Seminole Pavilion Rehabilitation & Nursing Service - Seminole Nursing Home

General Information

UPDATE
Federal Provider Number
105412
Provider Name
SEMINOLE PAVILION REHABILITATION & NURSING SERVICE
Provider Address
10800 TEMPLE TERRACE
SEMINOLE, FL 33772
Provider Phone Number
7273980123
Provider SSA County
510
Provider County Name
Pinellas
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CCRC OPCO FREEDOM SQUARE LLC
Date First Approved to Provide Medicare and Medicaid services
1982-07-16
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
3.37991
Reported LPN Staffing Hours per Resident per Day
1.24509
Reported RN Staffing Hours per Resident per Day
0.71696
Reported Licensed Staffing Hours per Resident per Day
1.96205
Reported Total Nurse Staffing Hours per Resident per Day
5.34196
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25491
Expected CNA Staffing Hours per Resident per Day
2.32135
Expected LPN Staffing Hours per Resident per Day
0.61884
Expected RN Staffing Hours per Resident per Day
1.10328
Expected Total Nurse Staffing Hours per Resident per Day
4.04346
Adjusted CNA Staffing Hours per Resident per Day
3.57262
Adjusted LPN Staffing Hours per Resident per Day
1.66994
Adjusted RN Staffing Hours per Resident per Day
0.48557
Adjusted Total Nurse Staffing Hours per Resident per Day
5.32536
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
24
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-04-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
22.00000
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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