
118.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
20
Number of Fines
1
Total Amount of Fines in Dollars
55834
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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