Life Care Center Of Hilliard - Hilliard Nursing Home
General Information
UPDATEFederal Provider Number
105756
Provider Name
LIFE CARE CENTER OF HILLIARD
Provider Address
3756 W THIRD ST
HILLIARD, FL 32046
HILLIARD, FL 32046
Provider Phone Number
(904) 845-3988
Provider SSA County
440
Provider County Name
Nassau
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
2.96284
Reported LPN Staffing Hours per Resident per Day
1.23578
Reported RN Staffing Hours per Resident per Day
0.52339
Reported Licensed Staffing Hours per Resident per Day
1.75917
Reported Total Nurse Staffing Hours per Resident per Day
4.72201
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05229
Expected CNA Staffing Hours per Resident per Day
2.39044
Expected LPN Staffing Hours per Resident per Day
0.67672
Expected RN Staffing Hours per Resident per Day
1.17010
Expected Total Nurse Staffing Hours per Resident per Day
4.23726
Adjusted CNA Staffing Hours per Resident per Day
3.04124
Adjusted LPN Staffing Hours per Resident per Day
1.51569
Adjusted RN Staffing Hours per Resident per Day
0.33423
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49204
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
2014-06-19
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-03
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
11.33300
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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