| General |
| City |
| Gainesville |
Deltona |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 3250 Sw 41st Pl |
1851 Elkcam Blvd |
| Zip Code |
| 32,608 |
32,725 |
| Phone |
| 3,523,781,558 |
3,867,893,769 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 154 |
120 |
|
Total Number of Residents |
| 127 |
116 |
|
Percent of Occupied Beds |
| 82 % |
97 % |
| Health Survey Date |
| 4/28/2011 |
5/3/2012 |
| Fire Survey Date |
| 4/29/2011 |
5/2/2012 |
| 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 |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
1 |
| # of deficiencies |
| 11 |
13 |
|
| Staff Information |
| Number of Residents |
| 138 |
116 |
| Number of RN Hours Per Resident Per Day |
| 0.65 |
0.6 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.05 |
0.82 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.7 |
1.42 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.13 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.13 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 06/12/2009date Of Correction: 07/21/2009 |
Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/06/2011date Of Correction: 02/15/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 12/07/2009date Of Correction: 01/13/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 01/06/2011date Of Correction: 02/15/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 07/27/2010date Of Correction: 08/30/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.survey Date: 04/19/2012date Of Correction: 05/19/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.survey Date: 01/30/2012date Of Correction: 03/01/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 12/08/2009date Of Correction: 01/14/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.survey Date: 10/06/2011date Of Correction: 11/06/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/26/2012date Of Correction: 07/26/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/08/2009date Of Correction: 01/14/2010 |
Scope: Fewlevel Of Harm: 4deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 01/06/2011date Of Correction: 02/15/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 07/27/2010date Of Correction: 08/30/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/07/2009date Of Correction: 01/13/2010 |
| 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: 10/06/2011date Of Correction: 11/06/2011 |
Scope: Fewlevel Of Harm: 4deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 01/06/2011date Of Correction: 02/15/2011 |
| Deficiency #2 |
| 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: 11/30/2009date Of Correction: 01/14/2010 |
|
| 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: 11/30/2009date Of Correction: 01/14/2010 |
Scope: Fewlevel Of Harm: 4deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 01/06/2011date Of Correction: 02/15/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 02/22/2010date Of Correction: 03/31/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 01/30/2012date Of Correction: 03/01/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 07/06/2009date Of Correction: 07/21/2009 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 10/06/2011date Of Correction: 11/06/2011 |
|
| Electrical Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Properly Installed Electrical Wiring And Equipment.survey Date: 11/04/2011date Of Correction: 12/04/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.7 % |
20 % |
| 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 |
| 6 % |
24.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.5 % |
2.9 % |
| Percent of long-stay residents who lose too much weight |
| 8.5 % |
8.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 9.8 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.5 % |
6.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.9 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 10.4 % |
2.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 10.7:1 |
33.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 69.2 % |
70.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 53.8 % |
71.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
2.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.8 % |
3.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.4 % |
23.7 (74.7) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.3 % |
18.2:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.8 % |
6.9 % |
| Percent of long-stay residents who lose too much weight |
| 11.3 % |
9.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 29.5 % |
25.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 10 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 5 % |
8.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.6 % |
0.4 % |
| Percent of long-stay residents who were physically restrained |
| 12.8:1 |
3.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.9 % |
2.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 8.3 % |
35.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 73.3 % |
49.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 62.1 % |
65.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 8.6:1 |
13.1:1 |