Lafayette Health Care Center - Mayo Nursing Home
General Information
UPDATEFederal Provider Number
105963
Provider Name
LAFAYETTE HEALTH CARE CENTER
Provider Address
512 W MAIN ST
MAYO, FL 32066
MAYO, FL 32066
Provider Phone Number
3862943300
Provider SSA County
330
Provider County Name
Lafayette
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LHI LLC
Date First Approved to Provide Medicare and Medicaid services
1997-07-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.71161
Reported LPN Staffing Hours per Resident per Day
0.93036
Reported RN Staffing Hours per Resident per Day
0.64732
Reported Licensed Staffing Hours per Resident per Day
1.57768
Reported Total Nurse Staffing Hours per Resident per Day
4.28929
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.40670
Expected LPN Staffing Hours per Resident per Day
0.66244
Expected RN Staffing Hours per Resident per Day
1.11888
Expected Total Nurse Staffing Hours per Resident per Day
4.18802
Adjusted CNA Staffing Hours per Resident per Day
2.76457
Adjusted LPN Staffing Hours per Resident per Day
1.16568
Adjusted RN Staffing Hours per Resident per Day
0.43229
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12837
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
22.66700
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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