Suwannee Health and Rehabilitation Center
1620 Helvenston St Se, Live Oak, FL 32064


Suwannee Health and Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105613. The address is 1620 Helvenston St Se, Live Oak, FL 32064. The zip code is 32064. The phone number is 3863627860.


Suwannee Health and Rehabilitation Center · 1620 Helvenston St Se, Live Oak, FL 32064

Federal Provider Number 105613
Provider Name SUWANNEE HEALTH AND REHABILITATION CENTER
Address 1620 HELVENSTON ST SE
LIVE OAK, FL 32064
Phone Number 3863627860
SSA County Code 600
County Name Suwannee
Ownership Type For profit - Corporation
Certified Beds 180
Certified Beds Residents 151
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name NF SUWANNEE LLC
Date First Approved to Provide Medicare Medicaid Services 08/02/1988
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 3
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.94702
Reported LPN Staffing Hours per Resident per Day 1.24371
Reported RN Staffing Hours per Resident per Day 0.51358
Reported Licensed Staffing Hours per Resident per Day 1.75728
Reported Total Nurse Staffing Hours per Resident per Day 4.70431
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06987
Expected CNA Staffing Hours per Resident per Day 2.46206
Expected LPN Staffing Hours per Resident per Day 0.7085
Expected RN Staffing Hours per Resident per Day 1.13551
Expected Total Nurse Staffing Hours per Resident per Day 4.30607
Adjusted CNA Staffing Hours per Resident per Day 2.93701
Adjusted LPN Staffing Hours per Resident per Day 1.45699
Adjusted RN Staffing Hours per Resident per Day 0.33795
Adjusted Total Nurse Staffing Hours per Resident per Day 4.40369
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 40
Cycle 1 Standard Survey Health Date 06/22/2017
Cycle 1 Total Health Score 40
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 52
Cycle 2 Standard Health Survey Date 06/09/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 52
Cycle 3 Total Number of Health Deficiencies 10
Cycle 3 Number of Standard Health Deficiencies 10
Cycle 3 Health Deficiency Score 211
Cycle 3 Standard Health Survey Date 03/29/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 211
Total Weighted Health Survey Score 72.5
Number of Substantiated Complaints 1
Number of Fines 1
Total Amount of Fines in Dollars $108258.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Suwannee Health and Rehabilitation Center

Owner Name Role Association Date
BARROW STREET REAL ESTATE FUND III, LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/30/2010
BSREF III PARALLEL INVESTOR II LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/30/2010
BSREF III PARALLEL INVESTOR I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/30/2010
BSREF III PARALLEL INVESTOR III LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/30/2010
GARNIER, AMANDA (Individual) OFFICER since 09/01/2015
GCH MANAGEMENT SERVICES LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2008
GULF COAST FACILITIES LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/01/2008
GULF COAST HEALTH CARE HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/30/2010
GULF COAST HEALTH CARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2008
HENDERSON, ERICA (Individual) MANAGING EMPLOYEE since 10/15/2016
HS DELTA GST TR 2 (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/30/2010
JS DELTA GST TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/30/2010
RICHARDSON, JAMES (Individual) OFFICER since 09/01/2015
SOUTHEAST US HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/30/2010
WOLF, SHERYL (Individual) OFFICER since 09/01/2015

street_number: 1620
route: Helvenston Street Southeast (Helvenston St SE)
locality, political: Live Oak
admin_level_2, political: Suwannee County
admin_level_1, political: Florida (FL)
country, political: United States (US)
types : street_address
latitude: 30.285728
longitude: -82.9641029
latlng: (30.285728, -82.9641029)


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