| General |
| City |
| Saint Petersburg |
Fort Myers |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 4500 Indianapolis St Ne |
2826 Cleveland Ave |
| Zip Code |
| 33,703 |
33,901 |
| Phone |
| 7,275,275,801 |
2,393,341,091 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 3 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 3 |
2 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 109 |
120 |
|
Total Number of Residents |
| 104 |
106 |
|
Percent of Occupied Beds |
| 95 % |
88 % |
| Health Survey Date |
| 3/15/2012 |
2/10/2012 |
| Fire Survey Date |
| 3/15/2012 |
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 - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Both |
| 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 |
2 |
| # of deficiencies |
| 9 |
6 |
|
| Staff Information |
| Number of Residents |
| 104 |
106 |
| Number of RN Hours Per Resident Per Day |
| 0.43 |
0.41 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1 |
0.88 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.43 |
1.29 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 06/02/2010date Of Correction: 06/03/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 01/19/2010date Of Correction: 02/19/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 07/21/2011date Of Correction: 07/22/2011 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.survey Date: 03/09/2010date Of Correction: 04/09/2010 |
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: 09/23/2011date Of Correction: 10/13/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 03/09/2010date Of Correction: 04/09/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.survey Date: 04/08/2010date Of Correction: 05/08/2010 |
| Deficiency #3 |
| 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: 03/09/2010date Of Correction: 04/09/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/09/2010date Of Correction: 04/09/2010 |
Scope: Somelevel Of Harm: 1deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/25/2009date Of Correction: 07/25/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 10/08/2009date 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: 08/24/2011date Of Correction: 09/07/2011 |
| 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: 10/14/2011date Of Correction: 10/28/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 09/23/2011date Of Correction: 10/13/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Medically Necessary Lab Services/tests Are Ordered By The Attending Physician.survey Date: 03/09/2010date Of Correction: 04/09/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.6 % |
25 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
5.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.4-2413.6-24 |
9.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.3:1 |
6.2 % |
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
5.6:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 55.1 % |
37.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.3 % |
5.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.7 % |
19.1:1 |
| Percent of long-stay residents who have depressive symptoms |
| 1.1 % |
1.1 % |
| Percent of long-stay residents who were physically restrained |
| 5.7 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.3 % |
49.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 30.1 % |
65.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 28.8 % |
81.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
8.5 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.3 % |
2.20 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27 % |
31.4 (88.5) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
3.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 13.5 % |
14.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.7 % |
7.6 % |
| Percent of long-stay residents who lose too much weight |
| 1.9 % |
3.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.1 % |
37.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.3 % |
8.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.2 % |
20.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.50 % |
0.4 % |
| Percent of long-stay residents who were physically restrained |
| 4.1 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.1 % |
2.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.2 % |
56 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 15.7 % |
50.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 17.4 % |
86.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1 % |
9.5 % |