| General |
| City |
| South Pasadena |
Orlando |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 1820 Shore Dr S |
1900 Mercy Drive |
| Zip Code |
| 33,707 |
32,808 |
| Phone |
| 7,273,849,300 |
4,072,995,404 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 1 |
5 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 58 |
120 |
|
Total Number of Residents |
| 50 |
112 |
|
Percent of Occupied Beds |
| 86 % |
93 % |
| Health Survey Date |
| 6/30/2011 |
5/5/2011 |
| Fire Survey Date |
| 7/15/2011 |
5/2/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| 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 |
| 3 |
3 |
|
| Staff Information |
| Number of Residents |
| 50 |
113 |
| Number of RN Hours Per Resident Per Day |
| 0.77 |
0.37 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.23 |
0.53 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2 |
0.9 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.08 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 04/12/2012date Of Correction: 05/11/2012 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/16/2011date Of Correction: 12/20/2011 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| 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: 04/12/2012date Of Correction: 05/11/2012 |
Scope: Somelevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 11/16/2011date Of Correction: 12/20/2011 |
| Deficiency #2 |
| 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: 04/12/2012date Of Correction: 05/11/2012 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 02/02/2011date Of Correction: 03/02/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 13.9 / 15.3 |
42.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.5 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 13.3 % |
8.5 % |
| Percent of long-stay residents who lose too much weight |
| 11.4 % |
16.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3 % |
1.50 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.7 % |
1.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 13.9 / 15.3 |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 2.8 % |
15.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20 % |
2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 70.7 % |
27.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 75.9 % |
23.8:1 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
2.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.8:1 |
42.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.5 % |
0.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 23.1 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 16.8 % |
8.9 / 9.9 |
| Percent of long-stay residents who lose too much weight |
| 8 % |
10.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 65 % |
35.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.7 % |
0.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 13.4 % |
3.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 12.6:1 |
0.3 % |
| Percent of long-stay residents who were physically restrained |
| 4.2 % |
12.5 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.5 % |
2.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.5 % |
3.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 71.4 % |
28.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.1 % |
19.4:1 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 13.1:1 |
1.3 % |