Tiffany Hall Nursing And Rehab Center - Port Saint Lucie Nursing Home
General Information
UPDATEFederal Provider Number
105819
Provider Name
TIFFANY HALL NURSING AND REHAB CENTER
Provider Address
1800 SE HILLMOOR DRIVE
PORT SAINT LUCIE, FL 34952
PORT SAINT LUCIE, FL 34952
Provider Phone Number
(772) 337-3565
Provider SSA County
550
Provider County Name
St. Lucie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOVEREIGN HEALTHCARE OF PORT ST. LUCIE, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-07-06
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
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.90631
Reported LPN Staffing Hours per Resident per Day
1.11748
Reported RN Staffing Hours per Resident per Day
0.54563
Reported Licensed Staffing Hours per Resident per Day
1.66311
Reported Total Nurse Staffing Hours per Resident per Day
4.56942
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17816
Expected CNA Staffing Hours per Resident per Day
2.60936
Expected LPN Staffing Hours per Resident per Day
0.68947
Expected RN Staffing Hours per Resident per Day
1.18137
Expected Total Nurse Staffing Hours per Resident per Day
4.48019
Adjusted CNA Staffing Hours per Resident per Day
2.73294
Adjusted LPN Staffing Hours per Resident per Day
1.34526
Adjusted RN Staffing Hours per Resident per Day
0.34510
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11118
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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