Amelia Manor Nursing Home - Lafayette Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
195469
Provider Name
AMELIA MANOR NURSING HOME
Provider Address
903 CENTER STREET
LAFAYETTE, LA 70501
LAFAYETTE, LA 70501
Provider Phone Number
(337) 234-7331
Provider SSA County
270
Provider County Name
Lafayette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
151
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMELIA MANOR, INC
Date First Approved to Provide Medicare and Medicaid services
1998-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.02667
Reported LPN Staffing Hours per Resident per Day
0.83381
Reported RN Staffing Hours per Resident per Day
0.32762
Reported Licensed Staffing Hours per Resident per Day
1.16143
Reported Total Nurse Staffing Hours per Resident per Day
3.18810
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08714
Expected CNA Staffing Hours per Resident per Day
2.12071
Expected LPN Staffing Hours per Resident per Day
0.62225
Expected RN Staffing Hours per Resident per Day
1.02680
Expected Total Nurse Staffing Hours per Resident per Day
3.76976
Adjusted CNA Staffing Hours per Resident per Day
2.34489
Adjusted LPN Staffing Hours per Resident per Day
1.11220
Adjusted RN Staffing Hours per Resident per Day
0.23841
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40895
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-03-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
32
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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