Surrey Place Healthcare And Rehabilitation - Bradenton Nursing Home
General Information
UPDATEFederal Provider Number
105629
Provider Name
SURREY PLACE HEALTHCARE AND REHABILITATION
Provider Address
5525 21ST AVE W
BRADENTON, FL 34209
BRADENTON, FL 34209
Provider Phone Number
(941) 795-0448
Provider SSA County
400
Provider County Name
Manatee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SURREY PLACE OF BRADENTON LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-08
Continuing Care Retirement Community
N
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.73947
Reported LPN Staffing Hours per Resident per Day
1.41228
Reported RN Staffing Hours per Resident per Day
0.70702
Reported Licensed Staffing Hours per Resident per Day
2.11930
Reported Total Nurse Staffing Hours per Resident per Day
4.85877
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18947
Expected CNA Staffing Hours per Resident per Day
2.49056
Expected LPN Staffing Hours per Resident per Day
0.64509
Expected RN Staffing Hours per Resident per Day
1.17126
Expected Total Nurse Staffing Hours per Resident per Day
4.30690
Adjusted CNA Staffing Hours per Resident per Day
2.69893
Adjusted LPN Staffing Hours per Resident per Day
1.81710
Adjusted RN Staffing Hours per Resident per Day
0.45104
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54740
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2013-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
5.33300
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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