Palm Garden Of Sun City - Sun City Center Nursing Home

General Information

UPDATE

Federal Provider Number

105736

Provider Name

PALM GARDEN OF SUN CITY

Provider Address

3850 UPPER CREEK DR
SUN CITY CENTER, FL 33573

Provider Phone Number

(813) 633-2875

Provider SSA County

280

Provider County Name

Hillsborough

Provider Website

Provider Description

Ownership Type

For profit - Individual

Number of Certified Beds

120

Number of Residents in Certified Beds

103

Provider Type

Medicare and Medicaid

Provider Resides in Hospital

Legal Business Name

PALM GARDEN OF SUN CITY CENTER LLC

Date First Approved to Provide Medicare and Medicaid services

1991-06-28

Continuing Care Retirement Community

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Both

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

Overall Rating Footnote

Health Inspection Rating

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QM Rating

QM Rating Footnote

Staffing Rating

Staffing Rating Footnote

RN Staffing Rating

RN Staffing Rating Footnote

Reported Staffing Footnote

Physical Therapist Staffing Footnote

Reported CNA Staffing Hours per Resident per Day

2.64029

Reported LPN Staffing Hours per Resident per Day

0.92718

Reported RN Staffing Hours per Resident per Day

0.71408

Reported Licensed Staffing Hours per Resident per Day

1.64126

Reported Total Nurse Staffing Hours per Resident per Day

4.28155

Reported Physical Therapist Staffing Hours per Resident Per Day

0.11117

Expected CNA Staffing Hours per Resident per Day

2.47279

Expected LPN Staffing Hours per Resident per Day

0.66328

Expected RN Staffing Hours per Resident per Day

1.10273

Expected Total Nurse Staffing Hours per Resident per Day

4.23880

Adjusted CNA Staffing Hours per Resident per Day

2.61990

Adjusted LPN Staffing Hours per Resident per Day

1.16024

Adjusted RN Staffing Hours per Resident per Day

0.48385

Adjusted Total Nurse Staffing Hours per Resident per Day

4.07155

Cycle 1 Total Number of Health Deficiencies

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2014-10-16

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

Cycle 2 Standard Health Survey Date

2013-08-09

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

Cycle 3 Standard Health Survey Date

2012-06-07

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

Total Weighted Health Survey Score

18.00000

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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