Signature Healthcare Of Pinellas Park - Pinellas Park Nursing Home
General Information
UPDATEFederal Provider Number
105422
Provider Name
SIGNATURE HEALTHCARE OF PINELLAS PARK
Provider Address
8701 49TH ST N
PINELLAS PARK, FL 33782
PINELLAS PARK, FL 33782
Provider Phone Number
(727) 546-4661
Provider SSA County
510
Provider County Name
Pinellas
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP PINELLAS PARK LLC
Date First Approved to Provide Medicare and Medicaid services
1982-09-22
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.81009
Reported LPN Staffing Hours per Resident per Day
0.94541
Reported RN Staffing Hours per Resident per Day
0.36743
Reported Licensed Staffing Hours per Resident per Day
1.31284
Reported Total Nurse Staffing Hours per Resident per Day
4.12293
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06284
Expected CNA Staffing Hours per Resident per Day
2.52246
Expected LPN Staffing Hours per Resident per Day
0.66317
Expected RN Staffing Hours per Resident per Day
1.06759
Expected Total Nurse Staffing Hours per Resident per Day
4.25323
Adjusted CNA Staffing Hours per Resident per Day
2.73348
Adjusted LPN Staffing Hours per Resident per Day
1.18323
Adjusted RN Staffing Hours per Resident per Day
0.25716
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90741
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-15
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
10
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-03-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
22830
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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