Freedom Square Rehabilitation & Nursing Services - Seminole Nursing Home
General Information
UPDATEFederal Provider Number
106042
Provider Name
FREEDOM SQUARE REHABILITATION & NURSING SERVICES
Provider Address
10801 JOHNSON BLVD
SEMINOLE, FL 33772
SEMINOLE, FL 33772
Provider Phone Number
(727) 398-0379
Provider SSA County
510
Provider County Name
Pinellas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CCRC OPCO FREEDOM SQUARE LLC
Date First Approved to Provide Medicare and Medicaid services
2002-02-19
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
4
Health Inspection Rating Footnote
QM Rating
5
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
3.28670
Reported LPN Staffing Hours per Resident per Day
1.10550
Reported RN Staffing Hours per Resident per Day
0.62385
Reported Licensed Staffing Hours per Resident per Day
1.72936
Reported Total Nurse Staffing Hours per Resident per Day
5.01605
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12844
Expected CNA Staffing Hours per Resident per Day
2.64086
Expected LPN Staffing Hours per Resident per Day
0.62462
Expected RN Staffing Hours per Resident per Day
1.04681
Expected Total Nurse Staffing Hours per Resident per Day
4.31229
Adjusted CNA Staffing Hours per Resident per Day
3.05377
Adjusted LPN Staffing Hours per Resident per Day
1.46899
Adjusted RN Staffing Hours per Resident per Day
0.44530
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68873
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-04-05
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-02-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
18.66700
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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