Forum At Deer Creek - Deerfield Beach Nursing Home
General Information
UPDATEFederal Provider Number
105691
Provider Name
FORUM AT DEER CREEK
Provider Address
3001 DEER CREEK COUNTRY CLUB
DEERFIELD BEACH, FL 33442
DEERFIELD BEACH, FL 33442
Provider Phone Number
(954) 698-6269
Provider SSA County
50
Provider County Name
Broward
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FS TENANT POOL III TRUST
Date First Approved to Provide Medicare and Medicaid services
1990-06-04
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
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.81727
Reported LPN Staffing Hours per Resident per Day
1.07818
Reported RN Staffing Hours per Resident per Day
0.78455
Reported Licensed Staffing Hours per Resident per Day
1.86273
Reported Total Nurse Staffing Hours per Resident per Day
4.68000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10364
Expected CNA Staffing Hours per Resident per Day
2.32802
Expected LPN Staffing Hours per Resident per Day
0.68387
Expected RN Staffing Hours per Resident per Day
1.25586
Expected Total Nurse Staffing Hours per Resident per Day
4.26776
Adjusted CNA Staffing Hours per Resident per Day
2.96936
Adjusted LPN Staffing Hours per Resident per Day
1.30857
Adjusted RN Staffing Hours per Resident per Day
0.46678
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42026
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-01
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
10.66700
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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