Excel Rehabilitation And Health Center - Tampa Nursing Home
General Information
UPDATEFederal Provider Number
105884
Provider Name
EXCEL REHABILITATION AND HEALTH CENTER
Provider Address
2811 CAMPUS HILL DR
TAMPA, FL 33612
TAMPA, FL 33612
Provider Phone Number
(813) 979-9400
Provider SSA County
280
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TAMPA SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1995-05-15
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.59633
Reported LPN Staffing Hours per Resident per Day
0.82752
Reported RN Staffing Hours per Resident per Day
0.50092
Reported Licensed Staffing Hours per Resident per Day
1.32844
Reported Total Nurse Staffing Hours per Resident per Day
3.92477
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15872
Expected CNA Staffing Hours per Resident per Day
2.54449
Expected LPN Staffing Hours per Resident per Day
0.70275
Expected RN Staffing Hours per Resident per Day
1.15986
Expected Total Nurse Staffing Hours per Resident per Day
4.40710
Adjusted CNA Staffing Hours per Resident per Day
2.50369
Adjusted LPN Staffing Hours per Resident per Day
0.97737
Adjusted RN Staffing Hours per Resident per Day
0.32270
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58975
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
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
36
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-05-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-04-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
Number of Fines
1
Total Amount of Fines in Dollars
2015
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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