Manorcare Health Services Palm Harbor - Palm Harbor Nursing Home
General Information
UPDATEFederal Provider Number
105708
Provider Name
MANORCARE HEALTH SERVICES PALM HARBOR
Provider Address
2851 TAMPA RD
PALM HARBOR, FL 34684
PALM HARBOR, FL 34684
Provider Phone Number
(727) 787-4777
Provider SSA County
510
Provider County Name
Pinellas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
168
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF PALM HARBOR FL LLC
Date First Approved to Provide Medicare and Medicaid services
1990-12-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
2.43274
Reported LPN Staffing Hours per Resident per Day
0.14494
Reported RN Staffing Hours per Resident per Day
0.54375
Reported Licensed Staffing Hours per Resident per Day
0.68869
Reported Total Nurse Staffing Hours per Resident per Day
3.12143
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14613
Expected CNA Staffing Hours per Resident per Day
2.60907
Expected LPN Staffing Hours per Resident per Day
0.69744
Expected RN Staffing Hours per Resident per Day
1.17028
Expected Total Nurse Staffing Hours per Resident per Day
4.47679
Adjusted CNA Staffing Hours per Resident per Day
2.28787
Adjusted LPN Staffing Hours per Resident per Day
0.17249
Adjusted RN Staffing Hours per Resident per Day
0.34717
Adjusted Total Nurse Staffing Hours per Resident per Day
2.81054
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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