Willowbrooke Court At Azalea Trace - Pensacola Nursing Home
General Information
UPDATEFederal Provider Number
105444
Provider Name
WILLOWBROOKE COURT AT AZALEA TRACE
Provider Address
10100 HILLVIEW DR
PENSACOLA, FL 32514
PENSACOLA, FL 32514
Provider Phone Number
(850) 478-5200
Provider SSA County
160
Provider County Name
Escambia
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ACTS RETIREMENT-LIFE COMMUNITIES INC
Date First Approved to Provide Medicare and Medicaid services
1983-08-20
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
3.38492
Reported LPN Staffing Hours per Resident per Day
0.84841
Reported RN Staffing Hours per Resident per Day
0.65079
Reported Licensed Staffing Hours per Resident per Day
1.49921
Reported Total Nurse Staffing Hours per Resident per Day
4.88412
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08968
Expected CNA Staffing Hours per Resident per Day
2.51452
Expected LPN Staffing Hours per Resident per Day
0.59629
Expected RN Staffing Hours per Resident per Day
0.92577
Expected Total Nurse Staffing Hours per Resident per Day
4.03659
Adjusted CNA Staffing Hours per Resident per Day
3.30304
Adjusted LPN Staffing Hours per Resident per Day
1.18093
Adjusted RN Staffing Hours per Resident per Day
0.52526
Adjusted Total Nurse Staffing Hours per Resident per Day
4.87724
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
20
Cycle 1 Standard Survey Health Date
2014-05-30
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
23.33300
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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