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Manorcare Health Services Carrollwood - Tampa Nursing Home

General Information

UPDATE
Federal Provider Number
105700
Provider Name
MANORCARE HEALTH SERVICES CARROLLWOOD
Provider Address
3030 BEARSS AVE
TAMPA, FL 33618
Provider Phone Number
8139688777
Provider SSA County
280
Provider County Name
Hillsborough
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE - CARROLLWOOD OF TAMPA FL, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-07-20
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.53692
Reported LPN Staffing Hours per Resident per Day
0.66822
Reported RN Staffing Hours per Resident per Day
0.98458
Reported Licensed Staffing Hours per Resident per Day
1.65280
Reported Total Nurse Staffing Hours per Resident per Day
4.18972
Reported Physical Therapist Staffing Hours per Resident Per Day
0.29065
Expected CNA Staffing Hours per Resident per Day
2.44253
Expected LPN Staffing Hours per Resident per Day
0.73067
Expected RN Staffing Hours per Resident per Day
1.43779
Expected Total Nurse Staffing Hours per Resident per Day
4.61099
Adjusted CNA Staffing Hours per Resident per Day
2.54852
Adjusted LPN Staffing Hours per Resident per Day
0.75906
Adjusted RN Staffing Hours per Resident per Day
0.51167
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66263
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-04-24
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
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-02-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-01-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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