Life Care Center Of Palm Bay - Palm Bay Nursing Home
General Information
UPDATEFederal Provider Number
106060
Provider Name
LIFE CARE CENTER OF PALM BAY
Provider Address
175 VILLA NUEVA AVE
PALM BAY, FL 32907
PALM BAY, FL 32907
Provider Phone Number
(321) 952-1818
Provider SSA County
40
Provider County Name
Brevard
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
141
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PALM BAY MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-05-28
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.47326
Reported LPN Staffing Hours per Resident per Day
0.93450
Reported RN Staffing Hours per Resident per Day
0.49341
Reported Licensed Staffing Hours per Resident per Day
1.42791
Reported Total Nurse Staffing Hours per Resident per Day
3.90117
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20504
Expected CNA Staffing Hours per Resident per Day
2.58647
Expected LPN Staffing Hours per Resident per Day
0.68503
Expected RN Staffing Hours per Resident per Day
1.21304
Expected Total Nurse Staffing Hours per Resident per Day
4.48454
Adjusted CNA Staffing Hours per Resident per Day
2.34630
Adjusted LPN Staffing Hours per Resident per Day
1.13227
Adjusted RN Staffing Hours per Resident per Day
0.30393
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50654
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.00000
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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