Sandalwood Rehabilitation and Nursing Center
1001 S Beach Street, Daytona Beach, FL 32114


Sandalwood Rehabilitation and Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105002. The address is 1001 S Beach Street, Daytona Beach, FL 32114. The zip code is 32114. The phone number is 3862583334.


Sandalwood Rehabilitation and Nursing Center · 1001 S Beach Street, Daytona Beach, FL 32114

Federal Provider Number 105002
Provider Name SANDALWOOD REHABILITATION AND NURSING CENTER
Address 1001 S BEACH STREET
DAYTONA BEACH, FL 32114
Phone Number 3862583334
SSA County Code 630
County Name Volusia
Ownership Type For profit - Corporation
Certified Beds 99
Certified Beds Residents 90
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SANDALWOOD OPERATING LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months true
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 3
Staffing Rating 2
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.61889
Reported LPN Staffing Hours per Resident per Day 0.98
Reported RN Staffing Hours per Resident per Day 0.29
Reported Licensed Staffing Hours per Resident per Day 1.27
Reported Total Nurse Staffing Hours per Resident per Day 3.88889
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05333
Expected CNA Staffing Hours per Resident per Day 2.15254
Expected LPN Staffing Hours per Resident per Day 0.57368
Expected RN Staffing Hours per Resident per Day 0.90233
Expected Total Nurse Staffing Hours per Resident per Day 3.62855
Adjusted CNA Staffing Hours per Resident per Day 2.9853
Adjusted LPN Staffing Hours per Resident per Day 1.41786
Adjusted RN Staffing Hours per Resident per Day 0.24014
Adjusted Total Nurse Staffing Hours per Resident per Day 4.32011
Cycle 1 Total Number of Health Deficiencies 9
Cycle 1 Number of Standard Health Deficiencies 9
Cycle 1 Health Deficiency Score 64
Cycle 1 Standard Survey Health Date 03/24/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 64
Cycle 2 Total Number of Health Deficiencies 8
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 05/05/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 13
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 72
Cycle 3 Standard Health Survey Date 02/19/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 72
Total Weighted Health Survey Score 57.333
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Sandalwood Rehabilitation and Nursing Center

Owner Name Role Association Date
BOBKER, MOSHE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
since 01/10/2017
DAUGHTERS, CINDY (Individual) MANAGING EMPLOYEE since 04/01/2017
DAUGHTERS, CINDY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2017
FUCHS, TOVA (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
since 01/10/2017
LESSER, DAVID (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
since 01/10/2017
MANN, BAILA (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
since 01/10/2017
SANDALWOOD HOLDINGS, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/10/2017
TAUB, JACOB (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
since 01/10/2017
TAUB, MIRIAM (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
43%
since 01/10/2017

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