Golfview Healthcare Center
3636 10th Ave N, Saint Petersburg, FL 33713


Golfview Healthcare Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105409. The address is 3636 10th Ave N, Saint Petersburg, FL 33713. The zip code is 33713. The phone number is 7273233611.


Golfview Healthcare Center · 3636 10th Ave N, Saint Petersburg, FL 33713

Federal Provider Number 105409
Provider Name GOLFVIEW HEALTHCARE CENTER
Address 3636 10TH AVE N
SAINT PETERSBURG, FL 33713
Phone Number 7273233611
SSA County Code 510
County Name Pinellas
Ownership Type For profit - Corporation
Certified Beds 56
Certified Beds Residents 49
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LP ST. PETERSBURG, 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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 1
Quality Measure Rating 5
Staffing Rating 2
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.51531
Reported LPN Staffing Hours per Resident per Day 0.83265
Reported RN Staffing Hours per Resident per Day 0.47041
Reported Licensed Staffing Hours per Resident per Day 1.30306
Reported Total Nurse Staffing Hours per Resident per Day 3.81837
Reported Physical Therapist Staffing Hours per Resident Per Day 0.10204
Expected CNA Staffing Hours per Resident per Day 2.46886
Expected LPN Staffing Hours per Resident per Day 0.66379
Expected RN Staffing Hours per Resident per Day 1.10487
Expected Total Nurse Staffing Hours per Resident per Day 4.23752
Adjusted CNA Staffing Hours per Resident per Day 2.49987
Adjusted LPN Staffing Hours per Resident per Day 1.04114
Adjusted RN Staffing Hours per Resident per Day 0.31813
Adjusted Total Nurse Staffing Hours per Resident per Day 3.63219
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 02/03/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 10/30/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 5
Cycle 3 Health Deficiency Score 319
Cycle 3 Standard Health Survey Date 01/23/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 319
Total Weighted Health Survey Score 62.5
Number of Substantiated Complaints 2
Number of Fines 2
Total Amount of Fines in Dollars $135655.00
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Golfview Healthcare Center

Owner Name Role Association Date
ADAMS, SANDRA (Individual) OFFICER since 07/01/2014
HARRISON, JOHN (Individual) OFFICER since 11/01/2007
JJLA LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
LP O HOLDINGS II LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/01/2007
LPSNF II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
ROUTT, JACQUELINE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 05/31/2011
SIGNATURE HEALTHCARE CLINICAL CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2007
SIGNATURE HEALTHCARE CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2007
SIGNATURE HOLDINGS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
SMEDRA, IRA (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
STEIER, E (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
WHEATEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
WINTNER, JACOB (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007

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