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PASADENA MANOR - SOUTH PASADENA, FL

 



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PASADENA MANOR
1430 PASADENA AVE S
SOUTH PASADENA, FL, 33707

Phone (make sure to verify first before calling): (727) 347-1257

Number of Certified Beds: 126
Total Number of Residents: 113
Percent of Occupied Beds: 90%
Sprinkler Status: Fully sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Other
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 1 Star

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.51
Certified Nurse Aides - Full Time: 53.24
Certified Nurse Aides - Part Time: 3.64
Dietitians - Under Contract: 0.43
Food Service Personnel - Full Time: 6.86
Food Service Personnel - Part Time: 3.84
Licensed Practical/ Vocational Nurses - Full Time: 8.66
Licensed Practical/ Vocational Nurses - Part Time: 1.20
Medical Directors - Under Contract: 0.14
Mental Health Services Personnel - Under Contract: 0.57
Nurses With Administrative Duties - Full Time: 1.14
Persons Not Included In Any Other Categories - Full Time: 1.14
Registered Nurses - Full Time: 3.46
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Dentists - Under Contract: 0.14
Occupational Therapists - Part Time: 0.51
Pharmacists - Under Contract: 0.43
Physical Therapists - Part Time: 0.74
Podiatrists - Under Contract: 0.29
Housekeeping Personnel - Under Contract: 8.03
Sppech Pathologists - Full Time: 1.03
Registered Nurses - Part Time: 0.11
Physical Therapists - Full Time: 1.14
Licensed Practical/ Vocational Nurses - Under Contract: 10.99
Occupational Therapy Assistants - Part Time: 0.13
Certified Nurse Aides - Under Contract: 0.80

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite 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 Offsite 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 Services Are Provided Offsite 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 given influenza vaccination during the flu season
This Nursing Home:

89.0%
Florida:

87.6%
Percent of long-stay residents who were assessed and given pneumococcal vaccination
This Nursing Home:

62.0%
State:

86.3%
Percent of long-stay residents whose need for help with daily activities has increased
Here:

7.0%
State:

11.4%
Percent of high-risk long-stay residents who have pressure sores
Here:

14.0%
State:

11.6%
Percent of long-stay residents who were physically restrained
Here:

7.0%
State:

3.4%
Percent of long-stay residents who are more depressed or anxious
This Nursing Home:

5.0%
Florida:

9.7%
Percent of low-risk long-stay residents who lose control of their bowels or bladder
This Nursing Home:

44.0%
Florida:

53.4%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder
Here:

9.0%
State:

4.6%
Percent of long-stay residents who spend most of their time in bed or in a chair
This Nursing Home:

9.0%
State:

4.0%
Percent of long-stay residents whose ability to move about in and around their room got worse
Here:

5.0%
Florida:

8.4%
Percent of long-stay residents who had a urinary tract infection
This Nursing Home:

9.0%
Florida:

10.9%
Percent of long-stay residents who lose too much weight
This Nursing Home:

10.0%
State:

8.1%
Percent of short-stay residents who were assessed and given pneumococcal vaccination
This Nursing Home:

50.0%
Florida:

79.1%
Percent of short-stay residents who had moderate to severe pain
Here:

12.0%
Florida:

17.3%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.230
State:

0.600
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.940
Florida:

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

1.170
Florida:

1.591
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

2.650
Florida:

3.028

Complaint Deficiency

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary: Isolated (Minimal harm or potential for actual harm)

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

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Minimal harm or potential for actual harm)

Make sure that residents are well nourished: Pattern (Minimal harm or potential for actual harm)

Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed: Isolated (Minimal harm or potential for actual harm)

Provide enough notice before discharging or transferring a resident: Isolated (Minimal harm or potential for actual harm)

Help and prepare each resident for a safe and easy discharge and transfer from the nursing home: Isolated (Minimal harm or potential for actual harm)

Try to resolve each resident's complaints quickly: Isolated (Minimal harm or potential for actual harm)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (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: Isolated (Minimal harm or potential for actual harm)

Give professional services that meet a professional standard of quality: Isolated (Minimal harm or potential for actual harm)

Have a program to keep infection from spreading: Isolated (Minimal harm or potential for actual harm)

Have a program to keep infection from spreading: Isolated (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: Isolated (Minimal harm or potential for actual harm)

1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan: Isolated (Minimal harm or potential for actual harm)

Give professional services that meet a professional standard of quality: Isolated (Minimal harm or potential for actual harm)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Actual harm)

Give professional services that meet a professional standard of quality: Isolated (Minimal harm or potential for actual harm)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Minimal harm or potential for actual harm)

Let the resident refuse treatment or refuse to take part in an experiment: Isolated (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Isolated (Minimal harm or potential for actual harm)

1) Hire only people who have 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: Isolated (Minimal harm or potential for actual harm)

Provide services to meet the needs and preferences of each resident: Isolated (Minimal harm or potential for actual harm)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Minimal harm or potential for actual harm)

Provide enough notice before discharging or transferring a resident: Isolated (Minimal harm or potential for actual harm)

Provide written records when a resident is transferred or discharged: Isolated (Minimal harm or potential for actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Minimal harm or potential for actual harm)

Keep accurate and appropriate medical records: Isolated (Minimal harm or potential for actual harm)

Provide enough notice before discharging or transferring a resident: Isolated (Minimal harm or potential for actual harm)

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