Provider Name: HAVEN OF OUR LADY OF PEACE
Address: 1900 SUMMIT BOULEVARD, PENSACOLA, FL 32503
Phone: (850) 436-5900
County: Escambia (160)
Ownership Type: Non profit - Corporation
Certified Beds: 120
Average Residents Per Day: 85.5 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: HAVEN OF OUR LADY OF PEACE, INC.
First Approved Date: April 1, 2003
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: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.31256, LPN Staff Hours Per Day: 0.8807, RN Staff Hours Per Day: 0.5655, Licensed Staff Hours Per Day: 1.4463
Total Nurse Staff Hours Per Day, per resident: 3.75886
Weekend Nurse Staff Hours: 3.33701, Weekend RN Staff Hours: 0.3700
PT Staff Hours Per Day, per resident: 0.1531
Nurse Staff Turnover: 61.1, Nurse Turnover Note:
RN Turnover: 65.0, RN Turnover Note:
Admin Left Number: 2, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1061, Case Mix LPN Hours Per Day: 0.7375, Case Mix RN Hours Per Day: 0.3508
Adjusted Nurse Aide Hours Per Day, per resident: 2.23691, Adjusted LPN Hours Per Day: 0.8812, Adjusted RN Hours Per Day: 0.6073
Total Adjusted Nurse Hours Per Day, per resident: 3.70884
Adjusted Weekend Nurse Hours Per Day, per resident: 3.29260
Health Survey Dates and Scores: Cycle 1: 2023-12-14 (Score: 20), Cycle 2: 2022-08-11 (Score: 0), Cycle 3: 2021-06-10 (Score: 8)
Total Weighted Health Score: 11.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 1900 SUMMIT BOULEVARD,PENSACOLA,FL,32503 (30.4665, -87.199)
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: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 2024-02-15
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 2024-02-15
Type: Health, Deficiency: Post nurse staffing information every day.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2024-02-15
Type: Health, Deficiency: Make sure that a working call system is available in each resident's bathroom and bathing area.
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 2024-02-15
Type: Health, Deficiency: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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 2021-07-07
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 2021-07-07
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: 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 2022-08-17