Jacksonville Nursing And Rehab Center - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105710
Provider Name
JACKSONVILLE NURSING AND REHAB CENTER
Provider Address
4134 DUNN AVENUE
JACKSONVILLE, FL 32218
JACKSONVILLE, FL 32218
Provider Phone Number
9047662297
Provider SSA County
150
Provider County Name
Duval
Ownership Type
For profit - Corporation
Number of Certified Beds
163
Number of Residents in Certified Beds
157
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOVEREIGN HEALTHCARE OF JACKSONVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-10-31
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
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.99299
Reported LPN Staffing Hours per Resident per Day
1.10382
Reported RN Staffing Hours per Resident per Day
0.42420
Reported Licensed Staffing Hours per Resident per Day
1.52803
Reported Total Nurse Staffing Hours per Resident per Day
4.52101
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05414
Expected CNA Staffing Hours per Resident per Day
2.25907
Expected LPN Staffing Hours per Resident per Day
0.62259
Expected RN Staffing Hours per Resident per Day
1.01066
Expected Total Nurse Staffing Hours per Resident per Day
3.89232
Adjusted CNA Staffing Hours per Resident per Day
3.25085
Adjusted LPN Staffing Hours per Resident per Day
1.47154
Adjusted RN Staffing Hours per Resident per Day
0.31362
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68197
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
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
36
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
0
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
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
24.66700
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
Nursiong Homes Nearby
Lakeside Nursing And Rehabilitation Center
11411 Armsdale Road |
JACKSONVILLE FL 32218 | 2.2 miles away
Harts Harbor Health Care Center
11565 Harts Road |
JACKSONVILLE FL 32218 | 3.5 miles away
Edgewood Nursing Center
1771 Edgewood Ave W |
JACKSONVILLE FL 32218 | 3.9 miles away
Summer Brook Health Care Center
5377 Moncrief Road |
JACKSONVILLE FL 32209 | 4.9 miles away
Shands Jacksonville Medical Center
580 W 8th Street |
JACKSONVILLE FL 32209 | 7 miles away
Lanier Terrace
12740 Lanier Road |
JACKSONVILLE FL 32226 | 7.7 miles away
Cathedral Gerontology Center, Inc
333 E Ashley St |
JACKSONVILLE FL 32202 | 8.3 miles away
Park Ridge Nursing Center
730 College Street |
JACKSONVILLE FL 32204 | 8.5 miles away
St Catherine Laboure Manor, Inc
1750 Stockton St |
JACKSONVILLE FL 32204 | 9 miles away
West Jacksonville Health And Rehabilitation Center
1650 Fouraker Road |
JACKSONVILLE FL 32221 | 10.9 miles away
Signature Healthcare Of Jacksonville
2061 Hyde Park Rd |
JACKSONVILLE FL 32210 | 11 miles away
Heartland Health Care Center Jacksonville
8495 Normandy Blvd |
JACKSONVILLE FL 32221 | 11.1 miles away
First Coast Health & Rehabilitation Center
7723 Jasper Avenue |
JACKSONVILLE FL 32211 | 11.4 miles away
Fannie E Taylor Home For The Aged Inc
3937 Spring Park Road |
JACKSONVILLE FL 32207 | 11.8 miles away
Heartland Health Care Center Of South Jacksonville
3648 University Blvd S |
JACKSONVILLE FL 32216 | 12.3 miles away
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