Deltona Health Care - Deltona Nursing Home
General Information
UPDATEFederal Provider Number
105447
Provider Name
DELTONA HEALTH CARE
Provider Address
1851 ELKCAM BLVD
DELTONA, FL 32725
DELTONA, FL 32725
Provider Phone Number
(386) 789-3769
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
1851 ELKCAM BOULEVARD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1983-09-19
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.83348
Reported LPN Staffing Hours per Resident per Day
0.68304
Reported RN Staffing Hours per Resident per Day
0.96913
Reported Licensed Staffing Hours per Resident per Day
1.65217
Reported Total Nurse Staffing Hours per Resident per Day
4.48565
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19870
Expected CNA Staffing Hours per Resident per Day
2.42613
Expected LPN Staffing Hours per Resident per Day
0.64829
Expected RN Staffing Hours per Resident per Day
1.05606
Expected Total Nurse Staffing Hours per Resident per Day
4.13048
Adjusted CNA Staffing Hours per Resident per Day
2.86568
Adjusted LPN Staffing Hours per Resident per Day
0.87449
Adjusted RN Staffing Hours per Resident per Day
0.68569
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37751
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
12
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
8840
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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