Orange City Nursing And Rehab Center - Debary Nursing Home

General Information

UPDATE
Federal Provider Number
105735
Provider Name
ORANGE CITY NURSING AND REHAB CENTER
Provider Address
2810 ENTERPRISE RD
DEBARY, FL 32713
Provider Phone Number
(386) 668-8818
Provider SSA County
630
Provider County Name
Volusia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOVEREIGN HEALTHCARE OF ORANGE CITY, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-26
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
3.10045
Reported LPN Staffing Hours per Resident per Day
1.15405
Reported RN Staffing Hours per Resident per Day
0.74324
Reported Licensed Staffing Hours per Resident per Day
1.89730
Reported Total Nurse Staffing Hours per Resident per Day
4.99774
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15631
Expected CNA Staffing Hours per Resident per Day
2.50947
Expected LPN Staffing Hours per Resident per Day
0.68174
Expected RN Staffing Hours per Resident per Day
1.16924
Expected Total Nurse Staffing Hours per Resident per Day
4.36045
Adjusted CNA Staffing Hours per Resident per Day
3.03154
Adjusted LPN Staffing Hours per Resident per Day
1.40503
Adjusted RN Staffing Hours per Resident per Day
0.47497
Adjusted Total Nurse Staffing Hours per Resident per Day
4.62003
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
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
4
Cycle 2 Standard Health Survey Date
2014-04-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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