Life Care Center Of Jacksonville - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
106064
Provider Name
LIFE CARE CENTER OF JACKSONVILLE
Provider Address
4813 LENOIR AVENUE
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
Provider Phone Number
(904) 332-4546
Provider SSA County
150
Provider County Name
Duval
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DUVAL MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
2005-01-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.94588
Reported LPN Staffing Hours per Resident per Day
1.28454
Reported RN Staffing Hours per Resident per Day
0.91186
Reported Licensed Staffing Hours per Resident per Day
2.19639
Reported Total Nurse Staffing Hours per Resident per Day
5.14228
Reported Physical Therapist Staffing Hours per Resident Per Day
0.53299
Expected CNA Staffing Hours per Resident per Day
2.73304
Expected LPN Staffing Hours per Resident per Day
0.76391
Expected RN Staffing Hours per Resident per Day
1.34385
Expected Total Nurse Staffing Hours per Resident per Day
4.84080
Adjusted CNA Staffing Hours per Resident per Day
2.64479
Adjusted LPN Staffing Hours per Resident per Day
1.39567
Adjusted RN Staffing Hours per Resident per Day
0.50701
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28194
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
32
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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