Emerald Coast Center - Fort Walton Beach Nursing Home
General Information
UPDATEFederal Provider Number
105265
Provider Name
EMERALD COAST CENTER
Provider Address
114 THIRD STREET SE
FORT WALTON BEACH, FL 32548
FORT WALTON BEACH, FL 32548
Provider Phone Number
(850) 243-6134
Provider SSA County
450
Provider County Name
Okaloosa
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTHSTONE SENIOR COMMUNITIES, INC.
Date First Approved to Provide Medicare and Medicaid services
1973-08-07
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48469
Reported LPN Staffing Hours per Resident per Day
1.00000
Reported RN Staffing Hours per Resident per Day
0.37857
Reported Licensed Staffing Hours per Resident per Day
1.37857
Reported Total Nurse Staffing Hours per Resident per Day
3.86326
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10867
Expected CNA Staffing Hours per Resident per Day
2.42380
Expected LPN Staffing Hours per Resident per Day
0.61421
Expected RN Staffing Hours per Resident per Day
0.97483
Expected Total Nurse Staffing Hours per Resident per Day
4.01285
Adjusted CNA Staffing Hours per Resident per Day
2.51534
Adjusted LPN Staffing Hours per Resident per Day
1.35132
Adjusted RN Staffing Hours per Resident per Day
0.29017
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88063
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
32
Cycle 1 Standard Survey Health Date
2014-10-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
29.33300
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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