Marianna Health And Rehabilitation Center - Marianna Nursing Home
General Information
UPDATEFederal Provider Number
105637
Provider Name
MARIANNA HEALTH AND REHABILITATION CENTER
Provider Address
4295 FIFTH AVENUE
MARIANNA, FL 32446
MARIANNA, FL 32446
Provider Phone Number
(850) 482-8091
Provider SSA County
310
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
180
Number of Residents in Certified Beds
151
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITY OF MARIANNA OFFICE OF CITY CLERK
Date First Approved to Provide Medicare and Medicaid services
1989-03-02
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
3.23874
Reported LPN Staffing Hours per Resident per Day
1.01523
Reported RN Staffing Hours per Resident per Day
0.33477
Reported Licensed Staffing Hours per Resident per Day
1.35000
Reported Total Nurse Staffing Hours per Resident per Day
4.58874
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04503
Expected CNA Staffing Hours per Resident per Day
2.08387
Expected LPN Staffing Hours per Resident per Day
0.53871
Expected RN Staffing Hours per Resident per Day
0.81688
Expected Total Nurse Staffing Hours per Resident per Day
3.43946
Adjusted CNA Staffing Hours per Resident per Day
3.81353
Adjusted LPN Staffing Hours per Resident per Day
1.56419
Adjusted RN Staffing Hours per Resident per Day
0.30621
Adjusted Total Nurse Staffing Hours per Resident per Day
5.37781
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-15
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
4
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
16
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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