Plantation Key Nursing Center - Tavernier Nursing Home
General Information
UPDATEFederal Provider Number
106092
Provider Name
PLANTATION KEY NURSING CENTER
Provider Address
48 HIGH POINT ROAD
TAVERNIER, FL 33070
TAVERNIER, FL 33070
Provider Phone Number
3058530799
Provider SSA County
430
Provider County Name
Monroe
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLANTATION KEY OPERATING COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
2011-12-19
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.44902
Reported LPN Staffing Hours per Resident per Day
0.77059
Reported RN Staffing Hours per Resident per Day
0.45588
Reported Licensed Staffing Hours per Resident per Day
1.22647
Reported Total Nurse Staffing Hours per Resident per Day
3.67549
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09706
Expected CNA Staffing Hours per Resident per Day
2.27085
Expected LPN Staffing Hours per Resident per Day
0.54382
Expected RN Staffing Hours per Resident per Day
0.91163
Expected Total Nurse Staffing Hours per Resident per Day
3.72630
Adjusted CNA Staffing Hours per Resident per Day
2.64622
Adjusted LPN Staffing Hours per Resident per Day
1.17610
Adjusted RN Staffing Hours per Resident per Day
0.37365
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97593
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
36
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
38
Cycle 3 Number of Standard Health Deficiencies
37
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
384
Cycle 3 Standard Health Survey Date
2012-09-15
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
192
Cycle 3 Total Health Score
576
Total Weighted Health Survey Score
146.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
29705
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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