Homestead Manor A Palace Community - Homestead Nursing Home
General Information
UPDATEFederal Provider Number
105541
Provider Name
HOMESTEAD MANOR A PALACE COMMUNITY
Provider Address
1330 NW 1ST AVE
HOMESTEAD, FL 33030
HOMESTEAD, FL 33030
Provider Phone Number
3052480271
Provider SSA County
120
Provider County Name
Miami-Dade
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HELEN HOMES OF SOUTH DADE, LLC
Date First Approved to Provide Medicare and Medicaid services
1986-11-01
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
4
Health Inspection Rating Footnote
QM Rating
2
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
2.95890
Reported LPN Staffing Hours per Resident per Day
0.89247
Reported RN Staffing Hours per Resident per Day
0.58356
Reported Licensed Staffing Hours per Resident per Day
1.47603
Reported Total Nurse Staffing Hours per Resident per Day
4.43493
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07808
Expected CNA Staffing Hours per Resident per Day
2.46499
Expected LPN Staffing Hours per Resident per Day
0.61994
Expected RN Staffing Hours per Resident per Day
0.92141
Expected Total Nurse Staffing Hours per Resident per Day
4.00633
Adjusted CNA Staffing Hours per Resident per Day
2.94535
Adjusted LPN Staffing Hours per Resident per Day
1.19488
Adjusted RN Staffing Hours per Resident per Day
0.47323
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46213
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
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
20
Cycle 2 Standard Health Survey Date
2014-02-06
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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