Overall Rating
Address
9355 San Jose Blvd
Jacksonville, FL 32257
Contact
9047390877
Certification Date
1985-12-20
CMS Certification Number
105531
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
120
Average Number of Residents per Day
84.8
Provider Type
Medicare and Medicaid
Legal Business Name
9355 SAN JOSE BOULEVARD OPERATIONS LLC
Affiliated Entity Name
CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE
Affiliated Entity ID
158
Health Inspection Rating
2
Quality Measure Rating
4
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
1.90282
Reported LPN Staffing Hours per Resident per Day
0.77408
Reported RN Staffing Hours per Resident per Day
0.47503
Reported Total Nurse Staffing Hours per Resident per Day
3.15193
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.83135
Registered Nurse Hours per Resident per Day on the Weekend
0.28184
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02286
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
67.500
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
14
Number of Citations from Infection Control Inspections
4
Standard Health Survey Date
2023-06-15
Total Number of Health Deficiencies
0
Number of Standard Health Deficiencies
0
Number of Complaint Health Deficiencies
0
Health Deficiency Score
0
Number of Health Revisits
0
Health Revisit Score
0
Total Health Score
0
Standard Health Survey Date
2021-09-30
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
6
Health Deficiency Score
64
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
64
Standard Health Survey Date
2019-10-31
Total Number of Health Deficiencies
14
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
9
Health Deficiency Score
277
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
277
Number of Fines
2
Total Amount of Fines in Dollars
18856.50
Number of Payment Denials
1
Total Number of Penalties
3