Edgewood Nursing Center - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105826
Provider Name
EDGEWOOD NURSING CENTER
Provider Address
1771 EDGEWOOD AVE W
JACKSONVILLE, FL 32218
JACKSONVILLE, FL 32218
Provider Phone Number
9047667436
Provider SSA County
150
Provider County Name
Duval
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EDGEWOOD NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1993-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.78125
Reported LPN Staffing Hours per Resident per Day
0.55982
Reported RN Staffing Hours per Resident per Day
0.97054
Reported Licensed Staffing Hours per Resident per Day
1.53036
Reported Total Nurse Staffing Hours per Resident per Day
4.31161
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08393
Expected CNA Staffing Hours per Resident per Day
2.37855
Expected LPN Staffing Hours per Resident per Day
0.63091
Expected RN Staffing Hours per Resident per Day
1.06190
Expected Total Nurse Staffing Hours per Resident per Day
4.07135
Adjusted CNA Staffing Hours per Resident per Day
2.86913
Adjusted LPN Staffing Hours per Resident per Day
0.73648
Adjusted RN Staffing Hours per Resident per Day
0.68291
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26877
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-23
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
4810
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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First Coast Health & Rehabilitation Center
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Heartland Health Care Center Of South Jacksonville
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JACKSONVILLE FL 32221 | 9 miles away
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