Health Center Of Merritt Island, The - Merritt Island Nursing Home
General Information
UPDATEFederal Provider Number
105701
Provider Name
HEALTH CENTER OF MERRITT ISLAND, THE
Provider Address
500 CROCKETT BLVD
MERRITT ISLAND, FL 32954
MERRITT ISLAND, FL 32954
Provider Phone Number
(321) 454-4035
Provider SSA County
40
Provider County Name
Brevard
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
161
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERRITT ISLAND REHAB LLC
Date First Approved to Provide Medicare and Medicaid services
1990-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
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
3.06180
Reported LPN Staffing Hours per Resident per Day
1.11491
Reported RN Staffing Hours per Resident per Day
0.57950
Reported Licensed Staffing Hours per Resident per Day
1.69441
Reported Total Nurse Staffing Hours per Resident per Day
4.75621
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08354
Expected CNA Staffing Hours per Resident per Day
2.39868
Expected LPN Staffing Hours per Resident per Day
0.61497
Expected RN Staffing Hours per Resident per Day
0.96925
Expected Total Nurse Staffing Hours per Resident per Day
3.98290
Adjusted CNA Staffing Hours per Resident per Day
3.13203
Adjusted LPN Staffing Hours per Resident per Day
1.50474
Adjusted RN Staffing Hours per Resident per Day
0.44674
Adjusted Total Nurse Staffing Hours per Resident per Day
4.81352
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-10-31
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
16250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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