Plymouth Harbor Incorporated - Sarasota Nursing Home
General Information
UPDATEFederal Provider Number
105817
Provider Name
PLYMOUTH HARBOR INCORPORATED
Provider Address
700 JOHN RINGLING BLVD
SARASOTA, FL 34236
SARASOTA, FL 34236
Provider Phone Number
(941) 365-2600
Provider SSA County
570
Provider County Name
Sarasota
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
40
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
PLYMOUTH HARBOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-06-22
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
3.90000
Reported LPN Staffing Hours per Resident per Day
1.75750
Reported RN Staffing Hours per Resident per Day
1.08500
Reported Licensed Staffing Hours per Resident per Day
2.84250
Reported Total Nurse Staffing Hours per Resident per Day
6.74250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12875
Expected CNA Staffing Hours per Resident per Day
2.37788
Expected LPN Staffing Hours per Resident per Day
0.61885
Expected RN Staffing Hours per Resident per Day
0.91908
Expected Total Nurse Staffing Hours per Resident per Day
3.91582
Adjusted CNA Staffing Hours per Resident per Day
4.02435
Adjusted LPN Staffing Hours per Resident per Day
2.35714
Adjusted RN Staffing Hours per Resident per Day
0.88209
Adjusted Total Nurse Staffing Hours per Resident per Day
6.94065
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
8
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-14
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
10.00000
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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