Florida Nursing Homes >> Live Oak Nursing Homes >> Good Samaritan Center

Good Samaritan Center - Live Oak Nursing Home

General Information

UPDATE
Federal Provider Number
105809
Provider Name
GOOD SAMARITAN CENTER
Provider Address
10676 MARVIN JONES BLVD
LIVE OAK, FL 32060
Provider Phone Number
(386) 658-5550
Provider SSA County
600
Provider County Name
Suwannee
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
161
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ACV HEALTH SERVICES L L C
Date First Approved to Provide Medicare and Medicaid services
1993-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.39276
Reported LPN Staffing Hours per Resident per Day
1.41875
Reported RN Staffing Hours per Resident per Day
0.40855
Reported Licensed Staffing Hours per Resident per Day
1.82730
Reported Total Nurse Staffing Hours per Resident per Day
4.22006
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03750
Expected CNA Staffing Hours per Resident per Day
2.42367
Expected LPN Staffing Hours per Resident per Day
0.55430
Expected RN Staffing Hours per Resident per Day
0.79623
Expected Total Nurse Staffing Hours per Resident per Day
3.77420
Adjusted CNA Staffing Hours per Resident per Day
2.42241
Adjusted LPN Staffing Hours per Resident per Day
2.12440
Adjusted RN Staffing Hours per Resident per Day
0.38339
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50708
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
2014-11-20
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
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
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
7800
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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