Winter Haven Health And Rehabilitation Center - Winter Haven Nursing Home
General Information
UPDATEFederal Provider Number
105176
Provider Name
WINTER HAVEN HEALTH AND REHABILITATION CENTER
Provider Address
202 AVE O NE
WINTER HAVEN, FL 33880
WINTER HAVEN, FL 33880
Provider Phone Number
(863) 293-3103
Provider SSA County
520
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
132
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR HEALTH-WINTER HAVEN, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.54015
Reported LPN Staffing Hours per Resident per Day
0.88068
Reported RN Staffing Hours per Resident per Day
0.43977
Reported Licensed Staffing Hours per Resident per Day
1.32045
Reported Total Nurse Staffing Hours per Resident per Day
3.86060
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09735
Expected CNA Staffing Hours per Resident per Day
2.43599
Expected LPN Staffing Hours per Resident per Day
0.63820
Expected RN Staffing Hours per Resident per Day
1.03969
Expected Total Nurse Staffing Hours per Resident per Day
4.11388
Adjusted CNA Staffing Hours per Resident per Day
2.55862
Adjusted LPN Staffing Hours per Resident per Day
1.14535
Adjusted RN Staffing Hours per Resident per Day
0.31605
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78273
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
16
Number of Fines
2
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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