Majestic Oaks - Orange City Nursing Home
General Information
UPDATEFederal Provider Number
105374
Provider Name
MAJESTIC OAKS
Provider Address
901 VETERAN'S MEMORIAL PARKWAY
ORANGE CITY, FL 32763
ORANGE CITY, FL 32763
Provider Phone Number
(386) 775-2008
Provider SSA County
630
Provider County Name
Volusia
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
134
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOHN KNOX VILLAGE OF CENTRAL FLORIDA INC.
Date First Approved to Provide Medicare and Medicaid services
1980-09-19
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.98619
Reported LPN Staffing Hours per Resident per Day
1.18134
Reported RN Staffing Hours per Resident per Day
0.50187
Reported Licensed Staffing Hours per Resident per Day
1.68321
Reported Total Nurse Staffing Hours per Resident per Day
4.66940
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06231
Expected CNA Staffing Hours per Resident per Day
2.52038
Expected LPN Staffing Hours per Resident per Day
0.61286
Expected RN Staffing Hours per Resident per Day
0.87784
Expected Total Nurse Staffing Hours per Resident per Day
4.01108
Adjusted CNA Staffing Hours per Resident per Day
2.90719
Adjusted LPN Staffing Hours per Resident per Day
1.59988
Adjusted RN Staffing Hours per Resident per Day
0.42718
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69247
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
2014-10-30
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
2013-09-06
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
22.66700
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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