Vista Manor - Titusville Nursing Home
General Information
UPDATEFederal Provider Number
105530
Provider Name
VISTA MANOR
Provider Address
1550 JESS PARRISH CT
TITUSVILLE, FL 32796
TITUSVILLE, FL 32796
Provider Phone Number
(321) 269-2200
Provider SSA County
40
Provider County Name
Brevard
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1550 JESS PARRISH COURT OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1985-09-16
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.60474
Reported LPN Staffing Hours per Resident per Day
0.92284
Reported RN Staffing Hours per Resident per Day
0.62026
Reported Licensed Staffing Hours per Resident per Day
1.54310
Reported Total Nurse Staffing Hours per Resident per Day
4.14784
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08319
Expected CNA Staffing Hours per Resident per Day
2.31225
Expected LPN Staffing Hours per Resident per Day
0.60942
Expected RN Staffing Hours per Resident per Day
1.09048
Expected Total Nurse Staffing Hours per Resident per Day
4.01215
Adjusted CNA Staffing Hours per Resident per Day
2.76409
Adjusted LPN Staffing Hours per Resident per Day
1.25685
Adjusted RN Staffing Hours per Resident per Day
0.42501
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16723
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
4
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
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
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
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
8.00000
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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