Edgewater At Waterman Village - Mount Dora Nursing Home
General Information
UPDATEFederal Provider Number
105796
Provider Name
EDGEWATER AT WATERMAN VILLAGE
Provider Address
300 BROOKFIELD AVE
MOUNT DORA, FL 32757
MOUNT DORA, FL 32757
Provider Phone Number
3523830051
Provider SSA County
340
Provider County Name
Lake
Ownership Type
Non 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
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1998-09-10
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.48652
Reported LPN Staffing Hours per Resident per Day
0.75957
Reported RN Staffing Hours per Resident per Day
0.75826
Reported Licensed Staffing Hours per Resident per Day
1.51783
Reported Total Nurse Staffing Hours per Resident per Day
4.00435
Reported Physical Therapist Staffing Hours per Resident Per Day
0.39739
Expected CNA Staffing Hours per Resident per Day
2.45996
Expected LPN Staffing Hours per Resident per Day
0.61225
Expected RN Staffing Hours per Resident per Day
1.06211
Expected Total Nurse Staffing Hours per Resident per Day
4.13431
Adjusted CNA Staffing Hours per Resident per Day
2.48020
Adjusted LPN Staffing Hours per Resident per Day
1.02972
Adjusted RN Staffing Hours per Resident per Day
0.53344
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90419
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-09-05
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
28.66700
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
Nursiong Homes Nearby
Avante At Mt Dora, Inc
3050 Brown Ave |
MOUNT DORA FL 32757 | 2 miles away
Ruleme Center
2810 Ruleme St |
EUSTIS FL 32726 | 2.7 miles away
Bayview Center
301 S Bay St |
EUSTIS FL 32726 | 3 miles away
Lake Eustis Health And Rehabilitation Center
411 W Woodward Ave |
EUSTIS FL 32726 | 3.2 miles away
Lakeview Terrace Skilled Nursing Facility
110 Lodge Terrace Dr |
ALTOONA FL 32702 | 9.8 miles away
Lake Harris Health Center
701 Lake Port Blvd |
LEESBURG FL 34748 | 13.1 miles away
South Campus Rehabilitation And Nursing Center
715 E Dixie Ave |
LEESBURG FL 34748 | 13.4 miles away
North Campus Rehabilitation And Nursing Center
700 N Palmetto St |
LEESBURG FL 34748 | 13.8 miles away
Avante At Leesburg, Inc
2000 Edgewood Ave |
LEESBURG FL 34748 | 15.1 miles away
Villages Rehabilitation And Nursing Center (the)
900 Highway 466 |
LADY LAKE FL 32159 | 19 miles away
Lady Lake Specialty Care Center
630 Griffin Avenue |
LADY LAKE FL 32159 | 19.1 miles away
Clermont Health And Rehabilitation Center
151 E Minnehaha Ave |
CLERMONT FL 34711 | 20.2 miles away
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