Zephyr Haven Health & Rehab Center, Inc - Zephyrhills Nursing Home
General Information
UPDATEFederal Provider Number
105658
Provider Name
ZEPHYR HAVEN HEALTH & REHAB CENTER, INC
Provider Address
38250 A AVE
ZEPHYRHILLS, FL 33542
ZEPHYRHILLS, FL 33542
Provider Phone Number
(813) 782-5508
Provider SSA County
500
Provider County Name
Pasco
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ZEPHYR HAVEN HEALTH & REHAB CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1989-06-28
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.61161
Reported LPN Staffing Hours per Resident per Day
1.14732
Reported RN Staffing Hours per Resident per Day
0.40759
Reported Licensed Staffing Hours per Resident per Day
1.55491
Reported Total Nurse Staffing Hours per Resident per Day
4.16652
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09866
Expected CNA Staffing Hours per Resident per Day
2.51616
Expected LPN Staffing Hours per Resident per Day
0.61027
Expected RN Staffing Hours per Resident per Day
0.92142
Expected Total Nurse Staffing Hours per Resident per Day
4.04785
Adjusted CNA Staffing Hours per Resident per Day
2.54678
Adjusted LPN Staffing Hours per Resident per Day
1.56041
Adjusted RN Staffing Hours per Resident per Day
0.33052
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14907
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
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
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-03-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
16
Cycle 3 Standard Health Survey Date
2012-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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