West Melbourne Health & Rehabilitation Center - West Melbourne Nursing Home
General Information
UPDATEFederal Provider Number
105376
Provider Name
WEST MELBOURNE HEALTH & REHABILITATION CENTER
Provider Address
2125 WEST NEW HAVEN AVE
WEST MELBOURNE, FL 32904
WEST MELBOURNE, FL 32904
Provider Phone Number
(321) 725-7360
Provider SSA County
40
Provider County Name
Brevard
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
149
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHPORT HEALTH SERVICES OF FLORIDA, LLC
Date First Approved to Provide Medicare and Medicaid services
1980-09-03
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.66007
Reported LPN Staffing Hours per Resident per Day
0.95336
Reported RN Staffing Hours per Resident per Day
0.43658
Reported Licensed Staffing Hours per Resident per Day
1.38993
Reported Total Nurse Staffing Hours per Resident per Day
4.05001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08624
Expected CNA Staffing Hours per Resident per Day
2.37487
Expected LPN Staffing Hours per Resident per Day
0.63992
Expected RN Staffing Hours per Resident per Day
1.04608
Expected Total Nurse Staffing Hours per Resident per Day
4.06087
Adjusted CNA Staffing Hours per Resident per Day
2.74837
Adjusted LPN Staffing Hours per Resident per Day
1.23654
Adjusted RN Staffing Hours per Resident per Day
0.31184
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02012
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
20
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
291
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
291
Cycle 3 Total Number of Health Deficiencies
30
Cycle 3 Number of Standard Health Deficiencies
27
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
164
Cycle 3 Standard Health Survey Date
2012-05-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
164
Total Weighted Health Survey Score
134.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
Number of Fines
1
Total Amount of Fines in Dollars
238875
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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