Sea Breeze Health Care - Panama City Nursing Home
General Information
UPDATEFederal Provider Number
105391
Provider Name
SEA BREEZE HEALTH CARE
Provider Address
1937 JENKS AVE
PANAMA CITY, FL 32401
PANAMA CITY, FL 32401
Provider Phone Number
(850) 769-7686
Provider SSA County
20
Provider County Name
Bay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1937 JENKS AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1981-08-01
Continuing Care Retirement Community
Y
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
2
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
2.55348
Reported LPN Staffing Hours per Resident per Day
0.88391
Reported RN Staffing Hours per Resident per Day
0.41696
Reported Licensed Staffing Hours per Resident per Day
1.30087
Reported Total Nurse Staffing Hours per Resident per Day
3.85435
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08609
Expected CNA Staffing Hours per Resident per Day
2.14321
Expected LPN Staffing Hours per Resident per Day
0.61389
Expected RN Staffing Hours per Resident per Day
1.01679
Expected Total Nurse Staffing Hours per Resident per Day
3.77390
Adjusted CNA Staffing Hours per Resident per Day
2.92341
Adjusted LPN Staffing Hours per Resident per Day
1.19507
Adjusted RN Staffing Hours per Resident per Day
0.30641
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11683
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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