| General |
| City |
| Eustis |
Merritt Island |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 411 W Woodward Ave |
125 Alma Blvd |
| Zip Code |
| 32,726 |
32,953 |
| Phone |
| 3,523,573,565 |
3,214,530,202 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
2 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 90 |
120 |
|
Total Number of Residents |
| 84 |
104 |
|
Percent of Occupied Beds |
| 93 % |
87 % |
| Health Survey Date |
| 3/1/2012 |
3/16/2012 |
| Fire Survey Date |
| 3/1/2012 |
3/13/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Individual |
| 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 |
| 2 |
18 |
|
| Staff Information |
| Number of Residents |
| 84 |
104 |
| Number of RN Hours Per Resident Per Day |
| 0.68 |
0.58 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.98 |
0.66 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.67 |
1.24 |
| Number of CNA Hours Per Resident Per Day |
| 0.1 |
0.16 |
| Number Therapy Hours Per Resident Per Day |
| 0.1 |
0.16 |
| 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: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 07/06/2011date Of Correction: 08/08/2011 |
| Deficiency #2 |
|
Scope: Somelevel 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: 12/02/2009date Of Correction: 01/08/2010 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 12/02/2009date Of Correction: 01/08/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
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: 12/02/2011date Of Correction: 01/01/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 07/06/2011date Of Correction: 08/08/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 12/02/2011date Of Correction: 01/01/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/02/2011date Of Correction: 01/01/2012 |
| 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: 12/02/2011date Of Correction: 01/01/2012 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 01/27/2012date Of Correction: 02/27/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 07/06/2011date Of Correction: 08/08/2011 |
| 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: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 07/06/2011date Of Correction: 08/08/2011 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 06/09/2011date Of Correction: 06/30/2011 |
| Automatic Sprinkler Systems Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Automatic Sprinkler Systems That Have Been Maintained In Working Order. Survey Date: 12/03/2009date Of Correction: 01/07/2010 |
| Electrical Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Properly Installed Electrical Wiring And Equipment.survey Date: 12/03/2009date Of Correction: 01/07/2010 |
| Building Service Equipment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Heating And Ventilation Systems That Have Been Properly Installed According To The Manufacturer's Instructions.survey Date: 12/03/2009date Of Correction: 01/07/2010 |
| Smoke Compartmentation and Control Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Walls Or Barriers That Prevent Smoke From Passing Through And Would Resist Fire For At Least One Hour. Survey Date: 12/03/2009date Of Correction: 01/07/2010 |
| Miscellaneous Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Other Fire Safety Features Required By Fire Safety Codes.survey Date: 12/03/2009date Of Correction: 01/07/2010 |
| Vertical Openings Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Exit Doors That Are Held Open By Devices That Will Automatically Close On The Activation Of A Fire Alarm Or Smoke Detectors.survey Date: 12/03/2009date Of Correction: 01/07/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.3 % |
20.7 (69.3) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.4 % |
22.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.7 % |
11.5 % |
| Percent of long-stay residents who lose too much weight |
| 3 % |
5.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.9 % |
2 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.50 % |
6.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 3 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.8 % |
42.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.4 % |
89.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.1 % |
97.7 % |
| 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 % |
4.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.6 % |
19.4:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.1 % |
1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.5 % |
23.7 (74.7) |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6 % |
10.2 % |
| Percent of long-stay residents who lose too much weight |
| 6 % |
8.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 56.3 % |
36.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.7 % |
3.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 0.5 - 2.0 |
7.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.20 % |
0.4 % |
| Percent of long-stay residents who were physically restrained |
| 1.6 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.2 % |
4.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.5 % |
40.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.3 % |
89.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.3 % |
97.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.7 % |
16.8 % |