Palm Terrace Of St Petersburg - Saint Petersburg Nursing Home
General Information
UPDATEFederal Provider Number
106033
Provider Name
PALM TERRACE OF ST PETERSBURG
Provider Address
521 69TH AVE N
SAINT PETERSBURG, FL 33702
SAINT PETERSBURG, FL 33702
Provider Phone Number
(727) 526-7000
Provider SSA County
510
Provider County Name
Pinellas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SA-ST PETERSBURG LLC
Date First Approved to Provide Medicare and Medicaid services
2000-09-06
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
1
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
2.87716
Reported LPN Staffing Hours per Resident per Day
1.10309
Reported RN Staffing Hours per Resident per Day
0.76173
Reported Licensed Staffing Hours per Resident per Day
1.86481
Reported Total Nurse Staffing Hours per Resident per Day
4.74198
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07037
Expected CNA Staffing Hours per Resident per Day
2.20817
Expected LPN Staffing Hours per Resident per Day
0.62923
Expected RN Staffing Hours per Resident per Day
0.94375
Expected Total Nurse Staffing Hours per Resident per Day
3.78114
Adjusted CNA Staffing Hours per Resident per Day
3.19708
Adjusted LPN Staffing Hours per Resident per Day
1.45506
Adjusted RN Staffing Hours per Resident per Day
0.60309
Adjusted Total Nurse Staffing Hours per Resident per Day
5.05520
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
14400
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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