| General |
| City |
| Eustis |
Winter Haven |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 411 W Woodward Ave |
1801 N Lake Mariam Dr |
| Zip Code |
| 32,726 |
33,884 |
| Phone |
| 3,523,573,565 |
8,632,931,989 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 3 |
2 |
|
Number of Certified Beds |
| 90 |
120 |
|
Total Number of Residents |
| 84 |
111 |
|
Percent of Occupied Beds |
| 93 % |
93 % |
| Health Survey Date |
| 3/1/2012 |
5/11/2012 |
| Fire Survey Date |
| 3/1/2012 |
5/14/2012 |
| 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 |
No |
| 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 |
1 |
| Total Enforcement Actions Count |
| 75.2 |
1 |
| # of deficiencies |
| 2 |
3 |
|
| Staff Information |
| Number of Residents |
| 84 |
111 |
| Number of RN Hours Per Resident Per Day |
| 0.68 |
0.42 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.98 |
0.93 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.67 |
1.35 |
| Number of CNA Hours Per Resident Per Day |
| 0.1 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
| 0.1 |
0.01 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 11/02/2010date Of Correction: 12/02/2010 |
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 12/08/2011date Of Correction: 01/08/2012 |
| 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: 12/08/2011date Of Correction: 01/08/2012 |
| 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: 08/22/2011date Of Correction: 09/21/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 12/08/2011date Of Correction: 01/08/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.3 % |
39.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.4 % |
11.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.7 % |
4.4 % |
| Percent of long-stay residents who lose too much weight |
| 3 % |
6.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.9 % |
4.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.50 % |
9.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 3 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
10.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.8 % |
8.6:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.4 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.1 % |
100 % |
| 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 |
| 4.5 % |
2.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.6 % |
39.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.1 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.5 % |
6.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6 % |
4.3 % |
| Percent of long-stay residents who lose too much weight |
| 6 % |
7.9:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 56.3 % |
25.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.7 % |
4.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 0.5 - 2.0 |
11.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.20 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 1.6 % |
8.5 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.2 % |
2.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.5 % |
5.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.3 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.3 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.7 % |
17 % |