West Bay Of Tampa - Oldsmar Nursing Home
General Information
UPDATEFederal Provider Number
105419
Provider Name
WEST BAY OF TAMPA
Provider Address
3865 TAMPA RD
OLDSMAR, FL 34677
OLDSMAR, FL 34677
Provider Phone Number
(813) 855-4661
Provider SSA County
510
Provider County Name
Pinellas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
3865 TAMPA ROAD LLC
Date First Approved to Provide Medicare and Medicaid services
1982-09-17
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
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
2.72212
Reported LPN Staffing Hours per Resident per Day
0.79956
Reported RN Staffing Hours per Resident per Day
0.61283
Reported Licensed Staffing Hours per Resident per Day
1.41239
Reported Total Nurse Staffing Hours per Resident per Day
4.13451
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14779
Expected CNA Staffing Hours per Resident per Day
2.56468
Expected LPN Staffing Hours per Resident per Day
0.68917
Expected RN Staffing Hours per Resident per Day
1.09335
Expected Total Nurse Staffing Hours per Resident per Day
4.34720
Adjusted CNA Staffing Hours per Resident per Day
2.60433
Adjusted LPN Staffing Hours per Resident per Day
0.96294
Adjusted RN Staffing Hours per Resident per Day
0.41881
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83368
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-02-19
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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