Overall Rating
Address
4251 Stack Blvd
Melbourne, FL 32901
Contact
3219532219
Certification Date
1996-01-31
CMS Certification Number
105904
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Average Number of Residents per Day
113.4
Provider Type
Medicare and Medicaid
Legal Business Name
SOVEREIGN HEALTHCARE OF ATLANTIC SHORES LLC
Affiliated Entity Name
SOVEREIGN HEALTHCARE HOLDINGS
Affiliated Entity ID
482
Health Inspection Rating
3
Quality Measure Rating
4
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.16481
Reported LPN Staffing Hours per Resident per Day
0.96125
Reported RN Staffing Hours per Resident per Day
0.40746
Reported Total Nurse Staffing Hours per Resident per Day
3.53352
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.13407
Registered Nurse Hours per Resident per Day on the Weekend
0.35008
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09166
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
2
Total Weighted Health Survey Score
36.667
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Citations from Infection Control Inspections
1
Standard Health Survey Date
2022-12-22
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
7
Number of Complaint Health Deficiencies
0
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Standard Health Survey Date
2021-02-11
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
0
Health Deficiency Score
28
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
28
Standard Health Survey Date
2019-06-07
Total Number of Health Deficiencies
11
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
0
Health Deficiency Score
56
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
56
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0