Savannah Cove - Maitland Nursing Home
General Information
UPDATEFederal Provider Number
105886
Provider Name
SAVANNAH COVE
Provider Address
1301 W MAITLAND BLVD
MAITLAND, FL 32751
MAITLAND, FL 32751
Provider Phone Number
(407) 645-3990
Provider SSA County
470
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR LIVING PROPERTIES VI, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-06-16
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
3
Health Inspection Rating Footnote
QM Rating
4
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
2.53194
Reported LPN Staffing Hours per Resident per Day
0.92361
Reported RN Staffing Hours per Resident per Day
0.71667
Reported Licensed Staffing Hours per Resident per Day
1.64028
Reported Total Nurse Staffing Hours per Resident per Day
4.17222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12500
Expected CNA Staffing Hours per Resident per Day
2.28759
Expected LPN Staffing Hours per Resident per Day
0.61747
Expected RN Staffing Hours per Resident per Day
1.28179
Expected Total Nurse Staffing Hours per Resident per Day
4.18685
Adjusted CNA Staffing Hours per Resident per Day
2.71579
Adjusted LPN Staffing Hours per Resident per Day
1.24152
Adjusted RN Staffing Hours per Resident per Day
0.41777
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01682
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-11
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-11-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
271930
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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