Overall Rating
Address
4134 Dunn Avenue
Jacksonville, FL 32218
Contact
9047662297
Certification Date
1990-10-31
CMS Certification Number
105710
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
163
Average Number of Residents per Day
145.3
Provider Type
Medicare and Medicaid
Legal Business Name
SOVEREIGN HEALTHCARE OF JACKSONVILLE, LLC
Affiliated Entity Name
SOVEREIGN HEALTHCARE HOLDINGS
Affiliated Entity ID
482
Health Inspection Rating
4
Quality Measure Rating
4
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.24598
Reported LPN Staffing Hours per Resident per Day
0.95294
Reported RN Staffing Hours per Resident per Day
0.32995
Reported Total Nurse Staffing Hours per Resident per Day
3.52888
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.07422
Registered Nurse Hours per Resident per Day on the Weekend
0.23518
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13199
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
13.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-06-02
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
2
Health Deficiency Score
16
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
16
Standard Health Survey Date
2021-09-23
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
1
Health Deficiency Score
12
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
12
Standard Health Survey Date
2019-10-17
Total Number of Health Deficiencies
2
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
0
Health Deficiency Score
8
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
8
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0