| General |
| City |
| Saint Petersburg |
Dade City |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 4500 Indianapolis St Ne |
37300 Royal Oak Lane |
| Zip Code |
| 33,703 |
33,525 |
| Phone |
| 7,275,275,801 |
3,525,673,122 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 3 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 3 |
4 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 109 |
120 |
|
Total Number of Residents |
| 104 |
105 |
|
Percent of Occupied Beds |
| 95 % |
88 % |
| Health Survey Date |
| 3/15/2012 |
5/17/2012 |
| Fire Survey Date |
| 3/15/2012 |
5/22/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Other |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| 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 |
2 |
| Total Enforcement Actions Count |
| 75.2 |
2 |
| # of deficiencies |
| 9 |
8 |
|
| Staff Information |
| Number of Residents |
| 104 |
105 |
| Number of RN Hours Per Resident Per Day |
| 0.43 |
0.4 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1 |
0.98 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.43 |
1.38 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.11 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.11 |
| 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: 11/04/2011date Of Correction: 12/04/2011 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 08/11/2011date Of Correction: 09/11/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 08/11/2011date Of Correction: 09/11/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 12/17/2010date Of Correction: 01/17/2011 |
| 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: 4deficiency: 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: 12/17/2010date Of Correction: 01/17/2011 |
| 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 |
|
| 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: Fewlevel Of Harm: 4deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/17/2010date Of Correction: 01/17/2011 |
| 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 |
|
| 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: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 12/17/2010date Of Correction: 01/17/2011 |
| 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 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 12/17/2010date Of Correction: 01/17/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.6 % |
28 % |
| 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 |
| 12.4-2413.6-24 |
14.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.3:1 |
3.5 % |
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
5.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 55.1 % |
34.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.3 % |
7 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.7 % |
4.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.1 % |
3.2 % |
| Percent of long-stay residents who were physically restrained |
| 5.7 % |
5.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.3 % |
16.3:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 30.1 % |
67 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 28.8 % |
65 % |
| 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 |
| 2.3 % |
2.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27 % |
29.1 % |
| 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 |
| 13.5 % |
12.4-2413.6-24 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.7 % |
5 % |
| Percent of long-stay residents who lose too much weight |
| 1.9 % |
7.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.1 % |
38.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.3 % |
6.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.2 % |
4.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.50 % |
2.4 % |
| Percent of long-stay residents who were physically restrained |
| 4.1 % |
6.3 % |
| 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 % |
21.2:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 15.7 % |
72.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 17.4 % |
68.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1 % |
4.9 % |