Provider Name: CHIPOLA HEALTH AND REHABILITATION CENTER
Address: 4294 3RD AVENUE, MARIANNA, FL 32446
Phone: (850) 526-3191
County: Jackson (310)
Ownership Type: For profit - Corporation
Certified Beds: 60
Average Residents Per Day: 57.2 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: 4294 3RD AVENUE OPERATIONS, LLC
First Approved Date: May 7, 1991
Affiliated Entity: CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE (158)
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: 2 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.95961, LPN Staff Hours Per Day: 0.7462, RN Staff Hours Per Day: 0.5666, Licensed Staff Hours Per Day: 1.3128
Total Nurse Staff Hours Per Day, per resident: 3.27249
Weekend Nurse Staff Hours: 3.00928, Weekend RN Staff Hours: 0.3100
PT Staff Hours Per Day, per resident: 0.0486
Nurse Staff Turnover: 56.7, Nurse Turnover Note:
RN Turnover: 44.4, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9841, Case Mix LPN Hours Per Day: 0.6553, Case Mix RN Hours Per Day: 0.2889
Adjusted Nurse Aide Hours Per Day, per resident: 2.01201, Adjusted LPN Hours Per Day: 0.8403, Adjusted RN Hours Per Day: 0.7389
Total Adjusted Nurse Hours Per Day, per resident: 3.52226
Adjusted Weekend Nurse Hours Per Day, per resident: 3.23896
Health Survey Dates and Scores: Cycle 1: 2023-03-16 (Score: 4), Cycle 2: 2021-09-30 (Score: 0), Cycle 3: 2020-02-27 (Score: 8)
Total Weighted Health Score: 3.333
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: 4294 3RD AVENUE,MARIANNA,FL,32446 (30.7855, -85.237)
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 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 2023-04-11
Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 2020-03-27
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2020-03-27
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: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
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 2023-04-26