Santa Rosa Health & Rehabilitation Center - Milton Nursing Home
General Information
UPDATEFederal Provider Number
105328
Provider Name
SANTA ROSA HEALTH & REHABILITATION CENTER
Provider Address
5386 BROAD ST
MILTON, FL 32570
MILTON, FL 32570
Provider Phone Number
(850) 623-4661
Provider SSA County
560
Provider County Name
Santa Rosa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SANTA ROSA INVESTORS INC
Date First Approved to Provide Medicare and Medicaid services
1978-05-01
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.54069
Reported LPN Staffing Hours per Resident per Day
1.01520
Reported RN Staffing Hours per Resident per Day
0.55735
Reported Licensed Staffing Hours per Resident per Day
1.57255
Reported Total Nurse Staffing Hours per Resident per Day
4.11324
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05588
Expected CNA Staffing Hours per Resident per Day
2.41380
Expected LPN Staffing Hours per Resident per Day
0.60701
Expected RN Staffing Hours per Resident per Day
0.91769
Expected Total Nurse Staffing Hours per Resident per Day
3.93850
Adjusted CNA Staffing Hours per Resident per Day
2.58269
Adjusted LPN Staffing Hours per Resident per Day
1.38814
Adjusted RN Staffing Hours per Resident per Day
0.45380
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20974
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-08-02
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
16.00000
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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