Lifecare St. Johns, Inc - Saint Augustine Nursing Home
General Information
UPDATEFederal Provider Number
106040
Provider Name
LIFECARE ST. JOHNS, INC
Provider Address
230 TOWERVIEW DRIVE
SAINT AUGUSTINE, FL 32092
SAINT AUGUSTINE, FL 32092
Provider Phone Number
(904) 940-4801
Provider SSA County
540
Provider County Name
St. Johns
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
26
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE ST JOHNS INC
Date First Approved to Provide Medicare and Medicaid services
2002-01-03
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.69231
Reported LPN Staffing Hours per Resident per Day
1.09423
Reported RN Staffing Hours per Resident per Day
0.74615
Reported Licensed Staffing Hours per Resident per Day
1.84038
Reported Total Nurse Staffing Hours per Resident per Day
5.53269
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21923
Expected CNA Staffing Hours per Resident per Day
2.66463
Expected LPN Staffing Hours per Resident per Day
0.57984
Expected RN Staffing Hours per Resident per Day
0.74988
Expected Total Nurse Staffing Hours per Resident per Day
3.99435
Adjusted CNA Staffing Hours per Resident per Day
3.40003
Adjusted LPN Staffing Hours per Resident per Day
1.56631
Adjusted RN Staffing Hours per Resident per Day
0.74348
Adjusted Total Nurse Staffing Hours per Resident per Day
5.58332
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-26
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
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
2013-02-08
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
14.66700
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
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