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CYPRESS VILLAGE

Overall Rating

Address

4600 Middleton Park Cir E

Jacksonville, FL 32224

Contact

9042236100

Certification Date

1991-10-14

Details

CMS Certification Number

105745

Ownership Type

For profit - Corporation

Number of Certified Beds

120

Average Number of Residents per Day

91.1

Provider Type

Medicare and Medicaid

Legal Business Name

CCRC OPCO - CYPRESS VILLAGE, LLC

Affiliated Entity Name

HEALTHPEAK PROPERTIES, INC.

Affiliated Entity ID

261

Ratings

Health Inspection Rating

3

Quality Measure Rating

3

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.53219

Reported LPN Staffing Hours per Resident per Day

1.38287

Reported RN Staffing Hours per Resident per Day

0.71221

Reported Total Nurse Staffing Hours per Resident per Day

4.62728

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

4.22567

Registered Nurse Hours per Resident per Day on the Weekend

0.49243

Reported Physical Therapist Staffing Hours per Resident Per Day

0.21276

Quality Measures

Long-Stay Quality Measure Rating

2

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

28.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

5

Number of Citations from Infection Control Inspections

3

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-05-25

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

2

Number of Complaint Health Deficiencies

1

Health Deficiency Score

24

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

24

Rating Cycle 2

Standard Health Survey Date

2021-09-10

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

2

Health Deficiency Score

36

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

36

Rating Cycle 3

Standard Health Survey Date

2019-10-04

Total Number of Health Deficiencies

7

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

2

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Penalties

Number of Fines

5

Total Amount of Fines in Dollars

18987.61

Number of Payment Denials

0

Total Number of Penalties

5