| General |
| City |
| Dunedin |
Tallahassee |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 1061 Virginia St |
3101 Ginger Drive |
| Zip Code |
| 34,698 |
32,308 |
| Phone |
| 7,277,334,189 |
8,508,772,177 |
|
Overall Star Rating |
| 1 |
1 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 93 |
180 |
|
Total Number of Residents |
| 85 |
151 |
|
Percent of Occupied Beds |
| 91 % |
84 % |
| Health Survey Date |
| 8/12/2011 |
2/17/2012 |
| Fire Survey Date |
| 8/10/2011 |
2/13/2012 |
| 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 |
Family |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
4 |
| Total Enforcement Actions Count |
| 75.2 |
4 |
| # of deficiencies |
| 8 |
26 |
|
| Staff Information |
| Number of Residents |
| 85 |
151 |
| Number of RN Hours Per Resident Per Day |
| 0.41 |
0.46 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.87 |
0.92 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.28 |
1.38 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.08 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel 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: 10/25/2010date Of Correction: 11/12/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 08/31/2011date Of Correction: 09/30/2011 |
| Deficiency #2 |
|
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: 06/01/2011date Of Correction: 07/01/2011 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Has 1) At Least One Window To The Outside In A Room; 2) A Room At Or Above Ground Level; 3) Adequate Bedding; 4) Furniture That Meets The Resident's Needs; Or 5) Adequate Closet Space.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Deficiency #6 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Deficiency #7 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 05/17/2012date Of Correction: 06/14/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 02/22/2011date Of Correction: 03/07/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 05/17/2012date Of Correction: 06/14/2012 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 07/19/2010date Of Correction: 08/02/2010 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.survey Date: 05/17/2012date Of Correction: 06/14/2012 |
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: 06/01/2011date Of Correction: 07/01/2011 |
| Deficiency #2 |
| 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: 07/19/2010date Of Correction: 08/02/2010 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.survey Date: 01/27/2011date Of Correction: 01/27/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/17/2012date Of Correction: 06/14/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 08/31/2011date Of Correction: 09/30/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 06/01/2011date Of Correction: 07/01/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 06/01/2011date Of Correction: 07/01/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/07/2011date Of Correction: 05/07/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/07/2011date Of Correction: 05/07/2011 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/07/2011date Of Correction: 05/07/2011 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/01/2011date Of Correction: 02/26/2011 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 02/01/2011date Of Correction: 02/26/2011 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/06/2009date Of Correction: 12/22/2009 |
| Deficiency #10 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 05/15/2009date Of Correction: 06/26/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
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: 08/31/2011date Of Correction: 09/30/2011 |
| Deficiency #2 |
|
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: 04/07/2011date Of Correction: 05/07/2011 |
| Deficiency #3 |
|
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: 05/15/2009date Of Correction: 06/26/2009 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 05/17/2012date Of Correction: 06/14/2012 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel 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: 06/01/2011date Of Correction: 07/01/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 11/06/2009date Of Correction: 12/22/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 11/06/2009date Of Correction: 12/22/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31.5 % |
36.8 % |
| 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 |
| 75.2 % |
8.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 18.2:1 |
7.6 % |
| Percent of long-stay residents who lose too much weight |
| 5.3 % |
8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
20.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5 % |
1.50 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.3 % |
10.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
3.6 % |
| Percent of long-stay residents who were physically restrained |
| 6.6 % |
4.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
14.7:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 84.8 % |
80.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.4 % |
80.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 7.7 % |
2.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
2.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31 % |
32.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.9 % |
4.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 16.2 % |
9.9:1 |
| Percent of long-stay residents who lose too much weight |
| 9.9:1 |
8.1 / 8.8 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 23.7 (74.7) |
16.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.3 % |
1.50 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.8 % |
9 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.9 % |
2 % |
| Percent of long-stay residents who were physically restrained |
| 6.6 % |
3.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.3 % |
3.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 7 % |
7.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 49.5 % |
83.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.3 % |
83.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 7.5 % |
23.2 % |