South Heritage Health & Rehabilitation Center
718 Lakeview Ave S, Saint Petersburg, FL 33705


South Heritage Health & Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105117. The address is 718 Lakeview Ave S, Saint Petersburg, FL 33705. The zip code is 33705. The phone number is 7278945125.


South Heritage Health & Rehabilitation Center · 718 Lakeview Ave S, Saint Petersburg, FL 33705

Federal Provider Number 105117
Provider Name SOUTH HERITAGE HEALTH & REHABILITATION CENTER
Address 718 LAKEVIEW AVE S
SAINT PETERSBURG, FL 33705
Phone Number 7278945125
SSA County Code 510
County Name Pinellas
Ownership Type Non profit - Corporation
Certified Beds 69
Certified Beds Residents 52
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SENIOR HEALTH-SOUTH HERITAGE, LLC
Date First Approved to Provide Medicare Medicaid Services 06/01/1982
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council None
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 2
Staffing Rating 2
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.40769
Reported LPN Staffing Hours per Resident per Day 1.08462
Reported RN Staffing Hours per Resident per Day 0.33365
Reported Licensed Staffing Hours per Resident per Day 1.41827
Reported Total Nurse Staffing Hours per Resident per Day 3.82596
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07692
Expected CNA Staffing Hours per Resident per Day 2.29847
Expected LPN Staffing Hours per Resident per Day 0.68534
Expected RN Staffing Hours per Resident per Day 1.14914
Expected Total Nurse Staffing Hours per Resident per Day 4.13295
Adjusted CNA Staffing Hours per Resident per Day 2.5703
Adjusted LPN Staffing Hours per Resident per Day 1.31356
Adjusted RN Staffing Hours per Resident per Day 0.21695
Adjusted Total Nurse Staffing Hours per Resident per Day 3.73149
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 24
Cycle 1 Standard Survey Health Date 05/26/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 24
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 02/05/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 10/16/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 22.667
Number of Substantiated Complaints 5
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · South Heritage Health & Rehabilitation Center

Owner Name Role Association Date
DEPIANO, RICHARD (Individual) OFFICER since 04/01/2009
HARRISON, TEKEL (Individual) MANAGING EMPLOYEE since 04/14/2017
JAFFE, HOWARD (Individual) OFFICER since 04/01/2009
JOHNSON, TERESA (Individual) MANAGING EMPLOYEE since 04/04/2016
MULLEN, ANN (Individual) OFFICER since 04/01/2009
RICHMOND, PENNY (Individual) OFFICER since 04/01/2009
SCHMOLLINGER, ADRIENNE (Individual) OFFICER since 04/01/2009
SENIOR HEALTH PROPERTIES-SOUTH INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/30/2000
SENIOR HEALTH SOUTH EX LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
since 11/20/2000

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