First Coast Health & Rehabilitation Center - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105429
Provider Name
FIRST COAST HEALTH & REHABILITATION CENTER
Provider Address
7723 JASPER AVENUE
JACKSONVILLE, FL 32211
JACKSONVILLE, FL 32211
Provider Phone Number
(904) 725-8044
Provider SSA County
150
Provider County Name
Duval
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR HEALTH-FIRST COAST LLC
Date First Approved to Provide Medicare and Medicaid services
1983-03-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.56477
Reported LPN Staffing Hours per Resident per Day
0.48125
Reported RN Staffing Hours per Resident per Day
0.92045
Reported Licensed Staffing Hours per Resident per Day
1.40170
Reported Total Nurse Staffing Hours per Resident per Day
3.96647
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06477
Expected CNA Staffing Hours per Resident per Day
2.39147
Expected LPN Staffing Hours per Resident per Day
0.64960
Expected RN Staffing Hours per Resident per Day
1.05627
Expected Total Nurse Staffing Hours per Resident per Day
4.09734
Adjusted CNA Staffing Hours per Resident per Day
2.63151
Adjusted LPN Staffing Hours per Resident per Day
0.61490
Adjusted RN Staffing Hours per Resident per Day
0.65112
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90215
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-04-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
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
4
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
7.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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