| General |
| City |
| Lake Wales |
Pensacola |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 512 S 11th St |
10040 Hillview Road |
| Zip Code |
| 33,853 |
32,514 |
| Phone |
| 8,636,768,502 |
8,504,740,570 |
|
Overall Star Rating |
| 4 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 3 |
4 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 120 |
120 |
|
Total Number of Residents |
| 109 |
106 |
|
Percent of Occupied Beds |
| 91 % |
88 % |
| Health Survey Date |
| 8/26/2011 |
6/1/2012 |
| Fire Survey Date |
| 8/25/2011 |
5/21/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Partnership |
| 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 |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
1 |
| Total Enforcement Actions Count |
| 75.2 |
1 |
| # of deficiencies |
| 2 |
6 |
|
| Staff Information |
| Number of Residents |
| 109 |
106 |
| Number of RN Hours Per Resident Per Day |
| 0.45 |
0.51 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.86 |
0.8 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.31 |
1.31 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.08 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 05/21/2012date Of Correction: 05/28/2012 |
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 05/25/2012date Of Correction: 07/03/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.survey Date: 12/05/2011date Of Correction: 01/18/2012 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel 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: 05/25/2012date Of Correction: 07/03/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 05/25/2012date Of Correction: 07/03/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 12/05/2011date Of Correction: 01/18/2012 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/21/2012date Of Correction: 05/28/2012 |
Scope: Somelevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 05/25/2012date Of Correction: 07/03/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.3 % |
25 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
2.20 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.9 % |
10.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.2 % |
10 % |
| Percent of long-stay residents who lose too much weight |
| 8.3 % |
5.6:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 45 % |
21.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.8 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.3 % |
6.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.1 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 3 % |
3.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 10.7:1 |
7.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.8 % |
18 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.9 % |
14.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.6 / 3 |
6.5 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4 % |
2.20 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.7 % |
26.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.7 % |
1.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.2 % |
13 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.2 % |
9.3 % |
| Percent of long-stay residents who lose too much weight |
| 5.9 % |
5.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 39.4 % |
26.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.1 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.8 % |
7.9:1 |
| Percent of long-stay residents who have depressive symptoms |
| 3.8 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 3.8 % |
2.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.1 % |
3.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.1 % |
10.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93 % |
15.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.4 % |
13.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 13.8 % |
2.8 % |