Wave Crest Health And Rehabilitation Center - Melbourne Nursing Home
General Information
UPDATEFederal Provider Number
105207
Provider Name
WAVE CREST HEALTH AND REHABILITATION CENTER
Provider Address
1415 S HICKORY ST
MELBOURNE, FL 32901
MELBOURNE, FL 32901
Provider Phone Number
(321) 723-1321
Provider SSA County
40
Provider County Name
Brevard
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SF CARNEGIE LLC
Date First Approved to Provide Medicare and Medicaid services
1969-05-26
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.98889
Reported LPN Staffing Hours per Resident per Day
1.06343
Reported RN Staffing Hours per Resident per Day
0.97824
Reported Licensed Staffing Hours per Resident per Day
2.04167
Reported Total Nurse Staffing Hours per Resident per Day
5.03056
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05278
Expected CNA Staffing Hours per Resident per Day
2.61278
Expected LPN Staffing Hours per Resident per Day
0.71930
Expected RN Staffing Hours per Resident per Day
1.13291
Expected Total Nurse Staffing Hours per Resident per Day
4.46498
Adjusted CNA Staffing Hours per Resident per Day
2.80691
Adjusted LPN Staffing Hours per Resident per Day
1.22710
Adjusted RN Staffing Hours per Resident per Day
0.64519
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54149
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
24
Cycle 2 Standard Health Survey Date
2014-03-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
223
Cycle 3 Standard Health Survey Date
2013-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
223
Total Weighted Health Survey Score
51.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
260000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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