Crestwood Nursing Center - Palatka Nursing Home
General Information
UPDATEFederal Provider Number
105805
Provider Name
CRESTWOOD NURSING CENTER
Provider Address
501 S PALM AVE
PALATKA, FL 32177
PALATKA, FL 32177
Provider Phone Number
(386) 328-1472
Provider SSA County
530
Provider County Name
Putnam
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRESTWOOD NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1993-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.76754
Reported LPN Staffing Hours per Resident per Day
0.95614
Reported RN Staffing Hours per Resident per Day
0.73421
Reported Licensed Staffing Hours per Resident per Day
1.69035
Reported Total Nurse Staffing Hours per Resident per Day
4.45789
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02018
Expected CNA Staffing Hours per Resident per Day
2.25600
Expected LPN Staffing Hours per Resident per Day
0.69658
Expected RN Staffing Hours per Resident per Day
1.16904
Expected Total Nurse Staffing Hours per Resident per Day
4.12162
Adjusted CNA Staffing Hours per Resident per Day
3.01006
Adjusted LPN Staffing Hours per Resident per Day
1.13928
Adjusted RN Staffing Hours per Resident per Day
0.46927
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35977
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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