Harts Harbor Health Care Center - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105632
Provider Name
HARTS HARBOR HEALTH CARE CENTER
Provider Address
11565 HARTS ROAD
JACKSONVILLE, FL 32218
JACKSONVILLE, FL 32218
Provider Phone Number
(904) 751-1834
Provider SSA County
150
Provider County Name
Duval
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
180
Number of Residents in Certified Beds
176
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
11565 HARTS ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.46705
Reported LPN Staffing Hours per Resident per Day
0.88494
Reported RN Staffing Hours per Resident per Day
0.28097
Reported Licensed Staffing Hours per Resident per Day
1.16591
Reported Total Nurse Staffing Hours per Resident per Day
3.63296
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06364
Expected CNA Staffing Hours per Resident per Day
2.20546
Expected LPN Staffing Hours per Resident per Day
0.60097
Expected RN Staffing Hours per Resident per Day
0.97996
Expected Total Nurse Staffing Hours per Resident per Day
3.78639
Adjusted CNA Staffing Hours per Resident per Day
2.74473
Adjusted LPN Staffing Hours per Resident per Day
1.22219
Adjusted RN Staffing Hours per Resident per Day
0.21423
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86756
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-02-28
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
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2011-11-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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