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BISHOPS GLEN RETIREMENT CENTER - HOLLY HILL, FL

 



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Address
900 LPGA BLVD
HOLLY HILL, FL, 32117
Phone (make sure to verify first before calling): (386) 226-9000

Number of Certified Beds: 60
Total Number of Residents: 54
Percent of Occupied Beds: 90%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Family
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 5 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 3.26
Certified Nurse Aides - Full Time: 21.39
Certified Nurse Aides - Part Time: 2.76
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 13.71
Housekeeping Personnel - Full Time: 9.30
Licensed Practical/ Vocational Nurses - Full Time: 5.40
Medical Directors - Under Contract: 0.11
Mental Health Services Personnel - Under Contract: 0.06
Persons Not Included In Any Other Categories - Full Time: 4.29
Physical Therapists - Under Contract: 0.73
Registered Nurses - Full Time: 2.43
Rn Director Of Nursing - Full Time: 1.14
Occupational Therapists - Under Contract: 1.81
Pharmacists - Under Contract: 0.11
Speech Pathologists - Under Contract: 0.79
Occupational Therapy Assistants - Under Contract: 0.94
Licensed Practical/ Vocational Nurses - Under Contract: 6.06
Certified Nurse Aides - Under Contract: 11.77

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
Here:

9.1%
State:

14.7%
Percent of long-stay residents who self-report moderate to severe pain
Here:

5.3%
State:

8.4%
Percent of long-stay residents who lose too much weight
Here:

2.4%
Florida:

8.1%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

10.8%
Florida:

3.5%
Percent of long-stay residents with a urinary tract infection
Here:

16.7%
Florida:

9.2%
Percent of long-stay residents who were physically restrained
Here:

4.5%
Florida:

2.8%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

6.8%
State:

2.8%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

95.1%
Florida:

94.0%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

84.1%
Florida:

95.6%
Percent of short-stay residents who self-report moderate to severe pain
Here:

10.3%
State:

20.3%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

65.7%
Florida:

86.5%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

55.9%
State:

86.6%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

2.7%
State:

3.1%
Percent of long-stay residents who received an antipsychotic medication
Here:

9.5%
Florida:

24.1%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

2.320
Florida:

0.628
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.560
State:

0.991
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

2.880
State:

1.617
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.150
Florida:

0.120
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.150
Florida:

0.122

Complaint Deficiency

Let residents talk to and get information from agencies acting on their behalf: Few (Minimal harm or potential for actual harm)

Provide adequate and comfortable lighting levels in all areas: Few (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm)

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

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