| General |
| City |
| Eustis |
Maitland |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 411 W Woodward Ave |
1700 Monroe Ave |
| Zip Code |
| 32,726 |
32,751 |
| Phone |
| 3,523,573,565 |
4,076,472,092 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
1 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 90 |
180 |
|
Total Number of Residents |
| 84 |
140 |
|
Percent of Occupied Beds |
| 93 % |
78 % |
| Health Survey Date |
| 3/1/2012 |
6/8/2012 |
| Fire Survey Date |
| 3/1/2012 |
6/5/2012 |
| 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 |
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 |
| 2 |
4 |
|
| Staff Information |
| Number of Residents |
| 84 |
140 |
| Number of RN Hours Per Resident Per Day |
| 0.68 |
0.85 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.98 |
0.8 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.67 |
1.65 |
| Number of CNA Hours Per Resident Per Day |
| 0.1 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.1 |
0.09 |
| 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 |
|
| 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: 12/07/2010date 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 |
| 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 |
| 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 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.3 % |
22.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.4 % |
19.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.7 % |
6 % |
| Percent of long-stay residents who lose too much weight |
| 3 % |
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 |
| 5.9 % |
2.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.50 % |
8.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 3 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.8 % |
22 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.4 % |
81.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.1 % |
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 |
| 4.5 % |
5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.6 % |
22.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.1 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.5 % |
21.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6 % |
10.1:1 |
| Percent of long-stay residents who lose too much weight |
| 6 % |
11.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 56.3 % |
24.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.7 % |
2.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 0.5 - 2.0 |
5.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.20 % |
1.7 % |
| Percent of long-stay residents who were physically restrained |
| 1.6 % |
6.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.2 % |
4.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.5 % |
22.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.3 % |
83 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.3 % |
84.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.7 % |
23.6 % |