Indian River Center - West Melbourne Nursing Home

General Information

UPDATE
Federal Provider Number
105673
Provider Name
INDIAN RIVER CENTER
Provider Address
7201 GREENBORO DR
WEST MELBOURNE, FL 32904
Provider Phone Number
(321) 727-0990
Provider SSA County
40
Provider County Name
Brevard
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
179
Number of Residents in Certified Beds
174
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-08-29
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
3
Health Inspection Rating Footnote
QM Rating
2
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
2.42787
Reported LPN Staffing Hours per Resident per Day
0.74138
Reported RN Staffing Hours per Resident per Day
0.45977
Reported Licensed Staffing Hours per Resident per Day
1.20115
Reported Total Nurse Staffing Hours per Resident per Day
3.62902
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03333
Expected CNA Staffing Hours per Resident per Day
2.52816
Expected LPN Staffing Hours per Resident per Day
0.57875
Expected RN Staffing Hours per Resident per Day
0.85867
Expected Total Nurse Staffing Hours per Resident per Day
3.96558
Adjusted CNA Staffing Hours per Resident per Day
2.35636
Adjusted LPN Staffing Hours per Resident per Day
1.06323
Adjusted RN Staffing Hours per Resident per Day
0.40008
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68880
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-21
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
140725
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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