| General |
| City |
| Daytona Beach |
Winter Garden |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 1001 S Beach Street |
15204 W Colonial Dr |
| Zip Code |
| 32,114 |
34,787 |
| Phone |
| 3,862,583,334 |
4,078,772,394 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 1 |
2 |
|
RN Only Star Rating |
| 2 |
2 |
| Number of Certified Beds |
| 99 |
180 |
|
Total Number of Residents |
| 80 |
173 |
|
Percent of Occupied Beds |
| 81 % |
96 % |
| Health Survey Date |
| 9/22/2011 |
4/13/2012 |
| Fire Survey Date |
| 9/22/2011 |
4/10/2012 |
| Sprinkler Status |
| Not 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 |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
2 |
| Total Enforcement Actions Count |
| 75.2 |
2 |
| # of deficiencies |
| 2 |
24 |
|
| Staff Information |
| Number of Residents |
| 80 |
173 |
| Number of RN Hours Per Resident Per Day |
| 0.5 - 2.0 |
0.41 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.44 |
0.87 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.93 |
1.28 |
| Number of CNA Hours Per Resident Per Day |
| 0.02 |
0.11 |
| Number Therapy Hours Per Resident Per Day |
| 0.02 |
0.11 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/13/2012date Of Correction: 05/13/2012 |
| 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: 04/13/2012date Of Correction: 05/13/2012 |
| Deficiency #3 |
|
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: 01/24/2012date Of Correction: 02/24/2012 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 08/03/2010date Of Correction: 09/13/2010 |
| Deficiency #5 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 08/03/2010date Of Correction: 09/13/2010 |
| 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: 01/10/2012date Of Correction: 01/31/2012 |
|
| Deficiency #2 |
| 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: 11/22/2011date Of Correction: 11/24/2011 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 11/03/2011date Of Correction: 12/06/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 11/15/2010date Of Correction: 12/27/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.survey Date: 06/30/2009date Of Correction: 08/10/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 04/13/2012date Of Correction: 05/13/2012 |
| Deficiency #2 |
|
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: 06/21/2011date Of Correction: 07/18/2011 |
| Deficiency #3 |
|
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: 03/18/2011date Of Correction: 04/26/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 03/18/2011date Of Correction: 04/26/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Emergency Care By A Doctor 24 Hours A Day.survey Date: 12/02/2010date Of Correction: 01/02/2011 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/02/2010date Of Correction: 01/02/2011 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting.survey Date: 11/15/2010date Of Correction: 12/27/2010 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 09/24/2009date Of Correction: 11/03/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 04/13/2012date Of Correction: 05/13/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 04/13/2012date Of Correction: 05/13/2012 |
| 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: 03/18/2011date Of Correction: 04/26/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 12/02/2010date Of Correction: 01/02/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 11/15/2010date Of Correction: 12/27/2010 |
| Deficiency #2 |
|
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: 11/15/2010date Of Correction: 12/27/2010 |
| Deficiency #3 |
|
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: 09/09/2009date Of Correction: 10/14/2009 |
| Deficiency #4 |
|
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: 09/09/2009date Of Correction: 10/14/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25.4 % |
36 % |
| 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 |
| 14.6 % |
19.4:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.3:1 |
11.6:1 |
| Percent of long-stay residents who lose too much weight |
| 17.9 (64.2) |
4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 48.7 % |
25 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.2 % |
3.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 9 % |
10.7:1 |
| Percent of long-stay residents who have depressive symptoms |
| 5.9 % |
4.8 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 66.7 % |
35.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.9 % |
70.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.1 % |
64.1 % |
| 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 |
| 2.9 % |
2.6 / 3 |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.9 % |
33.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.5 % |
0.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 17.5 % |
18.1:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 12.7 % |
12.6:1 |
| Percent of long-stay residents who lose too much weight |
| 23.3 % |
4.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50 % |
28.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.7 % |
3.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.7 % |
6.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.8 % |
2.5 % |
| Percent of long-stay residents who were physically restrained |
| 1.4 % |
1.50 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.8 % |
2.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 53.3 % |
33.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 83.6 % |
72.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84.2 % |
64.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 8.6:1 |
3.7 % |