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MOULTRIE CREEK NURSING AND REHAB CENTER

Overall Rating

Address

200 Mariner Health Way

Saint Augustine, FL 32086

Contact

9047971800

Certification Date

1986-12-09

Details

CMS Certification Number

105548

Ownership Type

For profit - Corporation

Number of Certified Beds

120

Average Number of Residents per Day

112.2

Provider Type

Medicare and Medicaid

Legal Business Name

SOVEREIGN HEALTHCARE OF ST AUGUSTINE LLC

Affiliated Entity Name

SOVEREIGN HEALTHCARE HOLDINGS

Affiliated Entity ID

482

Ratings

Health Inspection Rating

4

Quality Measure Rating

5

Staffing Rating

2

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.16292

Reported LPN Staffing Hours per Resident per Day

1.04095

Reported RN Staffing Hours per Resident per Day

0.31431

Reported Total Nurse Staffing Hours per Resident per Day

3.51817

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.21077

Registered Nurse Hours per Resident per Day on the Weekend

0.28012

Reported Physical Therapist Staffing Hours per Resident Per Day

0.17508

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

4

Inspections

Total Weighted Health Survey Score

11.333

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2022-11-17

Total Number of Health Deficiencies

2

Number of Standard Health Deficiencies

2

Number of Complaint Health Deficiencies

1

Health Deficiency Score

8

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

8

Rating Cycle 2

Standard Health Survey Date

2021-04-01

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

3

Number of Complaint Health Deficiencies

0

Health Deficiency Score

12

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

12

Rating Cycle 3

Standard Health Survey Date

2019-03-28

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

20

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

20

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0