Colonial Lakes Health Care - Winter Garden Nursing Home
General Information
UPDATEFederal Provider Number
105440
Provider Name
COLONIAL LAKES HEALTH CARE
Provider Address
15204 W COLONIAL DR
WINTER GARDEN, FL 34787
WINTER GARDEN, FL 34787
Provider Phone Number
(407) 877-2394
Provider SSA County
470
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
174
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
15204 WEST COLONIAL DRIVE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1983-09-12
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
2
QM Rating Footnote
Staffing Rating
2
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
2.70690
Reported LPN Staffing Hours per Resident per Day
1.05891
Reported RN Staffing Hours per Resident per Day
0.30057
Reported Licensed Staffing Hours per Resident per Day
1.35948
Reported Total Nurse Staffing Hours per Resident per Day
4.06638
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05460
Expected CNA Staffing Hours per Resident per Day
2.28552
Expected LPN Staffing Hours per Resident per Day
0.60902
Expected RN Staffing Hours per Resident per Day
0.99016
Expected Total Nurse Staffing Hours per Resident per Day
3.88469
Adjusted CNA Staffing Hours per Resident per Day
2.90609
Adjusted LPN Staffing Hours per Resident per Day
1.44314
Adjusted RN Staffing Hours per Resident per Day
0.22682
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21943
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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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