Shands Jacksonville Medical Center - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105961
Provider Name
SHANDS JACKSONVILLE MEDICAL CENTER
Provider Address
580 W 8TH STREET
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
Provider Phone Number
9042441812
Provider SSA County
150
Provider County Name
Duval
Ownership Type
Non profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SHANDS JACKSONVILLE MEDICAL CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1997-07-24
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
3.11078
Reported LPN Staffing Hours per Resident per Day
1.52353
Reported RN Staffing Hours per Resident per Day
2.58627
Reported Licensed Staffing Hours per Resident per Day
4.10980
Reported Total Nurse Staffing Hours per Resident per Day
7.22058
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.15750
Expected LPN Staffing Hours per Resident per Day
0.72475
Expected RN Staffing Hours per Resident per Day
1.68191
Expected Total Nurse Staffing Hours per Resident per Day
4.56417
Adjusted CNA Staffing Hours per Resident per Day
3.53785
Adjusted LPN Staffing Hours per Resident per Day
1.74477
Adjusted RN Staffing Hours per Resident per Day
1.14897
Adjusted Total Nurse Staffing Hours per Resident per Day
6.37694
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
3
Cycle 1 Health Revisit Score
34
Cycle 1 Total Health Score
82
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
44
Cycle 2 Standard Health Survey Date
2013-04-04
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
56.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
33000
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Cathedral Gerontology Center, Inc
333 E Ashley St |
JACKSONVILLE FL 32202 | 1.3 miles away
Summer Brook Health Care Center
5377 Moncrief Road |
JACKSONVILLE FL 32209 | 2.1 miles away
Park Ridge Nursing Center
730 College Street |
JACKSONVILLE FL 32204 | 2.2 miles away
St Catherine Laboure Manor, Inc
1750 Stockton St |
JACKSONVILLE FL 32204 | 3 miles away
Edgewood Nursing Center
1771 Edgewood Ave W |
JACKSONVILLE FL 32218 | 3.2 miles away
Fannie E Taylor Home For The Aged Inc
3937 Spring Park Road |
JACKSONVILLE FL 32207 | 4.8 miles away
Heartland Health Care Center Of South Jacksonville
3648 University Blvd S |
JACKSONVILLE FL 32216 | 5.4 miles away
First Coast Health & Rehabilitation Center
7723 Jasper Avenue |
JACKSONVILLE FL 32211 | 5.4 miles away
Palm Garden Of Jacksonville
5725 Spring Park Road |
JACKSONVILLE FL 32216 | 6.4 miles away
Riverwood Center
2802 Parental Home Road |
JACKSONVILLE FL 32216 | 6.5 miles away
Lakeside Nursing And Rehabilitation Center
11411 Armsdale Road |
JACKSONVILLE FL 32218 | 6.6 miles away
Taylor Care Center
6535 Chester Avenue |
JACKSONVILLE FL 32217 | 6.6 miles away
Signature Healthcare Of Jacksonville
2061 Hyde Park Rd |
JACKSONVILLE FL 32210 | 6.7 miles away
Harts Harbor Health Care Center
11565 Harts Road |
JACKSONVILLE FL 32218 | 6.9 miles away
Jacksonville Nursing And Rehab Center
4134 Dunn Avenue |
JACKSONVILLE FL 32218 | 7 miles away
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