Sandy Ridge Health And Rehabilitation - Milton Nursing Home
General Information
UPDATEFederal Provider Number
105552
Provider Name
SANDY RIDGE HEALTH AND REHABILITATION
Provider Address
5360 GLOVER LANE
MILTON, FL 32570
MILTON, FL 32570
Provider Phone Number
(850) 626-9225
Provider SSA County
560
Provider County Name
Santa Rosa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SANDY RIDGE INVESTORS INC
Date First Approved to Provide Medicare and Medicaid services
1987-04-24
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.78241
Reported LPN Staffing Hours per Resident per Day
0.82685
Reported RN Staffing Hours per Resident per Day
0.79352
Reported Licensed Staffing Hours per Resident per Day
1.62037
Reported Total Nurse Staffing Hours per Resident per Day
4.40278
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08889
Expected CNA Staffing Hours per Resident per Day
2.28526
Expected LPN Staffing Hours per Resident per Day
0.56146
Expected RN Staffing Hours per Resident per Day
0.84630
Expected Total Nurse Staffing Hours per Resident per Day
3.69301
Adjusted CNA Staffing Hours per Resident per Day
2.98750
Adjusted LPN Staffing Hours per Resident per Day
1.22232
Adjusted RN Staffing Hours per Resident per Day
0.70060
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80561
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
2015-01-15
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
20
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
11115
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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