W Frank Wells Nursing Home - Macclenny Nursing Home

General Information

UPDATE
Federal Provider Number
105210
Provider Name
W FRANK WELLS NURSING HOME
Provider Address
210 N 2ND ST
MACCLENNY, FL 32063
Provider Phone Number
(904) 259-6168
Provider SSA County
10
Provider County Name
Baker
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1969-06-20
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
3.02778
Reported LPN Staffing Hours per Resident per Day
1.10556
Reported RN Staffing Hours per Resident per Day
0.57778
Reported Licensed Staffing Hours per Resident per Day
1.68333
Reported Total Nurse Staffing Hours per Resident per Day
4.71112
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02685
Expected CNA Staffing Hours per Resident per Day
2.29438
Expected LPN Staffing Hours per Resident per Day
0.63283
Expected RN Staffing Hours per Resident per Day
0.95657
Expected Total Nurse Staffing Hours per Resident per Day
3.88378
Adjusted CNA Staffing Hours per Resident per Day
3.23802
Adjusted LPN Staffing Hours per Resident per Day
1.45001
Adjusted RN Staffing Hours per Resident per Day
0.45132
Adjusted Total Nurse Staffing Hours per Resident per Day
4.88958
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
16
Cycle 2 Standard Health Survey Date
2013-11-21
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
14.00000
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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