Lady Lake Specialty Care Center - Lady Lake Nursing Home
General Information
UPDATEFederal Provider Number
106003
Provider Name
LADY LAKE SPECIALTY CARE CENTER
Provider Address
630 GRIFFIN AVENUE
LADY LAKE, FL 32159
LADY LAKE, FL 32159
Provider Phone Number
(352) 750-6619
Provider SSA County
340
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
145
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LADY LAKE NH, LLC
Date First Approved to Provide Medicare and Medicaid services
1999-03-30
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.51031
Reported LPN Staffing Hours per Resident per Day
1.23817
Reported RN Staffing Hours per Resident per Day
0.43359
Reported Licensed Staffing Hours per Resident per Day
1.67176
Reported Total Nurse Staffing Hours per Resident per Day
4.18207
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23168
Expected CNA Staffing Hours per Resident per Day
2.45862
Expected LPN Staffing Hours per Resident per Day
0.61092
Expected RN Staffing Hours per Resident per Day
1.01648
Expected Total Nurse Staffing Hours per Resident per Day
4.08602
Adjusted CNA Staffing Hours per Resident per Day
2.50529
Adjusted LPN Staffing Hours per Resident per Day
1.68218
Adjusted RN Staffing Hours per Resident per Day
0.31872
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12565
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-06-25
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
16
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
16
Number of Fines
1
Total Amount of Fines in Dollars
14250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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