Palm Garden Of Jacksonville - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105682
Provider Name
PALM GARDEN OF JACKSONVILLE
Provider Address
5725 SPRING PARK ROAD
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
Provider Phone Number
(904) 733-6954
Provider SSA County
150
Provider County Name
Duval
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PALM GARDEN OF JACKSONVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1990-03-14
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60087
Reported LPN Staffing Hours per Resident per Day
0.94174
Reported RN Staffing Hours per Resident per Day
0.53130
Reported Licensed Staffing Hours per Resident per Day
1.47304
Reported Total Nurse Staffing Hours per Resident per Day
4.07391
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09826
Expected CNA Staffing Hours per Resident per Day
2.39554
Expected LPN Staffing Hours per Resident per Day
0.69462
Expected RN Staffing Hours per Resident per Day
1.08525
Expected Total Nurse Staffing Hours per Resident per Day
4.17540
Adjusted CNA Staffing Hours per Resident per Day
2.66402
Adjusted LPN Staffing Hours per Resident per Day
1.12529
Adjusted RN Staffing Hours per Resident per Day
0.36580
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93292
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-04-16
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
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
30.66700
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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