Palm Garden Of Clearwater - Clearwater Nursing Home

General Information

UPDATE
Federal Provider Number
105581
Provider Name
PALM GARDEN OF CLEARWATER
Provider Address
3480 MCMULLEN BOOTH RD
CLEARWATER, FL 33761
Provider Phone Number
(727) 786-6697
Provider SSA County
510
Provider County Name
Pinellas
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
PALM GARDEN OF CLEARWATER LLC
Date First Approved to Provide Medicare and Medicaid services
1987-09-18
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
4
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
2.77477
Reported LPN Staffing Hours per Resident per Day
0.78514
Reported RN Staffing Hours per Resident per Day
0.89054
Reported Licensed Staffing Hours per Resident per Day
1.67568
Reported Total Nurse Staffing Hours per Resident per Day
4.45045
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12387
Expected CNA Staffing Hours per Resident per Day
2.59639
Expected LPN Staffing Hours per Resident per Day
0.68947
Expected RN Staffing Hours per Resident per Day
1.16481
Expected Total Nurse Staffing Hours per Resident per Day
4.45066
Adjusted CNA Staffing Hours per Resident per Day
2.62228
Adjusted LPN Staffing Hours per Resident per Day
0.94517
Adjusted RN Staffing Hours per Resident per Day
0.57126
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03071
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
3000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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