Island Lake Center - Longwood Nursing Home
General Information
UPDATEFederal Provider Number
105643
Provider Name
ISLAND LAKE CENTER
Provider Address
155 LANDOVER PLACE
LONGWOOD, FL 32750
LONGWOOD, FL 32750
Provider Phone Number
(407) 830-7744
Provider SSA County
580
Provider County Name
Seminole
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ISLAND LAKE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-04-10
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.54873
Reported LPN Staffing Hours per Resident per Day
0.87754
Reported RN Staffing Hours per Resident per Day
0.47839
Reported Licensed Staffing Hours per Resident per Day
1.35593
Reported Total Nurse Staffing Hours per Resident per Day
3.90466
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04619
Expected CNA Staffing Hours per Resident per Day
2.47443
Expected LPN Staffing Hours per Resident per Day
0.64380
Expected RN Staffing Hours per Resident per Day
1.00899
Expected Total Nurse Staffing Hours per Resident per Day
4.12722
Adjusted CNA Staffing Hours per Resident per Day
2.52738
Adjusted LPN Staffing Hours per Resident per Day
1.13135
Adjusted RN Staffing Hours per Resident per Day
0.35427
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81354
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-10-03
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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