Westminster Woods On Julington Creek - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105901
Provider Name
WESTMINSTER WOODS ON JULINGTON CREEK
Provider Address
25 STATE ROAD 13
JACKSONVILLE, FL 32259
JACKSONVILLE, FL 32259
Provider Phone Number
9042877300
Provider SSA County
540
Provider County Name
St. Johns
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESLEY MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-03-05
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49245
Reported LPN Staffing Hours per Resident per Day
0.51226
Reported RN Staffing Hours per Resident per Day
1.01415
Reported Licensed Staffing Hours per Resident per Day
1.52642
Reported Total Nurse Staffing Hours per Resident per Day
4.01886
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17642
Expected CNA Staffing Hours per Resident per Day
2.55567
Expected LPN Staffing Hours per Resident per Day
0.59182
Expected RN Staffing Hours per Resident per Day
0.96906
Expected Total Nurse Staffing Hours per Resident per Day
4.11655
Adjusted CNA Staffing Hours per Resident per Day
2.39301
Adjusted LPN Staffing Hours per Resident per Day
0.71843
Adjusted RN Staffing Hours per Resident per Day
0.78196
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93525
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
24
Cycle 2 Total Health Score
24
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
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
11830
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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