Quality Health Of Fernandina Beach - Fernandina Beach Nursing Home
General Information
UPDATEFederal Provider Number
105470
Provider Name
QUALITY HEALTH OF FERNANDINA BEACH
Provider Address
1625 LIME STREET
FERNANDINA BEACH, FL 32034
FERNANDINA BEACH, FL 32034
Provider Phone Number
(904) 261-0771
Provider SSA County
440
Provider County Name
Nassau
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
M-K OF FERNANDINA BEACH
Date First Approved to Provide Medicare and Medicaid services
1984-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.71422
Reported LPN Staffing Hours per Resident per Day
0.67385
Reported RN Staffing Hours per Resident per Day
0.90917
Reported Licensed Staffing Hours per Resident per Day
1.58303
Reported Total Nurse Staffing Hours per Resident per Day
4.29724
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04771
Expected CNA Staffing Hours per Resident per Day
2.60969
Expected LPN Staffing Hours per Resident per Day
0.66861
Expected RN Staffing Hours per Resident per Day
1.04939
Expected Total Nurse Staffing Hours per Resident per Day
4.32769
Adjusted CNA Staffing Hours per Resident per Day
2.55198
Adjusted LPN Staffing Hours per Resident per Day
0.83651
Adjusted RN Staffing Hours per Resident per Day
0.64736
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00254
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
42.00000
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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