Kr At College Harbor
4600 54th Ave S, Saint Petersburg, FL 33711


Kr At College Harbor is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105959. The address is 4600 54th Ave S, Saint Petersburg, FL 33711. The zip code is 33711. The phone number is 7278663124.


Kr At College Harbor · 4600 54th Ave S, Saint Petersburg, FL 33711

Federal Provider Number 105959
Provider Name KR AT COLLEGE HARBOR
Address 4600 54TH AVE S
SAINT PETERSBURG, FL 33711
Phone Number 7278663124
SSA County Code 510
County Name Pinellas
Ownership Type For profit - Corporation
Certified Beds 52
Certified Beds Residents 36
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name RK3 LLC
Date First Approved to Provide Medicare Medicaid Services 06/25/1997
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 1
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.73194
Reported LPN Staffing Hours per Resident per Day 0.98194
Reported RN Staffing Hours per Resident per Day 0.58611
Reported Licensed Staffing Hours per Resident per Day 1.56806
Reported Total Nurse Staffing Hours per Resident per Day 4.29999
Reported Physical Therapist Staffing Hours per Resident Per Day 0.11111
Expected CNA Staffing Hours per Resident per Day 2.56557
Expected LPN Staffing Hours per Resident per Day 0.62577
Expected RN Staffing Hours per Resident per Day 1.06374
Expected Total Nurse Staffing Hours per Resident per Day 4.25508
Adjusted CNA Staffing Hours per Resident per Day 2.61281
Adjusted LPN Staffing Hours per Resident per Day 1.30242
Adjusted RN Staffing Hours per Resident per Day 0.4117
Adjusted Total Nurse Staffing Hours per Resident per Day 4.07345
Cycle 1 Total Number of Health Deficiencies 14
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 60
Cycle 1 Standard Survey Health Date 09/22/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 60
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Health Deficiency Score 44
Cycle 2 Standard Health Survey Date 06/05/2015
Cycle 2 Number of Health Revisits 2
Cycle 2 Health Revisit Score 22
Cycle 2 Total Health Score 66
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Number of Complaint Health Deficiencies 6
Cycle 3 Health Deficiency Score 44
Cycle 3 Standard Health Survey Date 05/15/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 44
Total Weighted Health Survey Score 59.333
Number of Substantiated Complaints 6
Number of Fines 1
Total Amount of Fines in Dollars $11400.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Kr At College Harbor

Owner Name Role Association Date
KELSEY, PHILLIP (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/15/2016
KELSEY, PHILLIP (Individual) OFFICER since 11/01/2016
KELSEY, PHILLIP (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/15/2016
KR MANAGEMENT, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2016
RK3 LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2016
ROCKEFELLER, KEVIN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/15/2016
ROCKEFELLER, KEVIN (Individual) OFFICER since 08/15/2016
ROCKEFELLER, KEVIN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/15/2016

street_number: 4600
route: 54th Avenue South (54th Ave S)
locality, political: Saint Petersburg (St. Petersburg)
admin_level_2, political: Pinellas County
admin_level_1, political: Florida (FL)
country, political: United States (US)
postal_code: 33711
types : street_address
latitude: 27.7176562
longitude: -82.6965578
latlng: (27.7176562, -82.6965578)


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