Provider Name: SHANDS JACKSONVILLE MEDICAL CENTER
Address: 580 W 8TH STREET, JACKSONVILLE, FL 32209
Phone: (904) 244-1812
County: Duval (150)
Ownership Type: Non profit - Corporation
Certified Beds: 56
Average Residents Per Day: 32.4 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: SHANDS JACKSONVILLE MEDICAL CENTER INC
First Approved Date: July 24, 1997
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 3 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: (2)
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.11512, LPN Staff Hours Per Day: 0.4090, RN Staff Hours Per Day: 3.0261, Licensed Staff Hours Per Day: 3.4351
Total Nurse Staff Hours Per Day, per resident: 6.55029
Weekend Nurse Staff Hours: 6.28976, Weekend RN Staff Hours: 2.8584
PT Staff Hours Per Day, per resident: 0.2197
Nurse Staff Turnover: 33.3, Nurse Turnover Note:
RN Turnover: 37.5, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 1.9474, Case Mix LPN Hours Per Day: 0.8565, Case Mix RN Hours Per Day: 0.5682
Adjusted Nurse Aide Hours Per Day, per resident: 3.25880, Adjusted LPN Hours Per Day: 0.3524, Adjusted RN Hours Per Day: 2.0065
Total Adjusted Nurse Hours Per Day, per resident: 6.12251
Adjusted Weekend Nurse Hours Per Day, per resident: 5.87899
Health Survey Dates and Scores: Cycle 1: 2022-05-05 (Score: 0), Cycle 2: 2020-09-30 (Score: 32), Cycle 3: 2018-11-21 (Score: 0)
Total Weighted Health Score: 10.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 650.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 580 W 8TH STREET,JACKSONVILLE,FL,32209 (30.3465, -81.663)
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: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-11-30
Type: Health, Deficiency: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-11-30
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: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
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 2022-05-27
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-11-30
Type: Fire Safety, Tag: 0917, Version: New
Description: Ensure electrical receptacles or cover plates have distinctive color or marking.
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 2018-12-14
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
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 2018-12-14