Sebastian River Medical Center - Sebastian Nursing Home
General Information
UPDATEFederal Provider Number
106101
Provider Name
SEBASTIAN RIVER MEDICAL CENTER
Provider Address
13695 US 1
SEBASTIAN, FL 32958
SEBASTIAN, FL 32958
Provider Phone Number
(561) 589-3186
Provider SSA County
300
Provider County Name
Indian River
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
33
Number of Residents in Certified Beds
12
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
SEBASTIAN HOSPITAL, LLC
Date First Approved to Provide Medicare and Medicaid services
2013-09-09
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.75000
Reported LPN Staffing Hours per Resident per Day
0.50417
Reported RN Staffing Hours per Resident per Day
4.34583
Reported Licensed Staffing Hours per Resident per Day
4.85000
Reported Total Nurse Staffing Hours per Resident per Day
7.60000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.86250
Expected CNA Staffing Hours per Resident per Day
2.24755
Expected LPN Staffing Hours per Resident per Day
0.73073
Expected RN Staffing Hours per Resident per Day
1.61088
Expected Total Nurse Staffing Hours per Resident per Day
4.58916
Adjusted CNA Staffing Hours per Resident per Day
3.00224
Adjusted LPN Staffing Hours per Resident per Day
0.57266
Adjusted RN Staffing Hours per Resident per Day
2.01580
Adjusted Total Nurse Staffing Hours per Resident per Day
6.67548
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-11-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-08-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
56.80000
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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