| General |
| City |
| Eustis |
Tampa |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 411 W Woodward Ave |
8720 Jackson Springs Rd |
| Zip Code |
| 32,726 |
33,615 |
| Phone |
| 3,523,573,565 |
8,133,415,600 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 3 |
1 |
|
Number of Certified Beds |
| 90 |
120 |
|
Total Number of Residents |
| 84 |
109 |
|
Percent of Occupied Beds |
| 93 % |
91 % |
| Health Survey Date |
| 3/1/2012 |
8/18/2011 |
| Fire Survey Date |
| 3/1/2012 |
8/18/2011 |
| 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 |
1 |
| Total Enforcement Actions Count |
| 75.2 |
1 |
| # of deficiencies |
| 2 |
16 |
|
| Staff Information |
| Number of Residents |
| 84 |
109 |
| Number of RN Hours Per Resident Per Day |
| 0.68 |
0.41 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.98 |
1.02 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.67 |
1.43 |
| Number of CNA Hours Per Resident Per Day |
| 0.1 |
0.14 |
| Number Therapy Hours Per Resident Per Day |
| 0.1 |
0.14 |
| 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: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 11/21/2011date Of Correction: 12/16/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 10/21/2010date Of Correction: 11/04/2010 |
| Deficiency #3 |
|
Scope: Fewlevel 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: 10/21/2010date Of Correction: 11/04/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Maintain Comfortable And Safe Temperature Levels.survey Date: 10/04/2010date Of Correction: 11/04/2010 |
| Deficiency #5 |
|
Scope: Fewlevel 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: 09/10/2009date Of Correction: 09/25/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 07/12/2011date Of Correction: 08/05/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/17/2012date Of Correction: 05/17/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Or Obtain Dental Services For Each Resident.survey Date: 07/12/2011date Of Correction: 08/05/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting.survey Date: 10/21/2010date Of Correction: 11/04/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 10/21/2010date Of Correction: 11/04/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 10/04/2010date Of Correction: 11/04/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 09/10/2009date Of Correction: 09/25/2009 |
| 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: 07/12/2011date Of Correction: 08/05/2011 |
| 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: 07/12/2011date Of Correction: 08/05/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 01/27/2011date Of Correction: 02/25/2011 |
| 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: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 04/17/2012date Of Correction: 05/17/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.3 % |
20.2 (68.4) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.50 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.4 % |
20.9 % |
| 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 % |
12.6:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.9 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.50 % |
10.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 3 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
16.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.8 % |
21.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.4 % |
91.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.1 % |
90 % |
| 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 % |
1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.6 % |
17.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.1 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.5 % |
14.7:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6 % |
7.9:1 |
| Percent of long-stay residents who lose too much weight |
| 6 % |
13.6-28 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 56.3 % |
48.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.7 % |
1.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 0.5 - 2.0 |
15 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.20 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 1.6 % |
17.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.2 % |
0.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.5 % |
24.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.3 % |
86.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.3 % |
84.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.7 % |
12.4-2413.6-24 |