Hawthorne Health And Rehab Of Brandon - Brandon Nursing Home
General Information
UPDATEFederal Provider Number
105881
Provider Name
HAWTHORNE HEALTH AND REHAB OF BRANDON
Provider Address
851 WEST LUMSDEN RD
BRANDON, FL 33511
BRANDON, FL 33511
Provider Phone Number
8136618998
Provider SSA County
280
Provider County Name
Hillsborough
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FLORIDA LIVING OPTIONS INC.
Date First Approved to Provide Medicare and Medicaid services
1995-03-27
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
3.03682
Reported LPN Staffing Hours per Resident per Day
1.06909
Reported RN Staffing Hours per Resident per Day
0.67318
Reported Licensed Staffing Hours per Resident per Day
1.74227
Reported Total Nurse Staffing Hours per Resident per Day
4.77909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19227
Expected CNA Staffing Hours per Resident per Day
2.55792
Expected LPN Staffing Hours per Resident per Day
0.69452
Expected RN Staffing Hours per Resident per Day
1.19766
Expected Total Nurse Staffing Hours per Resident per Day
4.45010
Adjusted CNA Staffing Hours per Resident per Day
2.91309
Adjusted LPN Staffing Hours per Resident per Day
1.27763
Adjusted RN Staffing Hours per Resident per Day
0.41999
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32890
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-03-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
40
Cycle 2 Standard Health Survey Date
2013-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-11-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
5070
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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