Bartram Crossing
6209 Brooks Bartram Drive, Jacksonville, FL 32258


Bartram Crossing is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105645. The address is 6209 Brooks Bartram Drive, Jacksonville, FL 32258. The zip code is 32258. The phone number is 9048243326.


Bartram Crossing · 6209 Brooks Bartram Drive, Jacksonville, FL 32258

Federal Provider Number 105645
Provider Name BARTRAM CROSSING
Address 6209 BROOKS BARTRAM DRIVE
JACKSONVILLE, FL 32258
Phone Number 9048243326
SSA County Code 150
County Name Duval
Ownership Type Non profit - Corporation
Certified Beds 100
Certified Beds Residents 94
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BROOKS SKILLED NURSING FACILITY, A, INC.
Date First Approved to Provide Medicare Medicaid Services 06/01/1989
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 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.80266
Reported LPN Staffing Hours per Resident per Day 1.65798
Reported RN Staffing Hours per Resident per Day 1.0484
Reported Licensed Staffing Hours per Resident per Day 2.70638
Reported Total Nurse Staffing Hours per Resident per Day 5.50904
Reported Physical Therapist Staffing Hours per Resident Per Day 0.30372
Expected CNA Staffing Hours per Resident per Day 2.34656
Expected LPN Staffing Hours per Resident per Day 0.66628
Expected RN Staffing Hours per Resident per Day 1.3034
Expected Total Nurse Staffing Hours per Resident per Day 4.31625
Adjusted CNA Staffing Hours per Resident per Day 2.93062
Adjusted LPN Staffing Hours per Resident per Day 2.06537
Adjusted RN Staffing Hours per Resident per Day 0.60102
Adjusted Total Nurse Staffing Hours per Resident per Day 5.14484
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Health Deficiency Score 24
Cycle 1 Standard Survey Health Date 09/23/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 24
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 8
Cycle 2 Standard Health Survey Date 08/27/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 8
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 07/03/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 17.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Bartram Crossing

Owner Name Role Association Date
BAER, DOUGLAS (Individual) DIRECTOR since 06/01/2010
BROOKS SKILLED NURSING, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 06/01/2010
INTERIANO, MARIA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/15/2014
SHRYOCK, ROBERT (Individual) MANAGING EMPLOYEE since 05/07/2001
SPIGEL, MICHAEL (Individual) DIRECTOR since 06/01/2010

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