Governors Creek Health And Rehabilitation

803 OAK ST
Green Cove Springs, FL 32043
(904) 284-5606
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 120
Number of Residents: 115
Percent of Occupied Beds: 96%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? Yes
Special Focus Facility? No
Overall: 2 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 4 Star Quality Measures Rating
RN Only: 2 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071030 Health Resident Rights Deficiencies Try to resolve each resident's complaints quickly. Isolated Minimal harm or potential for actual harm 20071204
20071030 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20071204
20071213 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20080117
20071213 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20080117
20080422 Fire Safety Fire Alarm Systems Deficiencies an automatic smoke detection system in all hallways. Widespread Immediate jeopardy to resident health or safety 20080424
20080422 Fire Safety Smoking Regulations Deficiencies posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. Widespread Immediate jeopardy to resident health or safety 20080424
20080423 Health Environmental Deficiencies Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. Widespread Immediate jeopardy to resident health or safety 20080424
20080423 Health Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident. Widespread Immediate jeopardy to resident health or safety 20080424
20080423 Health Administration Deficiencies 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. Widespread Immediate jeopardy to resident health or safety 20080424
20080423 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Widespread Immediate jeopardy to resident health or safety 20080424
20080423 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Widespread Immediate jeopardy to resident health or safety 20080424
20080423 Health Resident Assessment Deficiencies Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. Widespread Immediate jeopardy to resident health or safety 20080424
20080423 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Widespread Immediate jeopardy to resident health or safety 20080424
20090901 Health Environmental Deficiencies Keep safe, clean and homelike surroundings. Isolated Minimal harm or potential for actual harm 20091001
20090901 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Minimal harm or potential for actual harm 20091001
20090901 Health Resident Rights Deficiencies Let residents complain without being treated differently or badly. Isolated Minimal harm or potential for actual harm 20091001
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 96
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 99
Percent of long-stay residents whose need for help with daily activities has increased: 9
Percent of long-stay residents who have moderate to severe pain: 1
Percent of high-risk long-stay residents who have pressure sores: 12
Percent of low-risk long-stay residents who have pressure sores: 4
Percent of long-stay residents who were physically restrained: 6
Percent of long-stay residents who are more depressed or anxious: 7
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 45
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 8
Percent of long-stay residents who spend most of their time in bed or in a chair: 1
Percent of long-stay residents whose ability to move about in and around their room got worse: 7
Percent of long-stay residents who had a urinary tract infection: 5
Percent of long-stay residents who lose too much weight: 4
Percent of short-stay residents given influenza vaccination during the flu season: 98
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 99
Percent of short-stay residents who have delirium: 3
Percent of short-stay residents who had moderate to severe pain: 8
Percent of short-stay residents who have pressure sores: 14
# of Residents: 115
# RN Hours per Resident: 0.45
# LPN Hours per Resident: 0.89
# CNA Hours per Resident: 3.17
Total Staff Hours per Resident: 1.34