Cross Care Center - Jacksonville Nursing Home

General Information

UPDATE
Federal Provider Number
105721
Provider Name
CROSS CARE CENTER
Provider Address
5888 BLANDING BLVD
JACKSONVILLE, FL 32244
Provider Phone Number
9047721220
Provider SSA County
150
Provider County Name
Duval
Ownership Type
Non profit - Church related
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-04-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.85726
Reported LPN Staffing Hours per Resident per Day
1.02179
Reported RN Staffing Hours per Resident per Day
0.63376
Reported Licensed Staffing Hours per Resident per Day
1.65556
Reported Total Nurse Staffing Hours per Resident per Day
4.51281
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04872
Expected CNA Staffing Hours per Resident per Day
2.24618
Expected LPN Staffing Hours per Resident per Day
0.56919
Expected RN Staffing Hours per Resident per Day
0.88431
Expected Total Nurse Staffing Hours per Resident per Day
3.69968
Adjusted CNA Staffing Hours per Resident per Day
3.12123
Adjusted LPN Staffing Hours per Resident per Day
1.48999
Adjusted RN Staffing Hours per Resident per Day
0.53550
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91682
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
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
20
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-01-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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