Camelot Of Broussard - Broussard Nursing Home
General Information
UPDATEFederal Provider Number
195592
Provider Name
CAMELOT OF BROUSSARD
Provider Address
418 ALBERTSON PARKWAY
BROUSSARD, LA 70518
BROUSSARD, LA 70518
Provider Phone Number
3378399005
Provider SSA County
270
Provider County Name
Lafayette
Ownership Type
For profit - Corporation
Number of Certified Beds
148
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LOUISIANA GUEST HOUSE LLC
Date First Approved to Provide Medicare and Medicaid services
2004-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.98015
Reported LPN Staffing Hours per Resident per Day
0.82243
Reported RN Staffing Hours per Resident per Day
0.48640
Reported Licensed Staffing Hours per Resident per Day
1.30882
Reported Total Nurse Staffing Hours per Resident per Day
3.28898
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05478
Expected CNA Staffing Hours per Resident per Day
2.34902
Expected LPN Staffing Hours per Resident per Day
0.67129
Expected RN Staffing Hours per Resident per Day
1.05280
Expected Total Nurse Staffing Hours per Resident per Day
4.07311
Adjusted CNA Staffing Hours per Resident per Day
2.06839
Adjusted LPN Staffing Hours per Resident per Day
1.01688
Adjusted RN Staffing Hours per Resident per Day
0.34521
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25490
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-27
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
13
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-01-08
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
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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
Nursiong Homes Nearby
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Lafayette Care Center
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River Oaks Retirement Manor
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Bethany Mhs Health Care Center
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Amelia Manor Nursing Home
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Lady Of The Oaks Retirement Manor
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Magnolia Estates
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Courtyard Manor Nurse Care Center & Assisted Liv
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