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PAVILION AT JACKSONVILLE, THE

Overall Rating

Address

1771 Edgewood Ave W

Jacksonville, FL 32218

Contact

9047667436

Certification Date

1993-08-01

Details

CMS Certification Number

105826

Ownership Type

For profit - Individual

Number of Certified Beds

60

Average Number of Residents per Day

54.2

Provider Type

Medicare and Medicaid

Legal Business Name

THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC

Affiliated Entity Name

THE PAVILION GROUP

Affiliated Entity ID

514

Ratings

Health Inspection Rating

4

Quality Measure Rating

5

Staffing Rating

2

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.17176

Reported LPN Staffing Hours per Resident per Day

0.70640

Reported RN Staffing Hours per Resident per Day

0.60330

Reported Total Nurse Staffing Hours per Resident per Day

3.48146

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

3.23120

Registered Nurse Hours per Resident per Day on the Weekend

0.56545

Reported Physical Therapist Staffing Hours per Resident Per Day

0.09638

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

4

Inspections

Total Weighted Health Survey Score

14.667

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

2022-05-12

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

3

Number of Complaint Health Deficiencies

0

Health Deficiency Score

24

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

24

Rating Cycle 2

Standard Health Survey Date

2020-10-29

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

Rating Cycle 3

Standard Health Survey Date

2018-12-13

Total Number of Health Deficiencies

4

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

0

Health Deficiency Score

16

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

16

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

650.00

Number of Payment Denials

0

Total Number of Penalties

1