Provider Name: PAVILION FOR HEALTH CARE, THE
Address: 3465 CAROLINE BLVD, PENNEY FARMS, FL 32079
Phone: (904) 284-8578
County: Clay (090)
Ownership Type: Non profit - Corporation
Certified Beds: 50
Average Residents Per Day: 39.0 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: PENNEY RETIREMENT COMMUNITY, INC.
First Approved Date: December 27, 2012
Affiliated Entity: ()
Retirement Community: Y, 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: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.42295, LPN Staff Hours Per Day: 1.0436, RN Staff Hours Per Day: 0.8923, Licensed Staff Hours Per Day: 1.9360
Total Nurse Staff Hours Per Day, per resident: 5.35900
Weekend Nurse Staff Hours: 4.35606, Weekend RN Staff Hours: 0.7458
PT Staff Hours Per Day, per resident: 0.0432
Nurse Staff Turnover: 51.3, Nurse Turnover Note:
RN Turnover: 45.5, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1426, Case Mix LPN Hours Per Day: 0.7148, Case Mix RN Hours Per Day: 0.3704
Adjusted Nurse Aide Hours Per Day, per resident: 3.25457, Adjusted LPN Hours Per Day: 1.0774, Adjusted RN Hours Per Day: 0.9076
Total Adjusted Nurse Hours Per Day, per resident: 5.23297
Adjusted Weekend Nurse Hours Per Day, per resident: 4.25361
Health Survey Dates and Scores: Cycle 1: 2022-09-15 (Score: 8), Cycle 2: 2021-04-07 (Score: 8), Cycle 3: 2019-06-07 (Score: 0)
Total Weighted Health Score: 6.667
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: 3465 CAROLINE BLVD,PENNEY FARMS,FL,32079 (29.9775, -81.813)
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: Ensure medication error rates are not 5 percent or greater.
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 2022-10-01
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
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 2022-10-01
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2021-05-08
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: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm 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 2019-06-27
Type: Fire Safety, Tag: 0919, Version: New
Description: Meet requirements for the use of electrical equipment.
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 2019-06-27