River Garden Hebrew Home For The Aged - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105016
Provider Name
RIVER GARDEN HEBREW HOME FOR THE AGED
Provider Address
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
JACKSONVILLE, FL 32258
Provider Phone Number
9042601818
Provider SSA County
150
Provider County Name
Duval
Ownership Type
Non profit - Corporation
Number of Certified Beds
162
Number of Residents in Certified Beds
170
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVER GARDEN HEBREW HOME FOR THE AGED
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Health Inspection Rating Footnote
QM Rating
4
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
3.19000
Reported LPN Staffing Hours per Resident per Day
0.71647
Reported RN Staffing Hours per Resident per Day
0.73941
Reported Licensed Staffing Hours per Resident per Day
1.45588
Reported Total Nurse Staffing Hours per Resident per Day
4.64588
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14441
Expected CNA Staffing Hours per Resident per Day
2.30399
Expected LPN Staffing Hours per Resident per Day
0.58461
Expected RN Staffing Hours per Resident per Day
0.94849
Expected Total Nurse Staffing Hours per Resident per Day
3.83709
Adjusted CNA Staffing Hours per Resident per Day
3.39729
Adjusted LPN Staffing Hours per Resident per Day
1.01720
Adjusted RN Staffing Hours per Resident per Day
0.58249
Adjusted Total Nurse Staffing Hours per Resident per Day
4.88054
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-04-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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