Zephyr Haven Health & Rehab Center, Inc
38250 A Ave, Zephyrhills, FL 33542


Zephyr Haven Health & Rehab Center, Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105658. The address is 38250 A Ave, Zephyrhills, FL 33542. The zip code is 33542. The phone number is 8137825508.


Zephyr Haven Health & Rehab Center, Inc · 38250 A Ave, Zephyrhills, FL 33542

Federal Provider Number 105658
Provider Name ZEPHYR HAVEN HEALTH & REHAB CENTER, INC
Address 38250 A AVE
ZEPHYRHILLS, FL 33542
Phone Number 8137825508
SSA County Code 500
County Name Pasco
Ownership Type Non profit - Corporation
Certified Beds 120
Certified Beds Residents 114
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ZEPHYR HAVEN HEALTH & REHAB CENTER INC
Date First Approved to Provide Medicare Medicaid Services 06/28/1989
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 Resident
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 2.83026
Reported LPN Staffing Hours per Resident per Day 1.12412
Reported RN Staffing Hours per Resident per Day 0.63421
Reported Licensed Staffing Hours per Resident per Day 1.75833
Reported Total Nurse Staffing Hours per Resident per Day 4.58859
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09825
Expected CNA Staffing Hours per Resident per Day 2.55822
Expected LPN Staffing Hours per Resident per Day 0.59723
Expected RN Staffing Hours per Resident per Day 0.89422
Expected Total Nurse Staffing Hours per Resident per Day 4.04967
Adjusted CNA Staffing Hours per Resident per Day 2.71462
Adjusted LPN Staffing Hours per Resident per Day 1.56226
Adjusted RN Staffing Hours per Resident per Day 0.52994
Adjusted Total Nurse Staffing Hours per Resident per Day 4.56732
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 10/06/2016
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 06/18/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
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 05/30/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 12.667
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Zephyr Haven Health & Rehab Center, Inc

Owner Name Role Association Date
ADDISCOTT, LYNN (Individual) OFFICER since 10/26/2006
ANDERSON, ROGER (Individual) DIRECTOR since 01/01/2008
BLOCK, LOUIS (Individual) OFFICER since 10/26/2006
DEPRADA, ARIEL (Individual) OFFICER since 10/26/2006
EVANS, GEORGE (Individual) DIRECTOR since 01/01/2008
GIVENS, MICHELLE (Individual) DIRECTOR since 10/26/2006
GIVENS, MICHELLE (Individual) OFFICER since 01/01/2007
GRAFF, JEFFREY (Individual) OFFICER since 11/12/2015
JOHNSON, KENT (Individual) OFFICER since 01/01/2011
JOHNSON, SANDRA (Individual) DIRECTOR since 01/01/2017
JOHNSON, SANDRA (Individual) OFFICER since 01/01/2017
MCDONALD, RAYMOND (Individual) DIRECTOR since 01/01/2008
RATHBUN, PAUL (Individual) OFFICER since 10/26/2006
RODMAN, DAVID (Individual) OFFICER since 10/26/2006
RODMAN, DAVID (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/26/2006
SAUNDERS, MICHAEL (Individual) OFFICER since 10/26/2006
SEIFERT, LEWIS (Individual) DIRECTOR since 01/01/2017
SEIFERT, LEWIS (Individual) OFFICER since 01/01/2017
SHAW, TERRY (Individual) OFFICER since 10/26/2006
SUNBELT HEALTH CARE CENTERS INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/26/2006

street_number: 38250
route: A Avenue (A Ave)
neighborhood, political: Moores
locality, political: Zephyrhills
admin_level_2, political: Pasco County
admin_level_1, political: Florida (FL)
country, political: United States (US)
postal_code: 33542
postal_code_suffix: 5759
types : premise
latitude: 28.2283963
longitude: -82.1832149
latlng: (28.2283963, -82.1832149)


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