Surrey Place Care Center - Live Oak Nursing Home
General Information
UPDATEFederal Provider Number
105597
Provider Name
SURREY PLACE CARE CENTER
Provider Address
110 SE LEE AVE
LIVE OAK, FL 32064
LIVE OAK, FL 32064
Provider Phone Number
3863645961
Provider SSA County
600
Provider County Name
Suwannee
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP LIVE OAK LLC
Date First Approved to Provide Medicare and Medicaid services
1988-01-21
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
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.64643
Reported LPN Staffing Hours per Resident per Day
0.58304
Reported RN Staffing Hours per Resident per Day
0.94554
Reported Licensed Staffing Hours per Resident per Day
1.52857
Reported Total Nurse Staffing Hours per Resident per Day
4.17501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10089
Expected CNA Staffing Hours per Resident per Day
2.42638
Expected LPN Staffing Hours per Resident per Day
0.64148
Expected RN Staffing Hours per Resident per Day
1.06631
Expected Total Nurse Staffing Hours per Resident per Day
4.13417
Adjusted CNA Staffing Hours per Resident per Day
2.67623
Adjusted LPN Staffing Hours per Resident per Day
0.75438
Adjusted RN Staffing Hours per Resident per Day
0.66257
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07072
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
76
Cycle 2 Standard Health Survey Date
2013-04-03
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
24
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
7053
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Suwannee Health And Rehabilitation Center
1620 Helvenston St Se |
LIVE OAK FL 32064 | 0.5 mile away
Good Samaritan Center
10676 Marvin Jones Blvd |
LIVE OAK FL 32060 | 16 miles away
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