Cedar Lake Nursing Home - Malakoff Nursing Home
General Information
UPDATEFederal Provider Number
675898
Provider Name
CEDAR LAKE NURSING HOME
Provider Address
1611 W ROYALL BLVD
MALAKOFF, TX 75148
MALAKOFF, TX 75148
Provider Phone Number
(903) 489-1702
Provider SSA County
640
Provider County Name
Henderson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CEDAR LAKE NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
2001-11-20
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.52866
Reported LPN Staffing Hours per Resident per Day
1.09573
Reported RN Staffing Hours per Resident per Day
0.61341
Reported Licensed Staffing Hours per Resident per Day
1.70915
Reported Total Nurse Staffing Hours per Resident per Day
4.23780
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01037
Expected CNA Staffing Hours per Resident per Day
2.29184
Expected LPN Staffing Hours per Resident per Day
0.61385
Expected RN Staffing Hours per Resident per Day
1.07659
Expected Total Nurse Staffing Hours per Resident per Day
3.98228
Adjusted CNA Staffing Hours per Resident per Day
2.70724
Adjusted LPN Staffing Hours per Resident per Day
1.48157
Adjusted RN Staffing Hours per Resident per Day
0.42573
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28954
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
144
Cycle 2 Standard Health Survey Date
2014-04-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
144
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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