Susanna Wesley Health Center - Hialeah Nursing Home
General Information
UPDATEFederal Provider Number
105498
Provider Name
SUSANNA WESLEY HEALTH CENTER
Provider Address
5300 W 16TH AVENUE
HIALEAH, FL 33012
HIALEAH, FL 33012
Provider Phone Number
3055563500
Provider SSA County
120
Provider County Name
Miami-Dade
Ownership Type
Non profit - Church related
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDERSGATE HEALTHCARE INC
Date First Approved to Provide Medicare and Medicaid services
1985-04-02
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
4
Health Inspection Rating Footnote
QM Rating
5
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
3.26667
Reported LPN Staffing Hours per Resident per Day
1.05513
Reported RN Staffing Hours per Resident per Day
0.79103
Reported Licensed Staffing Hours per Resident per Day
1.84615
Reported Total Nurse Staffing Hours per Resident per Day
5.11283
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04274
Expected CNA Staffing Hours per Resident per Day
2.47475
Expected LPN Staffing Hours per Resident per Day
0.67857
Expected RN Staffing Hours per Resident per Day
1.25439
Expected Total Nurse Staffing Hours per Resident per Day
4.40770
Adjusted CNA Staffing Hours per Resident per Day
3.23889
Adjusted LPN Staffing Hours per Resident per Day
1.29060
Adjusted RN Staffing Hours per Resident per Day
0.47119
Adjusted Total Nurse Staffing Hours per Resident per Day
4.67575
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-18
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-22
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
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
14.66700
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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