Jackson Plaza Nursing & Rehabilitation Center - Miami Nursing Home
General Information
UPDATEFederal Provider Number
106034
Provider Name
JACKSON PLAZA NURSING & REHABILITATION CENTER
Provider Address
1861 NW 8TH AVENUE
MIAMI, FL 33136
MIAMI, FL 33136
Provider Phone Number
(305) 347-3380
Provider SSA County
120
Provider County Name
Miami-Dade
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSON PLAZA INC
Date First Approved to Provide Medicare and Medicaid services
2001-01-26
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.09439
Reported LPN Staffing Hours per Resident per Day
0.70701
Reported RN Staffing Hours per Resident per Day
1.41355
Reported Licensed Staffing Hours per Resident per Day
2.12056
Reported Total Nurse Staffing Hours per Resident per Day
5.21495
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09626
Expected CNA Staffing Hours per Resident per Day
2.70332
Expected LPN Staffing Hours per Resident per Day
0.73982
Expected RN Staffing Hours per Resident per Day
1.08201
Expected Total Nurse Staffing Hours per Resident per Day
4.52515
Adjusted CNA Staffing Hours per Resident per Day
2.80866
Adjusted LPN Staffing Hours per Resident per Day
0.79319
Adjusted RN Staffing Hours per Resident per Day
0.97615
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64536
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
8.00000
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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