Island Terrace Nursing Home - Lakeville Nursing Home
General Information
UPDATEFederal Provider Number
225405
Provider Name
ISLAND TERRACE NURSING HOME
Provider Address
57 LONG POINT ROAD, BOX 1237
LAKEVILLE, MA 2347
LAKEVILLE, MA 2347
Provider Phone Number
(508) 947-0151
Provider SSA County
150
Provider County Name
Plymouth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
77
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ISLAND TERRACE, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.52353
Reported LPN Staffing Hours per Resident per Day
0.99265
Reported RN Staffing Hours per Resident per Day
0.48309
Reported Licensed Staffing Hours per Resident per Day
1.47574
Reported Total Nurse Staffing Hours per Resident per Day
3.99927
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03015
Expected CNA Staffing Hours per Resident per Day
2.39489
Expected LPN Staffing Hours per Resident per Day
0.60139
Expected RN Staffing Hours per Resident per Day
0.80996
Expected Total Nurse Staffing Hours per Resident per Day
3.80624
Adjusted CNA Staffing Hours per Resident per Day
2.58549
Adjusted LPN Staffing Hours per Resident per Day
1.36999
Adjusted RN Staffing Hours per Resident per Day
0.44566
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23532
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
2014-12-31
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.00000
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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