Heartland Health Care Center Of South Jacksonville - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105366
Provider Name
HEARTLAND HEALTH CARE CENTER OF SOUTH JACKSONVILLE
Provider Address
3648 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
Provider Phone Number
(904) 733-7440
Provider SSA County
150
Provider County Name
Duval
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND-SOUTH JACKSONVILLE OF JACKSONVILLE FL LLC
Date First Approved to Provide Medicare and Medicaid services
1980-07-01
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
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.59615
Reported LPN Staffing Hours per Resident per Day
0.59615
Reported RN Staffing Hours per Resident per Day
1.07788
Reported Licensed Staffing Hours per Resident per Day
1.67404
Reported Total Nurse Staffing Hours per Resident per Day
4.27018
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22163
Expected CNA Staffing Hours per Resident per Day
2.48306
Expected LPN Staffing Hours per Resident per Day
0.76142
Expected RN Staffing Hours per Resident per Day
1.44906
Expected Total Nurse Staffing Hours per Resident per Day
4.69354
Adjusted CNA Staffing Hours per Resident per Day
2.56545
Adjusted LPN Staffing Hours per Resident per Day
0.64985
Adjusted RN Staffing Hours per Resident per Day
0.55580
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66731
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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