Plantation Bay Rehabilitation Center - Saint Cloud Nursing Home
General Information
UPDATEFederal Provider Number
105888
Provider Name
PLANTATION BAY REHABILITATION CENTER
Provider Address
4641 OLD CANOE CREEK ROAD
SAINT CLOUD, FL 34769
SAINT CLOUD, FL 34769
Provider Phone Number
(407) 892-7344
Provider SSA County
480
Provider County Name
Osceola
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
4641 OLD CANOE CREEK ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1995-07-20
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.51125
Reported LPN Staffing Hours per Resident per Day
0.66083
Reported RN Staffing Hours per Resident per Day
0.75958
Reported Licensed Staffing Hours per Resident per Day
1.42042
Reported Total Nurse Staffing Hours per Resident per Day
3.93166
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13708
Expected CNA Staffing Hours per Resident per Day
2.48309
Expected LPN Staffing Hours per Resident per Day
0.67667
Expected RN Staffing Hours per Resident per Day
1.13842
Expected Total Nurse Staffing Hours per Resident per Day
4.29818
Adjusted CNA Staffing Hours per Resident per Day
2.48152
Adjusted LPN Staffing Hours per Resident per Day
0.81057
Adjusted RN Staffing Hours per Resident per Day
0.49855
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68717
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
12
Cycle 1 Standard Survey Health Date
2014-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
12
Cycle 2 Standard Health Survey Date
2013-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-01-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
19.33300
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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