Jackson Memorial Long Term Care Center - Miami Nursing Home
General Information
UPDATEFederal Provider Number
105392
Provider Name
JACKSON MEMORIAL LONG TERM CARE CENTER
Provider Address
2500 NW 22ND AVE
MIAMI, FL 33142
MIAMI, FL 33142
Provider Phone Number
7864663000
Provider SSA County
120
Provider County Name
Miami-Dade
Ownership Type
Government - County
Number of Certified Beds
180
Number of Residents in Certified Beds
176
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Date First Approved to Provide Medicare and Medicaid services
1981-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.53466
Reported LPN Staffing Hours per Resident per Day
1.08920
Reported RN Staffing Hours per Resident per Day
0.72443
Reported Licensed Staffing Hours per Resident per Day
1.81364
Reported Total Nurse Staffing Hours per Resident per Day
4.34829
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02273
Expected CNA Staffing Hours per Resident per Day
2.45031
Expected LPN Staffing Hours per Resident per Day
0.71561
Expected RN Staffing Hours per Resident per Day
1.01087
Expected Total Nurse Staffing Hours per Resident per Day
4.17679
Adjusted CNA Staffing Hours per Resident per Day
2.53816
Adjusted LPN Staffing Hours per Resident per Day
1.26331
Adjusted RN Staffing Hours per Resident per Day
0.53547
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19641
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
48
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-07-19
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
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
87.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
3
Total Amount of Fines in Dollars
22328
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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