Oaktree Healthcare - South Daytona Nursing Home
General Information
UPDATEFederal Provider Number
105665
Provider Name
OAKTREE HEALTHCARE
Provider Address
650 REED CANAL ROAD
SOUTH DAYTONA, FL 32119
SOUTH DAYTONA, FL 32119
Provider Phone Number
(386) 767-4831
Provider SSA County
630
Provider County Name
Volusia
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
65
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
650 REED CANAL ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-09-01
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
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57458
Reported LPN Staffing Hours per Resident per Day
0.91441
Reported RN Staffing Hours per Resident per Day
0.48729
Reported Licensed Staffing Hours per Resident per Day
1.40169
Reported Total Nurse Staffing Hours per Resident per Day
3.97628
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01695
Expected CNA Staffing Hours per Resident per Day
2.22978
Expected LPN Staffing Hours per Resident per Day
0.55080
Expected RN Staffing Hours per Resident per Day
0.80595
Expected Total Nurse Staffing Hours per Resident per Day
3.58653
Adjusted CNA Staffing Hours per Resident per Day
2.83313
Adjusted LPN Staffing Hours per Resident per Day
1.37793
Adjusted RN Staffing Hours per Resident per Day
0.45177
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46894
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
16
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
11.33300
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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