LARGO REHAB & SPA

The information listed below provides an in-depth look into the type and quality of care offered at Largo Rehab & Spa. 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

LARGO REHAB & SPA
9035 BRYAN DAIRY RD
LARGO, FL 33777
(727) 395-9619

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

97%

Number of Residents and Certified Beds

  • Residents: 154
  • Certified Beds: 158

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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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 Largo Rehab & Spa. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • 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: 2-102.7%
Total Percent:2.7%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 11-160.2%
ADL Index Range: 2-100.2%
Total Percent:0.5%
 

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: 11-1627.9%
ADL Index Range: 6-1029.9%
ADL Index Range: 0-522.5%
Total Percent:80.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.8%
ADL Index Range: 6-107.3%
ADL Index Range: 0-53.0%
Total Percent:11.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.0%
ADL Index Range: 6-103.3%
Total Percent:4.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-100.5%
Total Percent:0.5%
 

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: 11-14
- No Signs of depression
0.08%
Total Percent:0.08%
 

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
0.1%
ADL Index Range: 2-5
- No Signs of depression
0.04%
Total Percent:0.2%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.3%
Total Percent:0.3%
 

Rating Details For Largo Rehab & Spa

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours33 Minutes1 Hour and 17 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 3 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 2 Minutes2 Hours and 33 Minutes
Total Licensed Nurse Hours1 Hour and 35 Minutes2 Hours and 2 Minutes
Total Nurse Hours4 Hours and 37 Minutes4 Hours and 35 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.

This FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair8%5%
Percent of Long-Stay Residents Who Lose Too Much Weight5%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%5%
Percent of Long-Stay Residents Who Were Physically Restrained1%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder43%54%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores13%14%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain6%17%
Percent of Short-Stay Residents Who Have Delirium-2%

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 03/31/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/10/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/10/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/31/2011
  • Correction Date: 04/30/2011

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 03/31/2011
  • Correction Date: 04/30/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 03/31/2011
  • Correction Date: 04/30/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/10/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 03/31/2011
  • Correction Date: 04/30/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/31/2011
  • Correction Date: 04/30/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/10/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/10/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/31/2011
  • Correction Date: 04/30/2011
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 03/31/2011
  • Correction Date: 04/30/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 02/12/2010
  • Correction Date: 03/12/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 02/12/2010
  • Correction Date: 03/12/2010

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: 01/16/2009
  • Correction Date: 02/10/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/10/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/10/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/10/2009
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Inspection Date: 03/31/2011
  • Correction Date: 04/30/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Largo Rehab & Spa, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 03/03/2010
  • Correction Date: 03/12/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 03/03/2010
  • Correction Date: 03/12/2010
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 08/24/2010
  • Correction Date: 09/23/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 07/07/2008
  • Correction Date: 08/14/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 07/07/2008
  • Correction Date: 08/14/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/07/2008
  • Correction Date: 08/14/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 10/07/2008
  • Correction Date: 11/20/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 03/03/2010
  • Correction Date: 03/12/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 02/08/2011
  • Correction Date: 03/02/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 02/08/2011
  • Correction Date: 03/02/2011

Resident Assessment

Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
  • Complaint Filed: 01/06/2010
  • Correction Date: 01/07/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 07/07/2008
  • Correction Date: 08/14/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 03/03/2010
  • Correction Date: 03/12/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 03/03/2010
  • Correction Date: 03/12/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Largo Rehab & Spa had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/30/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/30/2011
  • Correction Date: 04/30/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 03/30/2011
  • Correction Date: 04/30/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/30/2011
  • Correction Date: 04/30/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/14/2009
  • Correction Date: 02/10/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/30/2011
  • Correction Date: 04/30/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 01/14/2009
  • Correction Date: 02/10/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/30/2011
  • Correction Date: 04/30/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/30/2011
  • Correction Date: 04/30/2011

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 03/30/2011
  • Correction Date: 04/30/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 03/30/2011
  • Correction Date: 04/30/2011
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011