Samantha Wilson Care Center - Saint Augustine Nursing Home
General Information
UPDATEFederal Provider Number
105816
Provider Name
SAMANTHA WILSON CARE CENTER
Provider Address
161A MARINE STREET
SAINT AUGUSTINE, FL 32084
SAINT AUGUSTINE, FL 32084
Provider Phone Number
9048293475
Provider SSA County
540
Provider County Name
St. Johns
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST JOHNS COUNTY WELFARE FEDERATION
Date First Approved to Provide Medicare and Medicaid services
1993-07-01
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.91356
Reported LPN Staffing Hours per Resident per Day
1.06695
Reported RN Staffing Hours per Resident per Day
0.47754
Reported Licensed Staffing Hours per Resident per Day
1.54449
Reported Total Nurse Staffing Hours per Resident per Day
4.45805
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10466
Expected CNA Staffing Hours per Resident per Day
2.40483
Expected LPN Staffing Hours per Resident per Day
0.59227
Expected RN Staffing Hours per Resident per Day
1.02295
Expected Total Nurse Staffing Hours per Resident per Day
4.02005
Adjusted CNA Staffing Hours per Resident per Day
2.97277
Adjusted LPN Staffing Hours per Resident per Day
1.49521
Adjusted RN Staffing Hours per Resident per Day
0.34881
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47008
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
28
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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
Nursiong Homes Nearby
St Augustine Health And Rehabilitation Center
51 Sunrise Blvd |
SAINT AUGUSTINE FL 32084 | 1.5 miles away
Ponce Therapy Care Center, The
1999 Old Moultrie Road |
SAINT AUGUSTINE FL 32086 | 1.7 miles away
Moultrie Creek Nursing And Rehab Center
200 Mariner Health Way |
SAINT AUGUSTINE FL 32086 | 5.1 miles away
Clyde E Lassen State Veterans Nursing Home
4650 State Rd 16 |
SAINT AUGUSTINE FL 32092 | 11 miles away
Lifecare St. Johns, Inc
230 Towerview Drive |
SAINT AUGUSTINE FL 32092 | 12.7 miles away
Vicar's Landing Nursing Home
1003 York Road |
PONTE VEDRA BEACH FL 32082 | 22.9 miles away
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