Villa Health & Rehabilitation Center - Deland Nursing Home
General Information
UPDATEFederal Provider Number
105930
Provider Name
VILLA HEALTH & REHABILITATION CENTER
Provider Address
120 CHIPOLA AVE
DELAND, FL 32720
DELAND, FL 32720
Provider Phone Number
(386) 738-3433
Provider SSA County
630
Provider County Name
Volusia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA HEALTH NH LLC
Date First Approved to Provide Medicare and Medicaid services
1996-09-27
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.74732
Reported LPN Staffing Hours per Resident per Day
0.95670
Reported RN Staffing Hours per Resident per Day
0.39018
Reported Licensed Staffing Hours per Resident per Day
1.34688
Reported Total Nurse Staffing Hours per Resident per Day
4.09420
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07634
Expected CNA Staffing Hours per Resident per Day
2.54570
Expected LPN Staffing Hours per Resident per Day
0.66896
Expected RN Staffing Hours per Resident per Day
1.09638
Expected Total Nurse Staffing Hours per Resident per Day
4.31104
Adjusted CNA Staffing Hours per Resident per Day
2.64804
Adjusted LPN Staffing Hours per Resident per Day
1.18701
Adjusted RN Staffing Hours per Resident per Day
0.26591
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82815
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
60
Cycle 1 Total Health Score
180
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
12
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
103.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
6
Total Amount of Fines in Dollars
8010
Number of Payment Denials
0
Total Number of Penalties
6
Location
Processing Date
2015-06-01
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