| General |
| City |
| South Pasadena |
Englewood |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 1820 Shore Dr S |
1111 Drury Lane |
| Zip Code |
| 33,707 |
34,224 |
| Phone |
| 7,273,849,300 |
9,414,749,371 |
|
Overall Star Rating |
| 3 |
4 |
|
Health Inspections Star Rating |
| 3 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 1 |
5 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 58 |
120 |
|
Total Number of Residents |
| 50 |
98 |
|
Percent of Occupied Beds |
| 86 % |
82 % |
| Health Survey Date |
| 6/30/2011 |
9/22/2011 |
| Fire Survey Date |
| 7/15/2011 |
9/19/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| 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 |
7 |
|
| Staff Information |
| Number of Residents |
| 50 |
98 |
| Number of RN Hours Per Resident Per Day |
| 0.77 |
0.61 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.23 |
0.78 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2 |
1.38 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.22 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.22 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 09/27/2010date Of Correction: 11/09/2010 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 09/25/2009date Of Correction: 10/27/2009 |
| 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 |
|
| 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 |
|
| 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 |
|
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 12/29/2010date Of Correction: 01/21/2011 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.survey Date: 09/27/2010date Of Correction: 11/09/2010 |
| Deficiency #3 |
|
Scope: Manylevel Of Harm: 2deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 09/25/2009date Of Correction: 10/27/2009 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 09/27/2010date Of Correction: 11/09/2010 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 09/27/2010date Of Correction: 11/09/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 13.9 / 15.3 |
19.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.5 % |
0.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
5.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 13.3 % |
3.1 % |
| Percent of long-stay residents who lose too much weight |
| 11.4 % |
10.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3 % |
2.6 / 3 |
| Percent of long-stay residents with a urinary tract infection |
| 5.7 % |
2.4 % |
| 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 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20 % |
19.4:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 70.7 % |
96.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 75.9 % |
98.5 % |
| 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 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.8:1 |
22.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.5 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 23.1 % |
11.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 16.8 % |
3.6 % |
| Percent of long-stay residents who lose too much weight |
| 8 % |
7.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 65 % |
34.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.7 % |
2.6 / 3 |
| Percent of long-stay residents with a urinary tract infection |
| 13.4 % |
5.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 12.6:1 |
0.5 - 2.0 |
| Percent of long-stay residents who were physically restrained |
| 4.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.5 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.5 % |
18.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 71.4 % |
93.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.1 % |
97.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 13.1:1 |
10.3:1 |