Nursing Center At University Village, The - Tampa Nursing Home
General Information
UPDATEFederal Provider Number
105677
Provider Name
NURSING CENTER AT UNIVERSITY VILLAGE, THE
Provider Address
12250 N 22ND ST
TAMPA, FL 33612
TAMPA, FL 33612
Provider Phone Number
(813) 975-5001
Provider SSA County
280
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TR & SNF INC
Date First Approved to Provide Medicare and Medicaid services
1989-11-09
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.20870
Reported LPN Staffing Hours per Resident per Day
1.23043
Reported RN Staffing Hours per Resident per Day
0.86739
Reported Licensed Staffing Hours per Resident per Day
2.09783
Reported Total Nurse Staffing Hours per Resident per Day
5.30652
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21902
Expected CNA Staffing Hours per Resident per Day
2.66303
Expected LPN Staffing Hours per Resident per Day
0.60348
Expected RN Staffing Hours per Resident per Day
0.94722
Expected Total Nurse Staffing Hours per Resident per Day
4.21372
Adjusted CNA Staffing Hours per Resident per Day
2.95648
Adjusted LPN Staffing Hours per Resident per Day
1.69228
Adjusted RN Staffing Hours per Resident per Day
0.68423
Adjusted Total Nurse Staffing Hours per Resident per Day
5.07629
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-04-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
287
Cycle 2 Standard Health Survey Date
2014-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
287
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2014-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
114.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
47125
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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