Vicar's Landing Nursing Home - Ponte Vedra Beach Nursing Home
General Information
UPDATEFederal Provider Number
105630
Provider Name
VICAR'S LANDING NURSING HOME
Provider Address
1003 YORK ROAD
PONTE VEDRA BEACH, FL 32082
PONTE VEDRA BEACH, FL 32082
Provider Phone Number
9042851055
Provider SSA County
540
Provider County Name
St. Johns
Ownership Type
Non profit - Corporation
Number of Certified Beds
15
Number of Residents in Certified Beds
47
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE PONTE VEDRA INC
Date First Approved to Provide Medicare and Medicaid services
1989-12-06
Continuing Care Retirement Community
Y
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.31809
Reported LPN Staffing Hours per Resident per Day
1.00638
Reported RN Staffing Hours per Resident per Day
0.33404
Reported Licensed Staffing Hours per Resident per Day
1.34043
Reported Total Nurse Staffing Hours per Resident per Day
4.65851
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12128
Expected CNA Staffing Hours per Resident per Day
2.08189
Expected LPN Staffing Hours per Resident per Day
0.74217
Expected RN Staffing Hours per Resident per Day
1.20507
Expected Total Nurse Staffing Hours per Resident per Day
4.02912
Adjusted CNA Staffing Hours per Resident per Day
3.91068
Adjusted LPN Staffing Hours per Resident per Day
1.12548
Adjusted RN Staffing Hours per Resident per Day
0.20712
Adjusted Total Nurse Staffing Hours per Resident per Day
4.66056
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-10
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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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