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Seminole Pavilion Rehabilitation & Nursing Service

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About Seminole Pavilion Rehabilitation & Nursing Service

General Information

Legal Business NameCcrc Opco Freedom Square LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 16, 1982 (34 years)
Capacity120
Residents115
Percent Occupied96%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Seminole Pavilion Rehabilitation & Nursing Service

Seminole Pavilion Rehabilitation & Nursing Service
was reviewed by Medicare to have a rating of 4 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

October 30, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
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 InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionMaintain comfortable sound levels.
DFewPotential for HarmHealth InspectionTell the resident or the residentís representative in writing how long the nursing home will hold the residentís bed in cases of transfer to a hospital or therapeutic leave.

October 27, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionA properly installed device for maintaining water pressure in the sprinkler system.

July 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
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 InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

July 21, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Seminole Pavilion Rehabilitation & Nursing Service 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 35min
2hr 15min
ReportedExpected
CNA
55min
35min
ReportedExpected
LPN
1hr 5min
1hr 10min
ReportedExpected
RN
4hr 40min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

81.3%
77.3%
77.3%
93.2%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
82.7%
92.5%
89.1%
94.4%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
56.7%
51.4%
Q1 2015Q2 2015Q3 2015FL
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
5.6%
10.6%
6.3%
18.9%
Q1 2015Q2 2015Q3 2015FL
Received an Antipsychotic Medication
27.1%
18.2%
23.0%
14.1%
Q1 2015Q2 2015Q3 2015FL
Need for Help with ADLs has Increased
8.3%
11.5%
20.0%
5.6%
Q1 2015Q2 2015Q3 2015FL
Self Report Moderate to Severe Pain
12.5%
12.5%
4.7%
7.6%
Q1 2015Q2 2015Q3 2015FL
Lose Too Much Weight
5.6%
12.2%
4.9%
5.8%
Q1 2015Q2 2015Q3 2015FL
High Risk Residents With Pressure Ulcers
15.8%
14.3%
2.5%
1.9%
Q1 2015Q2 2015Q3 2015FL
Have Depressive Symptoms
9.7%
9.4%
6.2%
5.2%
Q1 2015Q2 2015Q3 2015FL
With a Urinary Tract Infection
2.7%
4.5%
3.1%
2.8%
Q1 2015Q2 2015Q3 2015FL
Experiencing One or More Falls with Major Injury
5.2%
3.6%
1.4%
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

87.2%
76.8%
67.7%
87.2%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Pneumococcal Vaccine
89.8%
86.8%
86.8%
84.9%
Q1 2015Q2 2015Q3 2015FL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
25.9%
21.1%
24.8%
14.3%
Q1 2015Q2 2015Q3 2015FL
Self Report Moderate to Severe Pain
3.1%
2.8%
1.7%
2.6%
Q1 2015Q2 2015Q3 2015FL
Newly Received an Antipsychotic Medication
0.4%
0.6%
0.3%
0.7%
Q1 2015Q2 2015Q3 2015FL
With Pressure Ulcers That Are New or Worsened