Bristol At Tampa Rehab and Nursing Center LLC
1818 E Fletcher Ave, Tampa, FL 33612


Bristol At Tampa Rehab and Nursing Center LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105140. The address is 1818 E Fletcher Ave, Tampa, FL 33612. The zip code is 33612. The phone number is 8139712383.


Bristol At Tampa Rehab and Nursing Center LLC · 1818 E Fletcher Ave, Tampa, FL 33612

Federal Provider Number 105140
Provider Name BRISTOL AT TAMPA REHAB AND NURSING CENTER LLC
Address 1818 E FLETCHER AVE
TAMPA, FL 33612
Phone Number 8139712383
SSA County Code 280
County Name Hillsborough
Ownership Type For profit - Corporation
Certified Beds 253
Certified Beds Residents 211
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name Legal Business Name Not Available
Date First Approved to Provide Medicare Medicaid Services 05/09/1967
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 Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 3
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.94763
Reported LPN Staffing Hours per Resident per Day 0.95403
Reported RN Staffing Hours per Resident per Day 0.77062
Reported Licensed Staffing Hours per Resident per Day 1.72464
Reported Total Nurse Staffing Hours per Resident per Day 4.67228
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06469
Expected CNA Staffing Hours per Resident per Day 2.57836
Expected LPN Staffing Hours per Resident per Day 0.64691
Expected RN Staffing Hours per Resident per Day 1.01704
Expected Total Nurse Staffing Hours per Resident per Day 4.24231
Adjusted CNA Staffing Hours per Resident per Day 2.80512
Adjusted LPN Staffing Hours per Resident per Day 1.22404
Adjusted RN Staffing Hours per Resident per Day 0.56616
Adjusted Total Nurse Staffing Hours per Resident per Day 4.43944
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Health Deficiency Score 24
Cycle 1 Standard Survey Health Date 04/01/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 24
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 12/11/2014
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 10/04/2013
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 19.333
Number of Substantiated Complaints 8
Number of Fines 1
Total Amount of Fines in Dollars $1820.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Bristol At Tampa Rehab and Nursing Center LLC

Owner Name Role Association Date
() Ownership Data Not Available

street_number: 1818
route: East Fletcher Avenue (E Fletcher Ave)
neighborhood, political: Cross Fletcher
locality, political: Tampa
admin_level_2, political: Hillsborough County
admin_level_1, political: Florida (FL)
country, political: United States (US)
postal_code: 33612
postal_code_suffix: 3770
types : street_address
latitude: 28.070187
longitude: -82.439313
latlng: (28.070187, -82.439313)


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