Destin Healthcare And Rehabilitation Center - Destin Nursing Home
General Information
UPDATEFederal Provider Number
105862
Provider Name
DESTIN HEALTHCARE AND REHABILITATION CENTER
Provider Address
195 MATTIE M KELLY BLVD
DESTIN, FL 32550
DESTIN, FL 32550
Provider Phone Number
(850) 654-4588
Provider SSA County
450
Provider County Name
Okaloosa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
119
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
195 MATTIE M. KELLY BOULEVARD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1994-08-11
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
2.73645
Reported LPN Staffing Hours per Resident per Day
0.58411
Reported RN Staffing Hours per Resident per Day
0.77336
Reported Licensed Staffing Hours per Resident per Day
1.35748
Reported Total Nurse Staffing Hours per Resident per Day
4.09392
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10467
Expected CNA Staffing Hours per Resident per Day
2.35713
Expected LPN Staffing Hours per Resident per Day
0.60091
Expected RN Staffing Hours per Resident per Day
0.94528
Expected Total Nurse Staffing Hours per Resident per Day
3.90332
Adjusted CNA Staffing Hours per Resident per Day
2.84857
Adjusted LPN Staffing Hours per Resident per Day
0.80679
Adjusted RN Staffing Hours per Resident per Day
0.61131
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22773
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
2014-09-11
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
13
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
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
2012-05-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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