Plaza West - Sun City Center Nursing Home

General Information

UPDATE

Federal Provider Number

105866

Provider Name

PLAZA WEST

Provider Address

912 AMERICAN EAGLE BLVD
SUN CITY CENTER, FL 33573

Provider Phone Number

(813) 633-3066

Provider SSA County

280

Provider County Name

Hillsborough

Provider Website

Provider Description

Ownership Type

For profit - Corporation

Number of Certified Beds

113

Number of Residents in Certified Beds

Provider Type

Medicare and Medicaid

Provider Resides in Hospital

Legal Business Name

CCRC OPCO-SUN CITY CENTER LLC

Date First Approved to Provide Medicare and Medicaid services

1994-06-10

Continuing Care Retirement Community

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Both

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

Overall Rating Footnote

Health Inspection Rating

Health Inspection Rating Footnote

QM Rating

QM Rating Footnote

Staffing Rating

Staffing Rating Footnote

RN Staffing Rating

RN Staffing Rating Footnote

Reported Staffing Footnote

Physical Therapist Staffing Footnote

Reported CNA Staffing Hours per Resident per Day

3.20920

Reported LPN Staffing Hours per Resident per Day

1.10115

Reported RN Staffing Hours per Resident per Day

1.38046

Reported Licensed Staffing Hours per Resident per Day

2.48161

Reported Total Nurse Staffing Hours per Resident per Day

5.69081

Reported Physical Therapist Staffing Hours per Resident Per Day

0.46609

Expected CNA Staffing Hours per Resident per Day

2.55593

Expected LPN Staffing Hours per Resident per Day

0.71270

Expected RN Staffing Hours per Resident per Day

1.33642

Expected Total Nurse Staffing Hours per Resident per Day

4.60505

Adjusted CNA Staffing Hours per Resident per Day

3.08084

Adjusted LPN Staffing Hours per Resident per Day

1.28238

Adjusted RN Staffing Hours per Resident per Day

0.77183

Adjusted Total Nurse Staffing Hours per Resident per Day

4.98129

Cycle 1 Total Number of Health Deficiencies

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2014-11-07

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

Cycle 2 Standard Health Survey Date

2013-09-06

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

Cycle 3 Standard Health Survey Date

2012-08-10

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

Total Weighted Health Survey Score

35.33300

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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