Heartland Health Care Center Jacksonville - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105684
Provider Name
HEARTLAND HEALTH CARE CENTER JACKSONVILLE
Provider Address
8495 NORMANDY BLVD
JACKSONVILLE, FL 32221
JACKSONVILLE, FL 32221
Provider Phone Number
(904) 783-3749
Provider SSA County
150
Provider County Name
Duval
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF JACKSONVILLE FL LLC
Date First Approved to Provide Medicare and Medicaid services
1990-01-12
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.53557
Reported LPN Staffing Hours per Resident per Day
0.82474
Reported RN Staffing Hours per Resident per Day
0.88969
Reported Licensed Staffing Hours per Resident per Day
1.71443
Reported Total Nurse Staffing Hours per Resident per Day
4.25000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.33866
Expected CNA Staffing Hours per Resident per Day
2.51418
Expected LPN Staffing Hours per Resident per Day
0.75979
Expected RN Staffing Hours per Resident per Day
1.37821
Expected Total Nurse Staffing Hours per Resident per Day
4.65218
Adjusted CNA Staffing Hours per Resident per Day
2.47458
Adjusted LPN Staffing Hours per Resident per Day
0.90095
Adjusted RN Staffing Hours per Resident per Day
0.48235
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68243
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
214
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
214
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
109.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
42673
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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