Park Ridge Nursing Center - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105813
Provider Name
PARK RIDGE NURSING CENTER
Provider Address
730 COLLEGE STREET
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
Provider Phone Number
9043586711
Provider SSA County
150
Provider County Name
Duval
Ownership Type
For profit - Partnership
Number of Certified Beds
104
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE POINTS HEALTHCARE LTD
Date First Approved to Provide Medicare and Medicaid services
1993-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
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
2.64157
Reported LPN Staffing Hours per Resident per Day
1.07303
Reported RN Staffing Hours per Resident per Day
0.37640
Reported Licensed Staffing Hours per Resident per Day
1.44944
Reported Total Nurse Staffing Hours per Resident per Day
4.09100
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06910
Expected CNA Staffing Hours per Resident per Day
2.30125
Expected LPN Staffing Hours per Resident per Day
0.57820
Expected RN Staffing Hours per Resident per Day
0.84307
Expected Total Nurse Staffing Hours per Resident per Day
3.72252
Adjusted CNA Staffing Hours per Resident per Day
2.81657
Adjusted LPN Staffing Hours per Resident per Day
1.54032
Adjusted RN Staffing Hours per Resident per Day
0.33360
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42990
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-28
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
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
20.66700
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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