Florida Nursing Homes >> Penney Farms Nursing Homes >> Pavilion For Health Care, The

Pavilion For Health Care, The - Penney Farms Nursing Home

General Information

UPDATE
Federal Provider Number
106096
Provider Name
PAVILION FOR HEALTH CARE, THE
Provider Address
ONE PAVILION PLACE
PENNEY FARMS, FL 32079
Provider Phone Number
(904) 284-8578
Provider SSA County
90
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
34
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
PENNEY RETIREMENT COMMUNITY, INC.
Date First Approved to Provide Medicare and Medicaid services
2012-12-27
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.50441
Reported LPN Staffing Hours per Resident per Day
0.86324
Reported RN Staffing Hours per Resident per Day
1.58382
Reported Licensed Staffing Hours per Resident per Day
2.44706
Reported Total Nurse Staffing Hours per Resident per Day
3.95147
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22647
Expected CNA Staffing Hours per Resident per Day
2.62290
Expected LPN Staffing Hours per Resident per Day
0.61477
Expected RN Staffing Hours per Resident per Day
0.98700
Expected Total Nurse Staffing Hours per Resident per Day
4.22467
Adjusted CNA Staffing Hours per Resident per Day
1.40736
Adjusted LPN Staffing Hours per Resident per Day
1.16547
Adjusted RN Staffing Hours per Resident per Day
1.19901
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77023
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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