Rehabilitation And Healthcare Center Of Tampa - Tampa Nursing Home
General Information
UPDATEFederal Provider Number
105234
Provider Name
REHABILITATION AND HEALTHCARE CENTER OF TAMPA
Provider Address
4411 N HABANA AVE
TAMPA, FL 33614
TAMPA, FL 33614
Provider Phone Number
(813) 872-2771
Provider SSA County
280
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
174
Number of Residents in Certified Beds
150
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FI-TAMPA, LLC
Date First Approved to Provide Medicare and Medicaid services
1970-06-23
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.48700
Reported LPN Staffing Hours per Resident per Day
0.78400
Reported RN Staffing Hours per Resident per Day
0.90500
Reported Licensed Staffing Hours per Resident per Day
1.68900
Reported Total Nurse Staffing Hours per Resident per Day
4.17600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10133
Expected CNA Staffing Hours per Resident per Day
2.66849
Expected LPN Staffing Hours per Resident per Day
0.79316
Expected RN Staffing Hours per Resident per Day
1.34166
Expected Total Nurse Staffing Hours per Resident per Day
4.80331
Adjusted CNA Staffing Hours per Resident per Day
2.28682
Adjusted LPN Staffing Hours per Resident per Day
0.82042
Adjusted RN Staffing Hours per Resident per Day
0.50401
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50447
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-02-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
9555
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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