A+
97/100

Willowbrooke Court Skilled Care Center at Mease Li Inspection Report, Violations & Safety Grade (DUNEDIN, Florida)

910 NEW YORK AVE, DUNEDIN, Florida 34698

Phone: 7277332113

CMS Overall:5/5

Overview & Bed Count

Certified Beds
100
Avg Residents/Day
45.2
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Pinellas
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityFlorida AvgDifference
RN Hours per Resident per Day0.640.73-0.09
Total Nurse Hours per Resident per Day4.513.86+0.65
CMS Staffing Rating4/53.3/5-
Nursing Staff Turnover41.1%41.5%-

Health Citation History

5 health citations on record

DateCategoryDescriptionSeverity
2022-08-18Nursing and Physician Services DeficienciesPost nurse staffing information every day.D – Moderate Harm Potential
2021-04-02Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E – Moderate Harm Potential
2021-04-02Resident Rights DeficienciesNotify the resident or the residentโ€™s representative in writing how long the nursing home will hold the residentโ€™s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2021-04-02Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D – Moderate Harm Potential
2021-04-02Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential

Fire Safety Citation History

8 fire safety citations on record

DateCategoryDescriptionSeverity
2024-07-25Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-07-25Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2024-07-25Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.D – Moderate Harm Potential
2024-07-25Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2024-07-25Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.D – Moderate Harm Potential
2021-04-02Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2021-04-02Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2021-04-02Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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