Emerald Shores Health And Rehabilitation - Callaway Nursing Home
General Information
UPDATEFederal Provider Number
105148
Provider Name
EMERALD SHORES HEALTH AND REHABILITATION
Provider Address
626 NORTH TYNDALL PARKWAY
CALLAWAY, FL 32404
CALLAWAY, FL 32404
Provider Phone Number
(850) 871-6363
Provider SSA County
20
Provider County Name
Bay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
77
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
626 NORTH TYNDALL PARKWAY OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1967-08-21
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.72319
Reported LPN Staffing Hours per Resident per Day
1.02246
Reported RN Staffing Hours per Resident per Day
0.47101
Reported Licensed Staffing Hours per Resident per Day
1.49348
Reported Total Nurse Staffing Hours per Resident per Day
4.21666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16594
Expected CNA Staffing Hours per Resident per Day
2.28945
Expected LPN Staffing Hours per Resident per Day
0.62998
Expected RN Staffing Hours per Resident per Day
1.16165
Expected Total Nurse Staffing Hours per Resident per Day
4.08108
Adjusted CNA Staffing Hours per Resident per Day
2.91856
Adjusted LPN Staffing Hours per Resident per Day
1.34710
Adjusted RN Staffing Hours per Resident per Day
0.30296
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16481
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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