Memorial Manor - Pembroke Pines Nursing Home
General Information
UPDATEFederal Provider Number
105668
Provider Name
MEMORIAL MANOR
Provider Address
777 SOUTH DOUGLAS ROAD
PEMBROKE PINES, FL 33025
PEMBROKE PINES, FL 33025
Provider Phone Number
(954) 276-6200
Provider SSA County
50
Provider County Name
Broward
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
120
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH BROWARD HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1989-07-14
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.12913
Reported LPN Staffing Hours per Resident per Day
0.87718
Reported RN Staffing Hours per Resident per Day
1.09854
Reported Licensed Staffing Hours per Resident per Day
1.97573
Reported Total Nurse Staffing Hours per Resident per Day
5.10485
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21311
Expected CNA Staffing Hours per Resident per Day
2.33533
Expected LPN Staffing Hours per Resident per Day
0.67195
Expected RN Staffing Hours per Resident per Day
1.13553
Expected Total Nurse Staffing Hours per Resident per Day
4.14281
Adjusted CNA Staffing Hours per Resident per Day
3.28774
Adjusted LPN Staffing Hours per Resident per Day
1.08350
Adjusted RN Staffing Hours per Resident per Day
0.72286
Adjusted Total Nurse Staffing Hours per Resident per Day
4.96695
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
12
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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