Eagle Lake Rehab & Care Center - Saint Petersburg Nursing Home
General Information
UPDATEFederal Provider Number
105292
Provider Name
EAGLE LAKE REHAB & CARE CENTER
Provider Address
1100 66TH ST N
SAINT PETERSBURG, FL 33710
SAINT PETERSBURG, FL 33710
Provider Phone Number
(727) 345-9331
Provider SSA County
510
Provider County Name
Pinellas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EAGLE LAKE REHAB & NURSING LLC
Date First Approved to Provide Medicare and Medicaid services
1976-01-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48333
Reported LPN Staffing Hours per Resident per Day
0.72500
Reported RN Staffing Hours per Resident per Day
0.64722
Reported Licensed Staffing Hours per Resident per Day
1.37222
Reported Total Nurse Staffing Hours per Resident per Day
3.85555
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10556
Expected CNA Staffing Hours per Resident per Day
2.44260
Expected LPN Staffing Hours per Resident per Day
0.63580
Expected RN Staffing Hours per Resident per Day
1.01181
Expected Total Nurse Staffing Hours per Resident per Day
4.09021
Adjusted CNA Staffing Hours per Resident per Day
2.49461
Adjusted LPN Staffing Hours per Resident per Day
0.94644
Adjusted RN Staffing Hours per Resident per Day
0.47796
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79964
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-03-20
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
31.33300
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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