Provider Name: CRESTVIEW REHABILITATION CENTER, LLC
Address: 1849 FIRST AVENUE EAST, CRESTVIEW, FL 32539
Phone: (850) 682-5322
County: Okaloosa (450)
Ownership Type: For profit - Corporation
Certified Beds: 180
Average Residents Per Day: 137. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CRESTVIEW REHABILITATION CENTER, LLC
First Approved Date: November 13, 1968
Affiliated Entity: SOVEREIGN HEALTHCARE HOLDINGS (482)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.10655, LPN Staff Hours Per Day: 0.9192, RN Staff Hours Per Day: 0.4512, Licensed Staff Hours Per Day: 1.3704
Total Nurse Staff Hours Per Day, per resident: 3.47696
Weekend Nurse Staff Hours: 3.11850, Weekend RN Staff Hours: 0.1521
PT Staff Hours Per Day, per resident: 0.1531
Nurse Staff Turnover: 47.1, Nurse Turnover Note:
RN Turnover: 35.7, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0266, Case Mix LPN Hours Per Day: 0.6953, Case Mix RN Hours Per Day: 0.3248
Adjusted Nurse Aide Hours Per Day, per resident: 2.11760, Adjusted LPN Hours Per Day: 0.9755, Adjusted RN Hours Per Day: 0.5234
Total Adjusted Nurse Hours Per Day, per resident: 3.59708
Adjusted Weekend Nurse Hours Per Day, per resident: 3.22624
Health Survey Dates and Scores: Cycle 1: 2023-03-02 (Score: 12), Cycle 2: 2021-10-14 (Score: 0), Cycle 3: 2020-10-01 (Score: 12)
Total Weighted Health Score: 8.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 1849 FIRST AVENUE EAST,CRESTVIEW,FL,32539 (30.7656, -86.552)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-03-17
Type: Health, Deficiency: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-03-17
Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-03-17
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-10-23
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-10-23
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-10-23
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0222, Version: New
Description: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-10-25