Keystone Rehabilitation And Health Center - Kissimmee Nursing Home
General Information
UPDATEFederal Provider Number
106074
Provider Name
KEYSTONE REHABILITATION AND HEALTH CENTER
Provider Address
1120 WEST DONEGAN AVENUE
KISSIMMEE, FL 34741
KISSIMMEE, FL 34741
Provider Phone Number
(407) 847-2854
Provider SSA County
480
Provider County Name
Osceola
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
115
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
2006-10-19
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
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40435
Reported LPN Staffing Hours per Resident per Day
0.88304
Reported RN Staffing Hours per Resident per Day
0.36391
Reported Licensed Staffing Hours per Resident per Day
1.24696
Reported Total Nurse Staffing Hours per Resident per Day
3.65130
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13522
Expected CNA Staffing Hours per Resident per Day
2.41856
Expected LPN Staffing Hours per Resident per Day
0.63797
Expected RN Staffing Hours per Resident per Day
1.05124
Expected Total Nurse Staffing Hours per Resident per Day
4.10776
Adjusted CNA Staffing Hours per Resident per Day
2.43929
Adjusted LPN Staffing Hours per Resident per Day
1.14884
Adjusted RN Staffing Hours per Resident per Day
0.25866
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58298
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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