Mary Lee Depugh Nursing Home Association Inc - Winter Park Nursing Home
General Information
UPDATEFederal Provider Number
105785
Provider Name
MARY LEE DEPUGH NURSING HOME ASSOCIATION INC
Provider Address
550 W MORSE BLVD
WINTER PARK, FL 32789
WINTER PARK, FL 32789
Provider Phone Number
(407) 644-6634
Provider SSA County
470
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARY LEE DEPUGH NURSING HOME ASSOCIATION, INC
Date First Approved to Provide Medicare and Medicaid services
1993-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.77778
Reported LPN Staffing Hours per Resident per Day
0.43611
Reported RN Staffing Hours per Resident per Day
1.09444
Reported Licensed Staffing Hours per Resident per Day
1.53056
Reported Total Nurse Staffing Hours per Resident per Day
4.30833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09861
Expected CNA Staffing Hours per Resident per Day
2.43863
Expected LPN Staffing Hours per Resident per Day
0.56552
Expected RN Staffing Hours per Resident per Day
0.94667
Expected Total Nurse Staffing Hours per Resident per Day
3.95083
Adjusted CNA Staffing Hours per Resident per Day
2.79494
Adjusted LPN Staffing Hours per Resident per Day
0.64007
Adjusted RN Staffing Hours per Resident per Day
0.86383
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39565
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
12058
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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