Provider Name: TERRACE OF KISSIMMEE, THE
Address: 221 PARK PLACE BLVD, KISSIMMEE, FL 34741
Phone: (407) 935-0200
County: Osceola (480)
Ownership Type: For profit - Limited Liability company
Certified Beds: 120
Average Residents Per Day: 118. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: KISSIMMEE OPCO LLC
First Approved Date: January 13, 1994
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 3 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.47533, LPN Staff Hours Per Day: 0.9470, RN Staff Hours Per Day: 0.4638, Licensed Staff Hours Per Day: 1.4108
Total Nurse Staff Hours Per Day, per resident: 3.88618
Weekend Nurse Staff Hours: 3.58801, Weekend RN Staff Hours: 0.3231
PT Staff Hours Per Day, per resident: 0.1422
Nurse Staff Turnover: 51.7, Nurse Turnover Note:
RN Turnover: 53.8, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9426, Case Mix LPN Hours Per Day: 0.7678, Case Mix RN Hours Per Day: 0.3931
Adjusted Nurse Aide Hours Per Day, per resident: 2.59581, Adjusted LPN Hours Per Day: 0.9102, Adjusted RN Hours Per Day: 0.4446
Total Adjusted Nurse Hours Per Day, per resident: 3.94681
Adjusted Weekend Nurse Hours Per Day, per resident: 3.64398
Health Survey Dates and Scores: Cycle 1: 2023-09-14 (Score: 8), Cycle 2: 2022-01-13 (Score: 12), Cycle 3: 2020-10-01 (Score: 36)
Total Weighted Health Score: 14.000
Reported Incidents: 4, Substantiated Complaints: 2
Infection Control Citations: 2
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 27072.50, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 221 PARK PLACE BLVD,KISSIMMEE,FL,34741 (28.3135, -81.408)
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: Allow residents to self-administer drugs if determined clinically appropriate.
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 2024-01-04
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 2023-10-14
Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 2023-03-21
Type: Health, Deficiency: Allow residents to self-administer drugs if determined clinically appropriate.
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 2022-02-13
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 2022-02-13
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-21
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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 2021-05-17
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
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 2020-10-31
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 2020-10-31
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
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 2020-10-31
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: