Terrace Of Jacksonville, The - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105423
Provider Name
TERRACE OF JACKSONVILLE, THE
Provider Address
10680 OLD ST AUGUSTINE RD
JACKSONVILLE, FL 32257
JACKSONVILLE, FL 32257
Provider Phone Number
9042684953
Provider SSA County
150
Provider County Name
Duval
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
175
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TERRACE OF JACKSONVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1982-12-07
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.00543
Reported LPN Staffing Hours per Resident per Day
0.71914
Reported RN Staffing Hours per Resident per Day
0.99600
Reported Licensed Staffing Hours per Resident per Day
1.71514
Reported Total Nurse Staffing Hours per Resident per Day
4.72057
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05600
Expected CNA Staffing Hours per Resident per Day
2.62696
Expected LPN Staffing Hours per Resident per Day
0.68285
Expected RN Staffing Hours per Resident per Day
1.04057
Expected Total Nurse Staffing Hours per Resident per Day
4.35038
Adjusted CNA Staffing Hours per Resident per Day
2.80721
Adjusted LPN Staffing Hours per Resident per Day
0.87411
Adjusted RN Staffing Hours per Resident per Day
0.71519
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37390
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
8
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-16
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
16
Cycle 3 Standard Health Survey Date
2012-02-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
13.33300
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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