Marshall Health And Rehabilitation Center - Perry Nursing Home
General Information
UPDATEFederal Provider Number
105631
Provider Name
MARSHALL HEALTH AND REHABILITATION CENTER
Provider Address
207 MARSHALL DRIVE
PERRY, FL 32347
PERRY, FL 32347
Provider Phone Number
(850) 584-6334
Provider SSA County
610
Provider County Name
Taylor
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
207 MARSHALL DRIVE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1988-12-21
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.13465
Reported LPN Staffing Hours per Resident per Day
0.80219
Reported RN Staffing Hours per Resident per Day
0.40570
Reported Licensed Staffing Hours per Resident per Day
1.20789
Reported Total Nurse Staffing Hours per Resident per Day
3.34254
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.38834
Expected LPN Staffing Hours per Resident per Day
0.65006
Expected RN Staffing Hours per Resident per Day
0.96460
Expected Total Nurse Staffing Hours per Resident per Day
4.00300
Adjusted CNA Staffing Hours per Resident per Day
2.19307
Adjusted LPN Staffing Hours per Resident per Day
1.02424
Adjusted RN Staffing Hours per Resident per Day
0.31427
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36584
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
64.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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