The information listed below provides an in-depth look into the type and quality of care offered at John Knox Village Medical Center-Orange City. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
JOHN KNOX VILLAGE MEDICAL CENTER-ORANGE CITY
901 VETERAN'S MEMORIAL PARKWAY
ORANGE CITY, FL 32763
(386) 775-2008
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
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| Overall Rating | |
Percent of Beds Occupied
85%
Number of Residents and Certified Beds
- Residents: 128
- Certified Beds: 150
This Facility Accepts
Operational Details
- Operated By Non Profit - Corporation
- Offers Only Resident Counseling
- Part of a Continuing Care Retirement Community (CCRC)
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by John Knox Village Medical Center-Orange City. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 6.8% |
| ADL Index Range: 6-10 | 16.3% |
| ADL Index Range: 0-5 | 54.7% |
| Total Percent: | 77.9% |
| |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 2.0% |
| ADL Index Range: 6-10 | 2.5% |
| ADL Index Range: 0-5 | 9.6% |
| Total Percent: | 14.1% |
| |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 0.8% |
| ADL Index Range: 6-10 | 0.3% |
| ADL Index Range: 0-5 | 1.1% |
| Total Percent: | 2.1% |
| |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 6-10 | 0.2% |
| ADL Index Range: 0-5 | 0.3% |
| Total Percent: | 0.5% |
| |
Low Rehabilitation
Rehabilitation 45 Minutes Per Week Minimum
- Three days any combination of three rehabilitation disciplines
- Two services of restorative nursing six days per week
| ADL Index Range: 11-16 | 0.1% |
| ADL Index Range: 0-10 | 0.1% |
| Total Percent: | 0.3% |
| |
Extensive Services
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-16 - Isolation for active infectious disease | 2.1% |
| Total Percent: | 2.1% |
| |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - No Signs of depression | 0.8% |
| Total Percent: | 0.8% |
| |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - No Signs of depression | 1.6% |
| ADL Index Range: 11-14 - Signs of depression | 0.4% |
| Total Percent: | 2.1% |
| |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 11-14 - No Signs of depression | 0.07% |
| ADL Index Range: 6-10 - No Signs of depression | 0.07% |
| ADL Index Range: 2-5 - Signs of depression | 0.1% |
| Total Percent: | 0.3% |
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Rating Details For John Knox Village Medical Center-Orange City
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Registered Nurse (RN) Hours | 26 Minutes | 1 Hour and 4 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 30 Minutes | 38 Minutes |
| Certified Nursing Assistant (CNA) Hours | 3 Hours and 49 Minutes | 2 Hours and 20 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 56 Minutes | 1 Hour and 42 Minutes |
| Total Nurse Hours | 5 Hours and 45 Minutes | 4 Hours and 2 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 87% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 86% |
Long-Term Stay Deficiencies
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 15% | 12% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 5% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 2% | 5% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 59% | 54% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 6% | 5% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 22% | 12% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 10% | 10% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 7% | 3% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 12% | 9% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 8% | 11% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 8% | 8% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 83% | 81% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 74% | 80% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 25% | 17% |
| Percent of Short-Stay Residents Who Have Delirium | 2% | 2% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 23% | 14% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/12/2011.
Administration
Follow All Laws and Professional Standards. - Inspection Date: 01/08/2009
- Correction Date: 02/09/2009
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Resident Rights
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. - Inspection Date: 01/08/2009
- Correction Date: 02/09/2009
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Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
- Isolated
- Some Residents
- Many Residents