Woodbridge Rehabilitation And Health Center - Tampa Nursing Home
General Information
UPDATEFederal Provider Number
105426
Provider Name
WOODBRIDGE REHABILITATION AND HEALTH CENTER
Provider Address
8720 JACKSON SPRINGS RD
TAMPA, FL 33615
TAMPA, FL 33615
Provider Phone Number
(813) 341-5600
Provider SSA County
280
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TAMPA JACKSON SPRINGS SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1982-12-10
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.73318
Reported LPN Staffing Hours per Resident per Day
0.83091
Reported RN Staffing Hours per Resident per Day
0.64591
Reported Licensed Staffing Hours per Resident per Day
1.47682
Reported Total Nurse Staffing Hours per Resident per Day
4.21000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15955
Expected CNA Staffing Hours per Resident per Day
2.66313
Expected LPN Staffing Hours per Resident per Day
0.69870
Expected RN Staffing Hours per Resident per Day
1.08228
Expected Total Nurse Staffing Hours per Resident per Day
4.44410
Adjusted CNA Staffing Hours per Resident per Day
2.51824
Adjusted LPN Staffing Hours per Resident per Day
0.98706
Adjusted RN Staffing Hours per Resident per Day
0.44593
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81856
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
48
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
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
32
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
15411
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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