Debary Health And Rehabilitation Center - Debary Nursing Home
General Information
UPDATEFederal Provider Number
105514
Provider Name
DEBARY HEALTH AND REHABILITATION CENTER
Provider Address
60 N HWY 17/92
DEBARY, FL 32713
DEBARY, FL 32713
Provider Phone Number
(386) 668-4426
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
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MF DEBARY LLC
Date First Approved to Provide Medicare and Medicaid services
1985-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
3.02783
Reported LPN Staffing Hours per Resident per Day
0.88565
Reported RN Staffing Hours per Resident per Day
0.80435
Reported Licensed Staffing Hours per Resident per Day
1.69000
Reported Total Nurse Staffing Hours per Resident per Day
4.71783
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15826
Expected CNA Staffing Hours per Resident per Day
2.60947
Expected LPN Staffing Hours per Resident per Day
0.68147
Expected RN Staffing Hours per Resident per Day
1.09091
Expected Total Nurse Staffing Hours per Resident per Day
4.38184
Adjusted CNA Staffing Hours per Resident per Day
2.84709
Adjusted LPN Staffing Hours per Resident per Day
1.07868
Adjusted RN Staffing Hours per Resident per Day
0.55093
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33998
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
28
Cycle 2 Standard Health Survey Date
2014-02-20
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
14.00000
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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