| General |
| City |
| Pensacola |
Tallahassee |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 4343 Langley Avenue |
3101 Ginger Drive |
| Zip Code |
| 32,504 |
32,308 |
| Phone |
| 8,504,774,550 |
8,508,772,177 |
|
Overall Star Rating |
| 4 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 3 |
4 |
|
RN Only Star Rating |
| 4 |
2 |
| Number of Certified Beds |
| 120 |
180 |
|
Total Number of Residents |
| 113 |
151 |
|
Percent of Occupied Beds |
| 94 % |
84 % |
| Health Survey Date |
| 10/13/2011 |
2/17/2012 |
| Fire Survey Date |
| 10/13/2011 |
2/13/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Family |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
4 |
| Total Enforcement Actions Count |
| 75.2 |
4 |
| # of deficiencies |
| 4 |
26 |
|
| Staff Information |
| Number of Residents |
| 113 |
151 |
| Number of RN Hours Per Resident Per Day |
| 0.77 |
0.46 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.81 |
0.92 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.58 |
1.38 |
| Number of CNA Hours Per Resident Per Day |
| 0.07 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.07 |
0.08 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.survey Date: 09/13/2011date Of Correction: 09/30/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 08/31/2011date Of Correction: 09/30/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 09/13/2011date Of Correction: 09/30/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/01/2011date Of Correction: 07/01/2011 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Has 1) At Least One Window To The Outside In A Room; 2) A Room At Or Above Ground Level; 3) Adequate Bedding; 4) Furniture That Meets The Resident's Needs; Or 5) Adequate Closet Space.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Deficiency #6 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Deficiency #7 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 02/22/2011date Of Correction: 03/07/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 06/01/2011date Of Correction: 07/01/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.survey Date: 01/27/2011date Of Correction: 01/27/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/19/2010date Of Correction: 04/29/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 08/31/2011date Of Correction: 09/30/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 06/01/2011date Of Correction: 07/01/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 06/01/2011date Of Correction: 07/01/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/07/2011date Of Correction: 05/07/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/07/2011date Of Correction: 05/07/2011 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/07/2011date Of Correction: 05/07/2011 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/01/2011date Of Correction: 02/26/2011 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 02/01/2011date Of Correction: 02/26/2011 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/06/2009date Of Correction: 12/22/2009 |
| Deficiency #10 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Coordinate Assessments With The Pre-admission Screening And Resident Review Program For Mentally-ill And Mentally-retarded Patients.survey Date: 06/21/2011date Of Correction: 06/30/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 08/31/2011date Of Correction: 09/30/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 04/07/2011date Of Correction: 05/07/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 06/01/2011date Of Correction: 07/01/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 11/06/2009date Of Correction: 12/22/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 11/06/2009date Of Correction: 12/22/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.6 % |
36.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 24.7 % |
8.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.4 / 10.4 |
7.6 % |
| Percent of long-stay residents who lose too much weight |
| 20.6 % |
8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 34.9 % |
20.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.3 % |
1.50 % |
| Percent of long-stay residents with a urinary tract infection |
| 12.2 % |
10.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.5 % |
3.6 % |
| Percent of long-stay residents who were physically restrained |
| 2 % |
4.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 34.1 % |
14.7:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 74 % |
80.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 79.8 % |
80.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 10.3:1 |
2.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3 % |
2.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.1 % |
32.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.3 % |
0.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 21.1 % |
4.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.8 % |
9.9:1 |
| Percent of long-stay residents who lose too much weight |
| 13.8 % |
8.1 / 8.8 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 29 % |
16.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.3 % |
1.50 % |
| Percent of long-stay residents with a urinary tract infection |
| 12.7 % |
9 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.9:1 |
2 % |
| Percent of long-stay residents who were physically restrained |
| 1.7 % |
3.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.4 % |
3.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 33.3 % |
7.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 76.9 % |
83.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81.3 % |
83.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 6.3 % |
23.2 % |