South Tampa Health And Rehabilitation Center - Tampa Nursing Home
General Information
UPDATEFederal Provider Number
105491
Provider Name
SOUTH TAMPA HEALTH AND REHABILITATION CENTER
Provider Address
4610 S MANHATTAN AVE
TAMPA, FL 33611
TAMPA, FL 33611
Provider Phone Number
(813) 839-5311
Provider SSA County
280
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
137
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SALEM VILLAGES INCORPORATED HOLLY POINT PROPERTIES INC
Date First Approved to Provide Medicare and Medicaid services
1984-12-01
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
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
2.76241
Reported LPN Staffing Hours per Resident per Day
0.96934
Reported RN Staffing Hours per Resident per Day
0.69270
Reported Licensed Staffing Hours per Resident per Day
1.66204
Reported Total Nurse Staffing Hours per Resident per Day
4.42445
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05839
Expected CNA Staffing Hours per Resident per Day
2.33725
Expected LPN Staffing Hours per Resident per Day
0.67415
Expected RN Staffing Hours per Resident per Day
1.10303
Expected Total Nurse Staffing Hours per Resident per Day
4.11442
Adjusted CNA Staffing Hours per Resident per Day
2.90005
Adjusted LPN Staffing Hours per Resident per Day
1.19344
Adjusted RN Staffing Hours per Resident per Day
0.46924
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33464
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
3000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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