Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-12-16570 Wells Rd, Orange Park, FL 32073
(904) 264-3912 · Vivo Healthcare
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 94.3% | Latest inspection | 2024-11-21 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 5 of 5 | 5 of 5 | 3 of 5 |
| Health-inspection score | 17.0 points | 16.5 points | 38.5 points |
| Total nurse staffing | 3.33 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 0.34 hours/day | 0.51 hours/day | 0.62 hours/day |
| Staff turnover | 53.5% | 46.8% | 41.8% |
| Latest health deficiencies | 1 deficiencies | 2 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-12-16Immediate-jeopardy citations: 0
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-02-28Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2023-02-28Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-02-06Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-02-06Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-02-06Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-02-06Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-02-06Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-03-06Immediate-jeopardy citations: 0
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-07-07Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-07-05Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-07-05Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-07-06Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-07-06Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-07-05Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-07-05Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-07-12Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-07-07Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-07-06Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.09091 |
| Lpn hours | 0.89648 |
| Rn hours | 0.34335 |
| Reported total hours | 3.33074 |
| Weekend total hours | 3.20174 |
| Weekend rn hours | 0.27656 |
| Adjusted total hours | 3.52241 |
| Total turnover percent | 53.5 |
| Rn turnover percent | 37.5 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
| Name | Role | Share |
|---|---|---|
| JACKSONVILLE 3 ORANGE PARK OPCO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| AB MARBEC REALTY GROUP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% |
| JEK IRRV TR II | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% |
| NMJ IRRV TR II | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% |
| CUKIER, BROCHA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% |
| GLUCK, BENJAMIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% |
| JACOBOWITZ, JUDAH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% |
| JACKSONVILLE 3 PROPCO HOLDINGS LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| ORANGE PARK PROPCO LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| CUKIER, JOSEF | CORPORATE OFFICER | NOT APPLICABLE |
| SF IRREVOCABLE TRUST | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CUKIER, JOSEF | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FRIEDLAND, SHALOM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GLUCK, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JAKOBOVITS, NATHAN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| KAGAN, JEFFREY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| SF IRREVOCABLE TRUST | TRUSTEE OF THE SNF | NOT APPLICABLE |
| AB MARBEC REALTY GROUP | ADP OF THE SNF | NOT APPLICABLE |
| FORVIS MAZARS LLP | ADP OF THE SNF | NOT APPLICABLE |
| JACKSONVILLE 3 PROPCO HOLDINGS LLC | ADP OF THE SNF | NOT APPLICABLE |
| JEK HOLDINGS LLC | ADP OF THE SNF | NOT APPLICABLE |
| NMJ HOLDINGS LLC | ADP OF THE SNF | NOT APPLICABLE |
| PEASE BELL CPAS LLC | ADP OF THE SNF | NOT APPLICABLE |
| SF IRREVOCABLE TRUST | ADP OF THE SNF | NOT APPLICABLE |
| SUMMATION FINANCIAL SERVICES LLC | ADP OF THE SNF | NOT APPLICABLE |
| VIVO HEALTHCARE CONSULTING LLC | ADP OF THE SNF | NOT APPLICABLE |
| CUKIER, BROCHA | ADP OF THE SNF | NOT APPLICABLE |
| CUKIER, JOSEF | ADP OF THE SNF | NOT APPLICABLE |
| FOSTER-JACKSON, TRINITY | ADP OF THE SNF | NOT APPLICABLE |
| FRIEDLAND, SHALOM | ADP OF THE SNF | NOT APPLICABLE |
| GLUCK, BENJAMIN | ADP OF THE SNF | NOT APPLICABLE |
| JACOBOWITZ, JUDAH | ADP OF THE SNF | NOT APPLICABLE |
| VISHEN, RAJESH | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology