Chipola Health and Rehabilitation Center · Nf Chipola LLC

8505263191 · 4294 3rd Avenue, Marianna, FL 32446

Overview

Chipola Health and Rehabilitation Center is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #105729. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 4294 3rd Avenue, Marianna, FL 32446. The overall rating is 5.

Federal Provider Number 105729
Provider Name CHIPOLA HEALTH AND REHABILITATION CENTER
Legal Business Name NF CHIPOLA LLC
Address 4294 3rd Avenue
Marianna
FL 32446
County Jackson
Telephone 8505263191
Ownership Type For profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 1991-05-07
Number of Certified Beds 60
Average Number of Residents per Day 51.5
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 3
Long Stay Quality Measure Rating 2
Short Stay Quality Measure Rating 5
Staffing Rating 4
Registered Nurses Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.54213
Reported LPN Staffing Hours per Resident per Day 0.97316
Reported RN Staffing Hours per Resident per Day 0.87513
Reported Licensed Staffing Hours per Resident per Day 1.84829
Reported Total Nurse Staffing Hours per Resident per Day 4.39042
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05396
Expected CNA Staffing Hours per Resident per Day 2.01097
Expected LPN Staffing Hours per Resident per Day 0.71600
Expected RN Staffing Hours per Resident per Day 0.36820
Expected Total Nurse Staffing Hours per Resident per Day 3.09518
Adjusted CNA Staffing Hours per Resident per Day 2.60258
Adjusted LPN Staffing Hours per Resident per Day 1.00702
Adjusted RN Staffing Hours per Resident per Day 0.95117
Adjusted Total Nurse Staffing Hours per Resident per Day 4.53897
Rating Cycle 1 Standard Survey Health Date 2020-02-27
Rating Cycle 1 Total Number of Health Deficiencies 2
Rating Cycle 1 Number of Standard Health Deficiencies 2
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 8
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 8
Rating Cycle 2 Standard Health Survey Date 2019-03-08
Rating Cycle 2 Total Number of Health Deficiencies 2
Rating Cycle 2 Number of Standard Health Deficiencies 1
Rating Cycle 2 Number of Complavarchar Health Deficiencies 1
Rating Cycle 2 Health Deficiency Score 8
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 8
Rating Cycle 3 Standard Health Survey Date 2018-01-18
Rating Cycle 3 Total Number of Health Deficiencies 0
Rating Cycle 3 Number of Standard Health Deficiencies 0
Rating Cycle 3 Number of Complavarchar Health Deficiencies 0
Rating Cycle 3 Health Deficiency Score 0
Rating Cycle 3 Number of Health Revisits 0
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 0
Total Weighted Health Survey Score 6.667
Number of Facility Reported Incidents 1
Number of Substantiated Complavarchars 0
Number of Citations from Infection Control Inspections 0
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
CHIPOLA HEALTH AND REHABILITATION CENTER

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTGULF COAST FACILITIES LLCOrganization100%since 11/01/2008
5% OR GREATER INDIRECT OWNERSHIP INTERESTBARROW STREET REAL ESTATE FUND III, LPOrganizationNO PERCENTAGE PROVIDEDsince 06/30/2010
5% OR GREATER INDIRECT OWNERSHIP INTERESTBSREF III PARALLEL INVESTOR I LLCOrganizationNO PERCENTAGE PROVIDEDsince 06/30/2010
5% OR GREATER INDIRECT OWNERSHIP INTERESTBSREF III PARALLEL INVESTOR II LPOrganizationNO PERCENTAGE PROVIDEDsince 06/30/2010
5% OR GREATER INDIRECT OWNERSHIP INTERESTBSREF III PARALLEL INVESTOR III LPOrganizationNO PERCENTAGE PROVIDEDsince 06/30/2010
5% OR GREATER INDIRECT OWNERSHIP INTERESTGCH MANAGEMENT SERVICES LLCOrganizationNO PERCENTAGE PROVIDEDsince 11/01/2008
5% OR GREATER INDIRECT OWNERSHIP INTERESTGULF COAST HEALTH CARE HOLDINGS LLCOrganizationNO PERCENTAGE PROVIDEDsince 06/30/2010
5% OR GREATER INDIRECT OWNERSHIP INTERESTGULF COAST HEALTH CARE LLCOrganizationNO PERCENTAGE PROVIDEDsince 11/01/2008
5% OR GREATER INDIRECT OWNERSHIP INTERESTHS DELTA GST TRUST #2OrganizationNO PERCENTAGE PROVIDEDsince 06/30/2010
5% OR GREATER INDIRECT OWNERSHIP INTERESTJS DELTA GST TRUSTOrganizationNO PERCENTAGE PROVIDEDsince 06/30/2010
5% OR GREATER INDIRECT OWNERSHIP INTERESTSOUTHEAST US HOLDINGS LLCOrganizationNO PERCENTAGE PROVIDEDsince 06/30/2010
MANAGING EMPLOYEEHAMILTON, RENEEIndividualsince 11/30/2018
OFFICERBARNETT, BRETTIndividualsince 08/01/2019
OFFICERWOLF, SHERYLIndividualsince 09/01/2015

Location Information

Street Address 4294 3RD AVENUE
City MARIANNA
State FL
Zip Code 32446

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Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
Marianna Health and Rehabilitation Center · City of Marianna Office of City Clerk 4295 Fifth Avenue, Marianna, FL 3244685048280911989-03-025
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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.