Fountain Manor Health & Rehabilitation Center - North Miami Nursing Home
General Information
UPDATEFederal Provider Number
105172
Provider Name
FOUNTAIN MANOR HEALTH & REHABILITATION CENTER
Provider Address
390 NE 135TH ST
NORTH MIAMI, FL 33161
NORTH MIAMI, FL 33161
Provider Phone Number
(305) 895-4804
Provider SSA County
120
Provider County Name
Miami-Dade
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
146
Number of Residents in Certified Beds
138
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FMHR LLC
Date First Approved to Provide Medicare and Medicaid services
1968-06-17
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.60036
Reported LPN Staffing Hours per Resident per Day
0.75145
Reported RN Staffing Hours per Resident per Day
0.58696
Reported Licensed Staffing Hours per Resident per Day
1.33841
Reported Total Nurse Staffing Hours per Resident per Day
3.93877
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08768
Expected CNA Staffing Hours per Resident per Day
2.39987
Expected LPN Staffing Hours per Resident per Day
0.65576
Expected RN Staffing Hours per Resident per Day
0.92763
Expected Total Nurse Staffing Hours per Resident per Day
3.98326
Adjusted CNA Staffing Hours per Resident per Day
2.65869
Adjusted LPN Staffing Hours per Resident per Day
0.95112
Adjusted RN Staffing Hours per Resident per Day
0.47279
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98588
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-04-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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