| General |
| City |
| Hollywood |
Haines City |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 600 North 17th Ave |
409 S 10th St |
| Zip Code |
| 33,020 |
33,844 |
| Phone |
| 9,549,272,531 |
8,634,228,656 |
|
Overall Star Rating |
| 2 |
4 |
|
Health Inspections Star Rating |
| 1 |
3 |
|
Nurse Staffing Star Rating |
| 2 |
4 |
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 67 |
120 |
|
Total Number of Residents |
| 59 |
88 |
|
Percent of Occupied Beds |
| 88 % |
73 % |
| Health Survey Date |
| 10/21/2011 |
5/6/2011 |
| Fire Survey Date |
| 10/18/2011 |
5/4/2011 |
| 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 |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
1 |
|
| Staff Information |
| Number of Residents |
| 59 |
85 |
| Number of RN Hours Per Resident Per Day |
| 0.71 |
0.95 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.57 |
1.01 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.28 |
1.96 |
| Number of CNA Hours Per Resident Per Day |
|
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.1 |
0.03 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 04/04/2012date Of Correction: 05/04/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.8 % |
20.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
2.6 / 3 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 20 % |
16.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.2 % |
5.1 % |
| Percent of long-stay residents who lose too much weight |
| 3.6 % |
1.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.7 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.8 % |
13.9 / 15.3 |
| Percent of long-stay residents who have depressive symptoms |
| 7.4 % |
11.3 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.3 % |
39.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.1 % |
97.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.1 % |
97.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
1.50 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
1.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.3 % |
20.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 15.4 % |
17.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.1 / 8.8 |
5.1 % |
| Percent of long-stay residents who lose too much weight |
| 4.4 % |
3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 59.5 % |
46.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.8 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.7 % |
14.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 9 % |
11.8:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
2.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.5 % |
37.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 65.2 % |
90.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.2 % |
97 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.9 % |
2.6 / 3 |