Baldomero Lopez Memorial Veterans Nursing Home - Land O Lakes Nursing Home
General Information
UPDATEFederal Provider Number
106006
Provider Name
BALDOMERO LOPEZ MEMORIAL VETERANS NURSING HOME
Provider Address
6919 PARKWAY BLVD
LAND O LAKES, FL 34639
LAND O LAKES, FL 34639
Provider Phone Number
8135585000
Provider SSA County
500
Provider County Name
Pasco
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Date First Approved to Provide Medicare and Medicaid services
1999-05-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.44458
Reported LPN Staffing Hours per Resident per Day
1.44958
Reported RN Staffing Hours per Resident per Day
0.78292
Reported Licensed Staffing Hours per Resident per Day
2.23250
Reported Total Nurse Staffing Hours per Resident per Day
5.67708
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04750
Expected CNA Staffing Hours per Resident per Day
2.66365
Expected LPN Staffing Hours per Resident per Day
0.57719
Expected RN Staffing Hours per Resident per Day
0.80403
Expected Total Nurse Staffing Hours per Resident per Day
4.04487
Adjusted CNA Staffing Hours per Resident per Day
3.17308
Adjusted LPN Staffing Hours per Resident per Day
2.08451
Adjusted RN Staffing Hours per Resident per Day
0.72758
Adjusted Total Nurse Staffing Hours per Resident per Day
5.65748
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
8.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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