Palm Garden Of Tampa - Tampa Nursing Home

General Information

UPDATE
Federal Provider Number
105591
Provider Name
PALM GARDEN OF TAMPA
Provider Address
3612 E 138TH AVE
TAMPA, FL 33613
Provider Phone Number
(813) 972-8775
Provider SSA County
280
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PALM GARDEN OF TAMPA LLC
Date First Approved to Provide Medicare and Medicaid services
1987-11-19
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.69569
Reported LPN Staffing Hours per Resident per Day
0.61638
Reported RN Staffing Hours per Resident per Day
0.87414
Reported Licensed Staffing Hours per Resident per Day
1.49052
Reported Total Nurse Staffing Hours per Resident per Day
4.18621
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09871
Expected CNA Staffing Hours per Resident per Day
2.51893
Expected LPN Staffing Hours per Resident per Day
0.67800
Expected RN Staffing Hours per Resident per Day
1.12177
Expected Total Nurse Staffing Hours per Resident per Day
4.31869
Adjusted CNA Staffing Hours per Resident per Day
2.62589
Adjusted LPN Staffing Hours per Resident per Day
0.75457
Adjusted RN Staffing Hours per Resident per Day
0.58226
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90725
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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