Avalon Healthcare Center - Lake City Nursing Home

General Information

UPDATE
Federal Provider Number
105346
Provider Name
AVALON HEALTHCARE CENTER
Provider Address
1270 SW MAIN BLVD
LAKE CITY, FL 32055
Provider Phone Number
(386) 752-7900
Provider SSA County
110
Provider County Name
Columbia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKE CITY MGT LLC
Date First Approved to Provide Medicare and Medicaid services
1978-08-15
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.07688
Reported LPN Staffing Hours per Resident per Day
1.14313
Reported RN Staffing Hours per Resident per Day
0.68563
Reported Licensed Staffing Hours per Resident per Day
1.82875
Reported Total Nurse Staffing Hours per Resident per Day
4.90564
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07125
Expected CNA Staffing Hours per Resident per Day
2.38009
Expected LPN Staffing Hours per Resident per Day
0.66565
Expected RN Staffing Hours per Resident per Day
0.97614
Expected Total Nurse Staffing Hours per Resident per Day
4.02188
Adjusted CNA Staffing Hours per Resident per Day
3.17203
Adjusted LPN Staffing Hours per Resident per Day
1.42538
Adjusted RN Staffing Hours per Resident per Day
0.52482
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91664
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
4940
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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