| General |
| City |
| South Pasadena |
Maitland |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 1820 Shore Dr S |
1700 Monroe Ave |
| Zip Code |
| 33,707 |
32,751 |
| Phone |
| 7,273,849,300 |
4,076,472,092 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 1 |
1 |
|
RN Only Star Rating |
| 3 |
4 |
| Number of Certified Beds |
| 58 |
180 |
|
Total Number of Residents |
| 50 |
140 |
|
Percent of Occupied Beds |
| 86 % |
78 % |
| Health Survey Date |
| 6/30/2011 |
6/8/2012 |
| Fire Survey Date |
| 7/15/2011 |
6/5/2012 |
| 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 |
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 |
4 |
|
| Staff Information |
| Number of Residents |
| 50 |
140 |
| Number of RN Hours Per Resident Per Day |
| 0.77 |
0.85 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.23 |
0.8 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2 |
1.65 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.09 |
| 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 |
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: 12/07/2010date Of Correction: 01/07/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 12/07/2010date Of Correction: 01/07/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 12/07/2010date Of Correction: 01/07/2011 |
| 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 |
|
| 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: Manylevel Of Harm: 1deficiency: Post Nurse Staffing Information/data On A Daily Basis.survey Date: 12/07/2010date Of Correction: 01/07/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 13.9 / 15.3 |
22.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.5 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
19.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 13.3 % |
6 % |
| Percent of long-stay residents who lose too much weight |
| 11.4 % |
9.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
20 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3 % |
2.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.7 % |
8.4 % |
| 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 % |
5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20 % |
22 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 70.7 % |
81.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 75.9 % |
80.4 % |
| 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 % |
5 % |
| 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 % |
21.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 16.8 % |
10.1:1 |
| Percent of long-stay residents who lose too much weight |
| 8 % |
11.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 65 % |
24.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.7 % |
2.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 13.4 % |
5.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 12.6:1 |
1.7 % |
| Percent of long-stay residents who were physically restrained |
| 4.2 % |
6.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.5 % |
4.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.5 % |
22.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 71.4 % |
83 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.1 % |
84.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 13.1:1 |
23.6 % |