Evergreen Woods - Spring Hill Nursing Home
General Information
UPDATEFederal Provider Number
105397
Provider Name
EVERGREEN WOODS
Provider Address
7045 EVERGREEN WOODS TRL
SPRING HILL, FL 34608
SPRING HILL, FL 34608
Provider Phone Number
(352) 596-8371
Provider SSA County
260
Provider County Name
Hernando
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FI-EVERGREEN WOODS, LLC
Date First Approved to Provide Medicare and Medicaid services
1981-08-12
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.43407
Reported LPN Staffing Hours per Resident per Day
0.38761
Reported RN Staffing Hours per Resident per Day
1.05044
Reported Licensed Staffing Hours per Resident per Day
1.43805
Reported Total Nurse Staffing Hours per Resident per Day
3.87212
Reported Physical Therapist Staffing Hours per Resident Per Day
0.32345
Expected CNA Staffing Hours per Resident per Day
2.59002
Expected LPN Staffing Hours per Resident per Day
0.71926
Expected RN Staffing Hours per Resident per Day
1.35914
Expected Total Nurse Staffing Hours per Resident per Day
4.66842
Adjusted CNA Staffing Hours per Resident per Day
2.30596
Adjusted LPN Staffing Hours per Resident per Day
0.44729
Adjusted RN Staffing Hours per Resident per Day
0.57749
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34334
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-04-22
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-03-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
28.00000
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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