Coquina Center - Ormond Beach Nursing Home
General Information
UPDATEFederal Provider Number
105589
Provider Name
COQUINA CENTER
Provider Address
170 N CENTER STREET
ORMOND BEACH, FL 32174
ORMOND BEACH, FL 32174
Provider Phone Number
(386) 672-7113
Provider SSA County
630
Provider County Name
Volusia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COQUINA CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1987-11-24
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
2
QM Rating Footnote
Staffing Rating
2
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
2.56473
Reported LPN Staffing Hours per Resident per Day
0.74821
Reported RN Staffing Hours per Resident per Day
0.54509
Reported Licensed Staffing Hours per Resident per Day
1.29330
Reported Total Nurse Staffing Hours per Resident per Day
3.85803
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10402
Expected CNA Staffing Hours per Resident per Day
2.48870
Expected LPN Staffing Hours per Resident per Day
0.67466
Expected RN Staffing Hours per Resident per Day
1.11924
Expected Total Nurse Staffing Hours per Resident per Day
4.28260
Adjusted CNA Staffing Hours per Resident per Day
2.52866
Adjusted LPN Staffing Hours per Resident per Day
0.92049
Adjusted RN Staffing Hours per Resident per Day
0.36390
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63129
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
28
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
28
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
72.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
4
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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