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TERRACE AT FLEMING ISLAND, THE

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TERRACE AT FLEMING ISLAND, THE VS
Nursing Homes USA
General
City ORANGE PARK   0.1% Nursing Homes USA have ORANGE PARK
State attribute explanation FL   4.4% Nursing Homes USA have FL
Street 1125 FLEMING PLANTATION BLVD  
Zip Code 32003  
Phone 9042138338  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
108 
108.94
Total Number of Residents
107 
91.25
Percent of Occupied Beds
99 %
83.65 %
Health Survey Date 8/4/2011  
Fire Survey Date 8/4/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies 3  
Staff Information
Number of Residents
107 
91.38
Number of RN Hours Per Resident Per Day
0.67 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.68 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.35 
1.59
Number of CNA Hours Per Resident Per Day
0.05 
5.49
Number Therapy Hours Per Resident Per Day
0.05 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/23/2009
date Of Correction: 12/23/2009 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/13/2009
date Of Correction: 11/13/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 11/23/2009
date Of Correction: 12/23/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.1 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
30.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
10.4 %
12.58 %
Percent of long-stay residents who lose too much weight
13.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.8 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.4 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
10.8 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
43.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
92.5 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury 8.6:1 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.3 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
27.8 (82.0) %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
10.9 %
9.22 %
Percent of long-stay residents who lose too much weight
12.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
30 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
7.5 %
9.58 %
Percent of long-stay residents who have depressive symptoms
75.2 %
19.86 %
Percent of long-stay residents who were physically restrained 11.6:1 % 
Percent of long-stay residents experiencing one or more falls with major injury
7.7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
36.2 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.1 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
84.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
0.5 - 2.0 %
17.34 %

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