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Tiffany Hall Nursing And Rehab Center

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About Tiffany Hall Nursing And Rehab Center

General Information

Legal Business NameSovereign Healthcare Of Port St. Lucie, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 6, 1993 (23 years)
Capacity120
Residents103
Percent Occupied86%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Tiffany Hall Nursing And Rehab Center

Tiffany Hall Nursing And Rehab Center
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Florida Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

February 19, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionDispose of garbage and refuse properly.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

February 17, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
FManyPotential for HarmFire Safety InspectionRooms that can be unlocked from inside without a key.

January 30, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionGive notice to the resident before a room or roommate change.

January 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProper construction of ducts through walls designed to prevent smoke passage.
FManyPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionPortable fire extinguishers.
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionAt least two compartments on every floor to protect residents from smoke.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Tiffany Hall Nursing And Rehab Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 55min
2hr 35min
ReportedExpected
CNA
1hr 5min
40min
ReportedExpected
LPN
35min
1hr 10min
ReportedExpected
RN
4hr 35min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.5%
95.7%
95.7%
93.2%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
94.4%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Pneumococcal Vaccine
77.6%
80.4%
83.0%
51.4%
Q1 2015Q2 2015Q3 2015FL
Low Risk Residents Who Lose Control of Their Bowel or Bladder
10.7%
7.1%
7.9%
18.9%
Q1 2015Q2 2015Q3 2015FL
Received an Antipsychotic Medication
17.1%
11.4%
9.2%
14.1%
Q1 2015Q2 2015Q3 2015FL
Need for Help with ADLs has Increased
5.7%
12.7%
4.2%
5.6%
Q1 2015Q2 2015Q3 2015FL
Self Report Moderate to Severe Pain
3.8%
2.7%
4.9%
7.6%
Q1 2015Q2 2015Q3 2015FL
Lose Too Much Weight
4.3%
7.8%
14.9%
5.8%
Q1 2015Q2 2015Q3 2015FL
High Risk Residents With Pressure Ulcers
4.1%
1.4%
1.3%
1.9%
Q1 2015Q2 2015Q3 2015FL
Have Depressive Symptoms
5.0%
9.3%
13.6%
5.2%
Q1 2015Q2 2015Q3 2015FL
With a Urinary Tract Infection
1.2%
1.3%
1.2%
2.8%
Q1 2015Q2 2015Q3 2015FL
Experiencing One or More Falls with Major Injury
4.7%
3.5%
2.7%
2.7%
Q1 2015Q2 2015Q3 2015FL
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015FL
Were Physically Restrained

Quality Measures for Short Stay Residents

94.6%
97.0%
95.7%
87.2%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Pneumococcal Vaccine
93.8%
91.5%
91.5%
84.9%
Q1 2015Q2 2015Q3 2015FL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
38.0%
23.4%
23.8%
14.3%
Q1 2015Q2 2015Q3 2015FL
Self Report Moderate to Severe Pain
3.5%
2.5%
0.9%
2.6%
Q1 2015Q2 2015Q3 2015FL
Newly Received an Antipsychotic Medication
1.2%
1.0%
1.1%
0.7%
Q1 2015Q2 2015Q3 2015FL
With Pressure Ulcers That Are New or Worsened