Cypress Cove Care Center - Crystal River Nursing Home
General Information
UPDATEFederal Provider Number
105437
Provider Name
CYPRESS COVE CARE CENTER
Provider Address
700 SE 8TH AVE
CRYSTAL RIVER, FL 34429
CRYSTAL RIVER, FL 34429
Provider Phone Number
(352) 795-8832
Provider SSA County
80
Provider County Name
Citrus
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CYPRESS COVE CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1983-06-14
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.46767
Reported LPN Staffing Hours per Resident per Day
0.82284
Reported RN Staffing Hours per Resident per Day
0.44828
Reported Licensed Staffing Hours per Resident per Day
1.27112
Reported Total Nurse Staffing Hours per Resident per Day
3.73879
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.55131
Expected LPN Staffing Hours per Resident per Day
0.60490
Expected RN Staffing Hours per Resident per Day
1.01047
Expected Total Nurse Staffing Hours per Resident per Day
4.16667
Adjusted CNA Staffing Hours per Resident per Day
2.37326
Adjusted LPN Staffing Hours per Resident per Day
1.12905
Adjusted RN Staffing Hours per Resident per Day
0.33149
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61696
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-30
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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