Douglas Jacobson State Veterans Nursing Home
Douglas Jacobson State Veterans Nursing Home Information
| Facility Name | Douglas Jacobson State Veterans Nursing Home |
| Location | 21281 Grayton Terrace, Port Charlotte, FL 33954 |
| County (SSA Code) | Charlotte (70) |
| Phone Number | 941-613-0919 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 120 |
| Average Number of Residents | 101.4 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | FLORIDA DEPARTMENT OF VETERANS AFFAIRS |
| Ownership Type | Government - State |
| Date First Approved | 2004-06-07 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.77547 |
| Reported LPN Staffing Hours per Resident per Day | 1.27985 |
| Reported RN Staffing - Hours per Resident per Day | 1.16407 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.44392 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.21939 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05428 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.97099 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.65325 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.30663 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.93087 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.76542 |
| Total Weighted Health Survey Score for three cycles | 10 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-05 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-11-01 |
| Rating cycle 2 - Health Deficiency Score | 8 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-12-07 |
| Rating cycle 3 - Health Deficiency Score | 32 |
| Rating cycle 3 - Total Health Inspection Score | 32 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 15515 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |