Pruitthealth - Santa Rosa - Milton Nursing Home
General Information
UPDATEFederal Provider Number
106048
Provider Name
PRUITTHEALTH - SANTA ROSA
Provider Address
5530 NORTHROP ROAD
MILTON, FL 32570
MILTON, FL 32570
Provider Phone Number
(850) 983-8888
Provider SSA County
560
Provider County Name
Santa Rosa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRUITTHEALTH SANTA ROSA LLC
Date First Approved to Provide Medicare and Medicaid services
2003-02-13
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.65000
Reported LPN Staffing Hours per Resident per Day
0.90603
Reported RN Staffing Hours per Resident per Day
0.55603
Reported Licensed Staffing Hours per Resident per Day
1.46207
Reported Total Nurse Staffing Hours per Resident per Day
4.11206
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09353
Expected CNA Staffing Hours per Resident per Day
2.66547
Expected LPN Staffing Hours per Resident per Day
0.61461
Expected RN Staffing Hours per Resident per Day
0.93354
Expected Total Nurse Staffing Hours per Resident per Day
4.21362
Adjusted CNA Staffing Hours per Resident per Day
2.43946
Adjusted LPN Staffing Hours per Resident per Day
1.22354
Adjusted RN Staffing Hours per Resident per Day
0.44504
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93375
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
2014-08-22
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
28
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
2012-03-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
13.33300
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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