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Macclenny Nursing And Rehab Center - Macclenny Nursing Home

General Information

UPDATE
Federal Provider Number
105737
Provider Name
MACCLENNY NURSING AND REHAB CENTER
Provider Address
755 S 5TH ST
MACCLENNY, FL 32063
Provider Phone Number
9042594873
Provider SSA County
10
Provider County Name
Baker
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOVEREIGN HEALTHCARE OF MACCLENNY, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-07-11
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.82736
Reported LPN Staffing Hours per Resident per Day
0.88349
Reported RN Staffing Hours per Resident per Day
0.55519
Reported Licensed Staffing Hours per Resident per Day
1.43868
Reported Total Nurse Staffing Hours per Resident per Day
4.26604
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07217
Expected CNA Staffing Hours per Resident per Day
2.31380
Expected LPN Staffing Hours per Resident per Day
0.61832
Expected RN Staffing Hours per Resident per Day
0.95642
Expected Total Nurse Staffing Hours per Resident per Day
3.88855
Adjusted CNA Staffing Hours per Resident per Day
2.99831
Adjusted LPN Staffing Hours per Resident per Day
1.18594
Adjusted RN Staffing Hours per Resident per Day
0.43374
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42221
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-15
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
2013-12-19
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
17.33300
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

Nursiong Homes Nearby

W Frank Wells Nursing Home

210 N 2nd St | MACCLENNY FL 32063 | 0.5 mile away

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