Island Health And Rehabilitation Center - Merritt Island Nursing Home
General Information
UPDATEFederal Provider Number
105325
Provider Name
ISLAND HEALTH AND REHABILITATION CENTER
Provider Address
125 ALMA BLVD
MERRITT ISLAND, FL 32953
MERRITT ISLAND, FL 32953
Provider Phone Number
(321) 453-0202
Provider SSA County
40
Provider County Name
Brevard
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
125 ALMA BOULEVARD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1978-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
1
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
2.90897
Reported LPN Staffing Hours per Resident per Day
0.90556
Reported RN Staffing Hours per Resident per Day
0.60299
Reported Licensed Staffing Hours per Resident per Day
1.50855
Reported Total Nurse Staffing Hours per Resident per Day
4.41752
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10726
Expected CNA Staffing Hours per Resident per Day
2.33741
Expected LPN Staffing Hours per Resident per Day
0.65141
Expected RN Staffing Hours per Resident per Day
1.08961
Expected Total Nurse Staffing Hours per Resident per Day
4.07843
Adjusted CNA Staffing Hours per Resident per Day
3.05369
Adjusted LPN Staffing Hours per Resident per Day
1.15382
Adjusted RN Staffing Hours per Resident per Day
0.41350
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36604
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
28
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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